

Tammy Smittle, Group CEO at SCA Health
Jul 5, 2025
Tammy Smittle discusses the challenges of rising case acuity in Ambulatory Surgery Centers and the crucial role of workplace culture in retaining staff. She highlights the importance of teamwork for patient safety during complex procedures. The conversation also delves into evolving orthopedic practices, showcasing innovative treatments like peripheral nerve stimulation. Additionally, she explores strategic partnerships between physician-owned facilities and hospitals, emphasizing their impact on improving patient care.
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Rising Case Acuity in ASCs
- Surgery centers are treating higher acuity and sicker patients safely and effectively.
- Leaders must balance pushing clinical boundaries with maintaining patient safety in ASCs.
Build Culture to Solve Staffing
- Build a strong, unique workplace culture tailored to each facility.
- Foster teamwork and shared responsibility rather than just offering higher pay.
Orthopedic Innovation Story
- An orthopedic surgeon performed the first peripheral nerve stim procedure post-total knee for chronic pain.
- This innovation expanded as other orthopedists adopted it, showing evolving orthopedic practices.