Mr. Goehle is a certified public accountant and earned an MBA from Heriot-Watt University in Edinburgh, Scotland. Having worked with hospitals, nursing homes, home care agencies and ambulatory surgery centers, he has more than 20 years of experience in the healthcare administration field and is a frequent speaker on healthcare finance, accounting, budgeting and administration.
Mr. Goehle has written several books on ambulatory surgery centers, including Finance Management Made Easy – Strategies for Ambulatory Surgery Centers, APCs for ASCs: Strategies for Success Under the New Payment System and Finance and Accounting for ASCs.
Mr. Goehle discussed problem areas for ASCs in a Medicare survey during an interview with Becker’s ASC Review. Most ASC staff members probably already know they are now required to ask patients about advance directives prior to the day of surgery, but they may not know what to do if the patient actually wants to make a directive, he said. “It is not enough simply to ask patients on a form what they want to do — if the patient checks the ‘yes’ box, staff members need to ask what the directive is,” he said. “It is enough to get a verbal directive from the patient — something like, ‘If anything happens to me, I want my husband to decide what the doctors should do.’ Site surveyors will look for this directive in the patient’s medical record.”