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Why Do ASCs Fail? - August 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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I thought I had recommended my way out of a job, but instead I was asked to manage the company's ENT business unit, which had tremendous potential but was struggling. The big opportunity was in tonsillectomy, where the company's Coblation devices resulted in far less pain than cautery devices that were the standard of care. However, because the devices required a change in technique and stopping bleeding was much more difficult, usage was mostly limited to highly skilled early adopters. So we worked closely with R&D on a new controller that dramatically improved coagulation so that the typ- ical ENT surgeon could get through cases with minimal bleeding. An outside agency developed a new advertising campaign that focused on happy, pain-free children. The ENT space at this point (2002) was fairly sleepy, and I knew a unique campaign would break through. Finally, we added additional direct sales representatives as fast as we could afford them. The business took off and it was an incredible amount of fun. Sales and marketing were a cohesive team and overall it was a very talented group. Plus, we were providing a very real and important benefit to children. It reminded me of my time at Vistakon where everything was firing on all cylinders and everyone was having fun. Because the ENT business was meeting or exceeding plan almost every quarter and we had no "stocking" distributors, I was not directly involved in the primary pushing-the-envelope activities at the end of the quarter. I would have been happy to manage the ENT business for several years. I was having so much fun and I had a very clear vision on how to grow the business for many years to come. However, along came another twist of fate that would be a key turning point. From ENT to spine In 2004, the CEO called me into his office to break some news. The general manager of the spine business unit had resigned to lead an 5 8 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | A U G U S T 2 0 1 5 B r e a k i n g B a d

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