At the end of every discussion, we always ask our guests, “What is one thing our listeners can do this week to improve their surgery centers?” For today’s episode, we took the last 15 answers we received from our guests and turned them into a 20-minute highlight reel.

This roundup features, in order: Scott Allen, Becky Ziegler-Otis, Tina DiMarino, Kathy Wilson, Ryan Short, Colin Park, Mayte Rechani, Mark Henderson Leary, Maddie Traylor, Richard Parker, Melanie Howitt, Kristle Young, Josh Rudd, Nyleen Flores, Shannen Reyes-Aguayo, and Will Evans.

A huge thank you to everyone who has shared their advice!

Brought to you by HST Pathways.

Highlight Reel – 15 Tips to Improve Your Surgery Center 

Will Evans, HST’s Senior Director of Data Science and Insights, is fresh off presenting Advanced Financial Strategies at last month’s ASCA conference. I wanted to spend a few minutes with Will recapping the second half of that presentation for those who may have missed it, including four key metrics for assessing financial health, how to identify the most important metrics for your unique ASC, and ways to incorporate benchmarking. If you’re looking to strengthen your ASC’s financial performance, this is a great place to start—and you’ll hear a success story or two along the way.

After my conversation with Will, we’ll shift to our Data & Insights segment. You’re likely familiar with our full State of the ASC Industry Report, but we recently released 12 new specialty benchmarking reports—shorter, data-focused reports that take a deeper dive into one specialty at a time. Today, I’ll spotlight average monthly revenue trends for two longstanding specialties—Gastroenterology and Ophthalmology—versus two emerging specialties—Cardiology and Total Joints. We’ll break down average monthly case volume, revenue per case, and what trends we’re seeing across these specialties.

Resources Mentioned:

 * https://www.hstpathways.com/specialty-data/gastroenterology/
 * https://www.hstpathways.com/specialty-data/ophthalmology/
 * https://www.hstpathways.com/specialty-data/cardiovascular/
 * https://www.hstpathways.com/specialty-data/totaljoint/

Brought to you by HST Pathways.

ASCA Session Recap: Advanced Financial Strategies 

Nyleen Flores, CEO of MedElevate, and Shannen Reyes, President of Advanced Quality Compliance, are joining us today. With decades of experience between them, Nyleen and Shannen have helped countless surgery centers streamline their credentialing processes, reducing risk and improving patient safety along the way. In this episode, we unpack common misconceptions, share tools and systems that actually work, and chat about their brand-new podcast, Credentialing Chronicles.

Later in the episode, I’ll walk through our latest Data & Insights spotlight. You’ve probably seen our full State of the ASC Industry Report, but we’ve just released 12 new benchmarking reports focused on specific specialties. Today, we're focusing in on Cardiovascular ASCs—with insights from 108 centers and roughly 9,000 cases.

Resources Mentioned: https://www.hstpathways.com/specialty-data/cardiovascular

Brought to you by HST Pathways.

Smarter Credentialing Strategies 

Josh Rudd recently opened Knoxville Spine Surgery Center, his first time leading the launch of a brand-new facility. I sat down with Josh to hear what the process was really like, from the initial idea all the way to their very first procedure. Whether you're planning a new build or just curious about what it takes to open an ASC from scratch, this conversation is packed with first-hand insights you'll find both valuable and engaging.

After my conversation with Josh, we’ll head into our Data & Insights segment. HST released its annual State of the Industry report in September, based on data from 590 surgery centers. Today, we’re diving into expected vs. actual OR start times and sharing practical tips to help keep your schedule running on time.

Resources Mentioned: HST’s State of the Industry Report [https://www.hstpathways.com/resources/surgery-center-industry-report/]

Brought to you by HST Pathways.

Behind the Scenes of Opening an ASC

We’re continuing our series on Improving Profitability. Last week, Melanie Howitt shared how AI and automation can improve your ability to collect outstanding balances. This week, Kristle Young from Collective RCM joins us to discuss strategies for reducing days in AR.

In our news recap, we cover key trends from the ASCA Conference, the rise of shoulder replacements, a new joint venture between Cleveland Clinic and Regent Surgical, and end on a high note with this year’s Nap Gary Award recipient.

Resources Mentioned:

ASCA 2025 Recap: Profitability, Tech, and Leadership [https://www.hstpathways.com/blog/asca-2025-recap-profitability-tech-and-leadership/]

Gaining Ground [https://www.aorn.org/outpatient-surgery/the-magazine/article/gaining-ground]

Cleveland Clinic, Regent Surgical Strike ASC Joint Venture Agreement [https://ascnews.com/2025/05/cleveland-clinic-regent-surgical-strike-asc-joint-venture-agreement/]

Wilson Receives Nap Gary Award for Lifetime Achievement [https://www.ascfocus.org/ascfocus/content/articles-content/articles/2025/names-in-the-news/wilson-receives-nap-gary-award-for-lifetime-achievement]

Brought to you by HST Pathways.

Improving Profitability: Reducing Days in AR

We’re kicking off a brand-new three-part series on Improving Profitability at Your ASC. First up: Melanie Howitt, Transition and Implementation Manager at in2itive, joins host Nick Latz to discuss how AI and automation can streamline collections and reduce outstanding balances. She also shares field-tested best practices for optimizing the back end of the revenue cycle.

Then, in our Data & Insights segment, we dive into findings from HST’s latest State of the Industry report. With data from 590 surgery centers, we break down the most common reasons for case cancellations—and which ones your ASC can work to prevent.

Resources Mentioned:

HST’s State of the Industry Report: https://www.hstpathways.com/resources/surgery-center-industry-report/

How to Create a CustomGPT: https://www.youtube.com/watch?v=_u0tHytmKqw

Brought to you by HST Pathways.

Improving Profitability: Automating Claim Adjudication 

HST CEO David Thawley recently joined ASCA’s podcast to discuss key ASC trends in 2024—from rising specializations and OR efficiencies to new RCM data from our State of the Industry Report. We’re excited to share that conversation here with permission from ASCA.

Quick reminder: if you’re listening on Tuesday, April 29, the ASCA conference is officially underway! Come visit us at Booth #303 to say hi, grab your copy of the report, and win a prize.

Check out ASCA’s podcast, Advancing Surgical Care: https://www.ascassociation.org/asca/news-and-publications/podcast

Download HST’s State of the Industry Report: https://www.hstpathways.com/resources/surgery-center-industry-report/

Brought to you by HST Pathways.

A Comprehensive Look at ASC Data from 2024 

Today’s guest is Richard Parker, Associate Director of Life Safety & Physical Environment at ACHC—the Accreditation Commission for Health Care. We talk about what life safety includes, what surveyors are really looking for, how to document properly, and the most common deficiencies ACHC sees during surveys.

Reminder: the ASCA conference is just two weeks away! If you haven’t registered yet, online registration closes Friday, April 18th, so now's the time to register if you haven’t yet. HST will be there at Booth #303, right up front in the exhibit hall. Stop by to say hello, grab a copy of our State of the Industry report, take a quiz for a chance to win a prize, and check out all our latest solutions. We hope to see you there.

Resources Mentioned:

 * Closing the ASC Tech Gap: EHRs, AI and Beyond [https://ascnews.com/2025/04/closing-the-asc-tech-gap-ehrs-ai-and-beyond/]
 * How ASCs can flip the script on anesthesia challenges [https://www.beckersasc.com/anesthesia/how-ascs-can-flip-the-script-on-anesthesia-challenges/]
 * Streamlining the PACU Experience for Total Joints Patients [https://www.aorn.org/outpatient-surgery/the-magazine/article/streamlining-the-pacu-experience-for-total-joints-patients]
 * The dog-tor will see you now [https://www.positive.news/environment/good-news-stories-from-week-13-of-2025/]
 * Learn more about ACHC Webinars: https://www.achc.org/

Brought to you by HST Pathways.

Life Safety: What Admins Need to Know 

In the final episode of our Staffing Strategies series, Maddie Traylor, President of AdvancedScope, joins us to explore the differences between locum, contract, and permanent hires. We dive into the pros and cons of each staffing model and how surgery centers can determine the best fit based on their unique needs.

After the conversation with Maddie, stick around for our Data & Insights segment. We’ll take a few minutes to unpack one of the key takeaways from HST’s 2024 State of the Industry report: average recovery times by specialty, based on data from 590 surgery centers.

Resources Mentioned:

 * HST’s State of the Industry Report: https://www.hstpathways.com/resources/surgery-center-industry-report/
 * The National Library of Medicine’s report on aromatherapy's role in decreasing PONV: https://pubmed.ncbi.nlm.nih.gov/34905993/

Brought to you by HST Pathways.

Staffing: Locum, Contract, or Permanent?

Last week, we explored how to choose the best staffing agency with Mayte Rechani. This week, we’re continuing our staffing series with Mark Henderson Leary to discuss what it takes to build a sustainable culture at your ASC.

Mark shares practical strategies to help you:

 * Define what your culture really is
 * Identify team members who may not be the right fit
 * Attract and retain people who align with your values

In our news recap, we cover:

 * The ongoing anesthesia staffing crisis
 * Concerns from ASC leaders about proposed HHS policy changes
 * National Colorectal Cancer Awareness Month
 * A feel-good story from this year’s National Resident Matching Program

Resources Mentioned:

 * Surviving the Anesthesia Staffing Crisis [https://www.aorn.org/outpatient-surgery/special-editions/article/surviving-the-anesthesia-staffing-crisis]
 * Ambulatory Surgery Center Stakeholders Sound Alarm Over HHS Proposal to Rescind Public Participation in Rulemaking [https://ascnews.com/2025/03/ambulatory-surgery-center-stakeholders-sound-alarm-over-hhs-proposal-to-rescind-public-participation-in-rulemaking/]
 * ASCs Provide Updates on CRC Screening [https://www.ascfocus.org/ascfocus/content/articles-content/articles/2025/march/ascs-provide-updates-on-crc-screening]
 * What 23 match day statistics say about the future of medicine [https://www.beckersasc.com/asc-news/what-23-match-day-statistics-say-about-the-future-of-medicine/]
 * HST’s State of the Industry Report [https://www.hstpathways.com/resources/surgery-center-industry-report/]

Brought to you by HST Pathways.

Staffing: Building a Sustainable Culture 

If you’re in the ASC industry, then you’re in the right place. Every week our hosts will recap the latest news impacting ASCs, and share an interesting conversation we had with our featured guest. New episodes released every Tuesday!

This Week in Surgery Centers