ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Vicari_Basil Hirshowitz_Strategies for Success in the Changing Healthcare Landscape

Vicari_Basil Hirshowitz_Strategies for Success in the Changing Healthcare Landscape

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In this document, the author discusses strategies for success in the changing healthcare landscape, particularly in the field of gastroenterology. The future of Ambulatory Endoscopy Centers (AECs) is highlighted, with an expected growth in volume and revenue due to factors such as increasing chronic diseases and an aging population. The author also emphasizes the importance of consolidation for AECs, citing market forces, reimbursement, payor negotiations, competition, and economies of scale as reasons for consolidation. The document also addresses the challenges of a gastroenterologist shortage and a nursing shortage, with suggestions for long-term solutions such as increasing the number of fellows and fellowship programs. Furthermore, the author explores new paradigms for delivering endoscopic services, including the use of Advanced Practice Providers (APPs) in an outpatient clinic setting and the concept of APPs becoming endoscopists through specialized fellowship programs. Additionally, the author discusses the potential role of Artificial Intelligence (AI) in endoscopy procedures, such as procedure technique assistance and computer-aided diagnosis. The document concludes by highlighting the need for innovative approaches to delivering endoscopic services in order to adapt to the changing healthcare landscape. Overall, the strategies discussed aim to ensure the growth and success of gastroenterology practices in the face of evolving healthcare demands.

Keywords

success strategies

changing healthcare landscape

gastroenterology

Ambulatory Endoscopy Centers

consolidation

gastroenterologist shortage

nursing shortage

Advanced Practice Providers

Artificial Intelligence

innovative approaches