sooner, and making sure that they don’t come back,” says Dr. Rosen.
One way this has been accomplished by Midwest Anesthesia
Partners is through the implementation of a preoperative process that
has dramatically reduced the number of same-day cancellations and
“We realize the surgeons are under a tremendous amount of pressure
to get the patients out of the hospital,” says Dr. Rosen. “We are proud
to always work with the hospital and our surgical colleagues to ensure
that is possible. Efficiency is absolutely the key, and that means doing the
most in the least amount of time with the quickest turnaround.”
If efficiency is the key to improvement, then effective communica-
tion is one of the means to achieve it.
“There is improved communication going on between the nursing
teams, the surgical teams, and others,” says Dr. Rosen. “It’s definitely
one of the positives of (the Affordable Care Act). We’re all talking to
each other much more. We all have the same goals, but they haven’t
always been on the forefront. Now people are communicating better.”
While he is quick to point out that these efforts were taking place
prior to the passage and implementation of the Affordable Care Act,
the uncertainty and consternation surrounding the law’s existence
have made them all the more important for the medical community to
consider and undertake.
“I don’t want to give too much credit to the Affordable Care Act
because this is something we were talking about for years,” says Dr.
Rosen. “We’ve made an effort over the last several years to improve
care, even more than in years past. Certainly we’ve redoubled that
recently because we see the tremendous scrutiny that we are all being
One reality that Dr. Rosen expects to continue in the age of the
Affordable Care Act is consolidation. Increased focus on cutting costs
and meeting performance targets have led many physicians to sell their
respective practices to larger entities.
“Right now if you are a resident finishing your training, your
expectation isn’t to be a solo practitioner, your expectation is to work
for an entity, whether that’s a hospital, a healthcare system, or even a
private corporation,” he states. “I think what you’re going to see is that
is one of the unfortunate downsides of all this consolidation and focus
However, there is still reason to be optimistic about the future of
medicine. That's because, according to Dr. Rosen, the slowdown he
and his colleagues saw during the first two months of 2014 won’t last.
It’s no secret the population in the United States is expanding and
aging. That equates to more illnesses and ailments that will require
treatment in the future, and healthcare providers must be ready and
willing to meet that demand, he says.
Dr. Rosen and his colleagues have been working diligently to
combat both the real and presumed effects of the implementation of the
Affordable Care Act by addressing problem areas and inefficiencies,
trying to reduce unnecessary cost, engaging in better communication,
working to develop the skills of their fellow staff, and adopting key best
“These are goals we’ve been working toward and will still hone in
on and refine,” he says. “They are truly achievable and we’ve seen them
FOCUS ON: The Affordable Care Act
SP: How will the implementation of the Afford-
able Care Act have an impact on consolidation?
Dr. David Rosen, Midwest Anesthesia Partners:
Right now if you are a resident finishing your
training, your expectation isn’t to be a solo
practitioner, your expectation is to work for an
entity, whether that’s a hospital, a healthcare
system, or even a private corporation.