Ambulatory Systems Development: Marjorie E. Vincent

Marjorie E. Vincent, RN, MBA

Marjorie E. Vincent, RN, MBA has been in the ambulatory surgery center field for over 20 years. She has provided interim management in ambulatory and/or hospital settings, worked on long and short term contracts involving a variety of health care issues. She has developed many surgery centers and ambulatory and related businesses working with investors, corporations, and individuals during the start-up phases in establishing freestanding surgical centers from design, construction, equipment purchase, staffing, policy and procedure formulation, pricing and business functions. With W/ASD, she also performs internal audits for operational efficiencies and effectiveness, pre-survey reviews for compliance with state licensure, Medicare certification and/or accrediting agencyÕs standards and requirements. Marge also works with the Mr. Hatch in the division of W/ASD which develops expansion of services of ambulatory facilities to include specialty hospital licensure. Her duties also include reviewing facilities for Corporate Compliance with corrective plan of action and assistance with development of Compliance plan. Due to her extensive ASC management experience, she also assists with managed care contracting and negotiations for clients.

Marge has been a Regional Vice President with HealthSouth, Inc. providing managerial oversight for 13 Ambulatory Surgery Centers within the HealthSouth system. Working with managers of the HealthSouth rehabilitation and diagnostic centers to provide integrated services. Developing new services and centers in a four state area and providing input to the Managed Care division for contract negotiation. She also served as Director of Consulting Services for Premier Ambulatory Systems, Inc., a national company of 35 surgery centers. She provided internal and external consultative services. Working with development projects, newly acquired centers in transition, developed centers for update and review. Provides operational and clinical audits for compliance with regulatory agencies, financial/fiscal reviews and budgetary preparations. Consultative services provided over the phone and at the client site. Reviews and update the company's policy and procedure manuals for administrative, business and clinical activities. Reviews billing and coding practices for optimization of revenue. Assemblies and analyzes procedure costs and supply utilization. Assists with background support for managed care contract negotiations.

She has also served as the Administrator: of the Frederick Surgical Center in Frederick, MD to secure bank and lease financing, negotiate third party payor contracts and the daily operational activity of the center. This activity was concurrent with above and expanded on the job responsibilities below. Performed ROI, pro forma and P & L activities. Reduced accounts receivable aging from 126 days to 68 days. She was also Administrator of the Bon Secours Ambulatory Surgery Center in Ellicott City, MD with total responsibility for all functions of a freestanding surgical center (14,000 square feet- 4 ORs). Functional areas included business office, medical records, medical staff relations, clinical, support, clerical and materials management. Established and responsible for personnel management, planning, organizing, staffing and controlling this independent not-for-profit subsidiary. Project manager for new construction. Established and responsible for short and long range goals and objectives; marketing to physicians, patients and community; physician recruitment and medical staff Credentialing and functions; developed and monitored standards and protocols; formulated and controlled vendor contracts and inventory; maintenance and repair of physical plant, fixed and moveable equipment; established systems for and maintaining of compliance with State and Medicare regulations; developed medical record and audit systems. Purchased all equipment and supplies for new center; hired staff; developed budget, policies and procedures for all areas. Marge has had experience managing and direction hospital operating rooms and coordinates W/ASD's consulting services of assessing and correcting operation of hospital operating rooms for W/ASD hospital clients. She has Director of Operating Room, Assistant Director of Nursing at Southern Maryland Hospital Center, a 310 bed acute care proprietary hospital. Responsible for short and long range goals; marketing present and future services; monitoring the care in three areas, formulating and controlling budgets for staffing equipment and supplies. Developed and monitored standards and protocols; developed and instituted a training programs for inexperienced RNs; developed recruitment ads; performed organizational analysis; and developed inventory control methods. The latter items were not in place when hired and were implemented during my tenure. Involved in master planning and programming of an outpatient surgical and admitting areas and a trauma unit. She has also served as Director of Nursing: Division of Operating, Recovery & Delivery Rooms at Washington Hospital Center in Washington, DC, a 922 bed non-profit tertiary trauma referral hospital. Responsible for strategic planning, long and short range goals; daily operations and marketing of six clinical areas and sixty patient beds; total personnel activity (hire to termination) in a union environment; developed , justified and controlled expense budgets ($15-17M) and revenue budgets (over $22M). Involved in master planning, programming, design development and construction as project manager for renovations in OR, DR, RR, CSR, ambulatory care and inpatient areas and for new construction for same areas. Management team member for union contract negotiations. All areas maintained in compliance with JCAHO, HHS life safety and District health regulations. Developed and implemented departmental reorganization which reduced management positions.

Marge is a Registered Nurse with licenses in District of Columbia, Maryland, North Carolina, and California 1993 to present. She is a CNOR, Certification for Professional Achievement in Nursing Practice in the Operating Room. Association of Operating Room Nurses, Inc. December 1983 - 2002. Her professional associations include the Association of Operating Room Nurses, Federated Ambulatory Surgery Association, Healthcare Financial Management Association, American College of Health Care Executives, and the American Academy of Professional Coders.

She has her MBA from Loyola College, Baltimore, MD and RN certificate from, St. Agnes School of Nursing, Baltimore, MD. She has attended further training at the M.B.A. UpGrade Program at Syracuse University, Syracuse, N.Y. which focuses on various clinical and management seminars.