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

Vicari_Basil Hirshowitz_Strategies for Success in the Changing Healthcare Landscape

Pdf Summary

In the changing healthcare landscape, strategies for success include recognizing the future of Ambulatory Endoscopy Centers (AECs) and understanding the factors driving their growth, such as market size, payors, and an aging population with increasing chronic diseases. Consolidation and growth are necessary to navigate market forces, reimbursement challenges, and competition, as well as to take advantage of economies of scale. The shortage of gastroenterologists and nurses further emphasizes the need for strategic solutions. Increasing the number of fellows and fellowship programs can address the long-term gastroenterologist shortage, but short-term solutions include considering the role of endoscopists and advanced practice providers (APPs) in delivering gastroenterology services. The APP-Gastroenterologist Team can be utilized in outpatient clinics and hospitals, with APPs taking on more responsibilities under the supervision of a gastroenterologist. Thinking outside of the box, an APP Endoscopist model can be explored, with APPs potentially completing an Endoscopy Fellowship and utilizing artificial intelligence (AI) for procedure technique and computer-aided diagnosis. Similarly, an APP-Physician Endoscopy Team can involve APPs performing procedures with CAD assistance under the leadership of a gastroenterologist. These new paradigms for delivering endoscopic services can help address the evolving healthcare landscape.

Keywords

healthcare landscape

Ambulatory Endoscopy Centers

market size

aging population

consolidation

economies of scale

gastroenterologist shortage

nurse shortage

APP-Gastroenterologist Team

APP Endoscopist model