Periop Leader Week
May 28, 2026

Managing the migration: Operational and financial complexities associated with transitioning inpatient procedures to freestanding ASCs

By: Leslie Jebson, MHA, MBA, FACHE, FACMPE
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The migration of surgical procedures from inpatient hospital settings to non-hospital department ambulatory surgery centers (ASCs) represents one of the most significant structural transformations in modern healthcare delivery. Advancements in minimally invasive surgery, anesthesia, enhanced recovery protocols, and payor-driven site-of-care optimization have accelerated the movement of procedures such as total joint arthroplasty, spine surgery, and select cardiovascular interventions into outpatient environments.

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