Office based Surgery - An Accelerating Movement

John Grant

1/12/20261 min read

Over 4 million cataract surgeries are performed each year by about 9,000 surgeons. With the aging population, volume is expected to grow by 3-4% annually, reaching six million by 2030.

At the same time, many ASCs are deprioritizing cataract procedures in favor of more lucrative procedures, such as orthopedics. This creates a critical supply and demand imbalance for the world’s most performed procedures.

Challenges that highlight the need for a new approach to ophthalmic surgery:

1. Provider shortage: As the demand grows, the number of ophthalmic surgeons and anesthesia providers is declining, creating a long-term capacity crisis.

2. Restricted surgical time: Multi-specialty ASCs are de-prioritizing ophthalmic procedures in favor of those with higher reimbursements. Limited surgical time for ophthalmologists is resulting in a backlog of cases.

3. Inefficient workflow: Traveling from the office to the facility for every procedure wastes clinic time and workflow efficiency. Downtime in ASC = wasted time.

4. Lack of control and flexibility: Surgeons are required to use the ASC's supplies, equipment, and staff and follow their policies and procedures. Any changes are subject to committees and red tape for approval

Benefits of an OBS

1. Flexibility: With proper design and terminal cleaning, your office-based surgical suite can be used on a monthly weekly or daily basis depending on your needs and volume. When not in use as an OR suite, the space can still function as clinic space for pre-op testing and other patient visits.

2. Control: The doctor has full control over equipment, supplies, lens choices and opening times rather than being dictated to by operating board or management company

3. Convenience: Patients are already familiar with your location, parking, people and culture. They will also receive just one bill for their eye procedure. For the doctor, there is no longer a need to drive to another location or be restricted by limited block time.