According to Blue Chip Surgical, underutilization is a major underlying issue that may cause ambulatory surgery centers to fail. Underutilization may be a result of:
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- Poor case mix
- Surgeon failure to bring cases to the center
- Business plans based on unrealistic or inaccurate estimates and projections
- Unengaged physicians
- Overbuilt surgery center facilities
- Poor center recruitment practices
- Emotional exhaustion due to a poorly performing center on the part of administrators