Project Description
Hospital & Ambulatory Surgery Center (ASC) Planning & Development
OR Efficiencies provides hospital and surgery center consulting services that provide ambulatory surgery program development & management solutions.
Impact of Outpatient Surgery Trend
Over the past two decades surgery has become a vastly outpatient based discipline. For most hospital’s surgical programs at least seventy percent of all surgery performed is outpatient surgery. On average at least seventy percent of outpatients are healthy ASA class I&II patients and are candidates to have their procedures performed in Ambulatory Surgery Centers. Today, surgery is performed in surgery centers on some ASA III patients depending on the procedure and facility. Given this scenario, over fifty percent of a hospital’s surgical case volume is at risk to be relocated to competing ASCs.
Competing With New ASCs for Outpatient Surgery Revenues
To retain outpatient surgery revenues within their own “financial portfolios” hospital’s are ever-struggling to compete with newly developing ASCs To optimally and effectively position our clients to compete in the ASC environment , OR Efficiencies, LLC is aligned with a leader in ASC design, development and joint venture syndication. Further enhancements offered by OR Efficiencies, LLC include assistance with capital procurement and development as well as on-going management.
Providing OR Efficiencies’ Clients a Full Range Of Hospital Development & Operational Services
T.J. Miginly, OR Efficiencies Specialist
Hospital Developers, Founder
Hospital Development & Operational Services Specialist
Hospital Developers – HD was founded by T.J. Miginly with a vision to efficiently and effectively bring hospital and related services to the market, with due respect for all partners, especially physician partners. The firm’s goal is to provide services focusing on Quality, Service and Integrity. With roots in physician practice management-insurance, construction-development and hospital/ambulatory surgery center development and management the firm provides a comprehensive range of services to the medical market with a specialized niche in ASC development. Hospital Developers-HD provides the clients of OR Efficiencies, LLC the full range of hospital development and operational services including:
- Real estate procurement, ownership and development
- Full oversight and integration of design/build services
- Hospital licensure and continuing operations
- Opportunity for physician investment
Client Testimonials
My hospitals department of anesthesiology was falling apart due to stresses of the operating room.We lost a number of doctors and I feared losing my CRNAs because of our issues. Jerry personally assisted me to bring stability to the anesthesiology program and his team improved OR efficiencies and general operations so that now we're able to recruit and retain highly skilled anesthesia staff.
CEO - major Mid-Atlantic healthcare system- The consulting team assisted our surgeons to realize that they must be part of developing solutions, not simply to expect administration to provide them a perfect world.
Now our surgeons and anesthesiologists are actively engaged, police themselves and have a higher level of satisfaction with our ORs being much more efficient.
Surgeon and OR Committee Chair - major Northeastern medical center - The hospital CEO and the dean made it my responsibility to fix the OR without holding any other parties accountable.
Our anesthesiology program was greatly in deficit due to the staffing costs associated with a terribly inefficient OR. I was losing faculty and could not recruit to our program due to the imbalance of work-load and compensation package. Jerry brought facts and education. He assisted in mediating our relationships and educated us on how to move forward. The assistance Jerry provided me and my program assisted me not only to improve our present situation and be successful in my position but also to move on in my own career.
Department of Anesthesiology Chair - then serving at a mid-Atlantic University program having moved on to Department Chair at a prestigious Southwestern University. - I moved to another CEO position and didn’t realize the disrepair our OR program was in until after I started.
I lost the contact information and spent hours tracking them down after nearly ten years. They were there for me and assisted me through another difficult situation.
CEO - Northeastern community medical center 
Jerry assisted me to bring stability to the anesthesiology program and his team improved OR efficiencies and general operations. . .My hospitals department of anesthesiology was falling apart due to stresses of the operating room. We lost a number of doctors and I feared losing my CRNAs because of our issues. "Jerry assisted me to bring stability to the anesthesiology program and his team improved OR efficiencies and general operations so that now we're able to recruit and retain highly skilled anesthesia staff."
CEO - major Mid-Atlantic healthcare system- Jerry Ippolito’s team assisted our surgeons to realize that they must be part of developing solutions,
not simply to expect administration to provide them a perfect world. Now our surgeons and anesthesiologists are actively engaged, police themselves and have a higher level of satisfaction with our ORs being much more efficient.
Surgeon and OR Committee Chair - major Northeastern medical center - Jerry, the services and education you provided my department and administration proved to be invaluable in resolving differences and developing solutions.
Before we started the engagement I thought my anesthesiology department was going to implode; you spread oil on troubled waters.
Highly published Chair of Anesthesiology - Midwestern University Hospital System - Our surgeons wanted to develop their own ASC until Ippolito and his team showed us that a community hospital OR can be as efficient as a surgery center.
Surgeon satisfaction improved and the surgeons continued to support the hospital.
Chief Nursing Officer - rural Midwestern community hospital - Their team made me feel good and part of the solution. . .
and never threatened in my position. I learned a lot and value the experience. I feel like we're friends.
Director of Surgical Services - major Northeastern medical center - “I’ve worked with Jerry Ippolito for over fifteen years. . .
Not only has he always been there to guide me through challenging situations, but he is a person of the highest integrity I've met in the business world.
Exec VP Operations - major Midwestern medical center