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Anesthesia FAQs

The following frequently asked questions are about Somnia, the anesthesia services we offer, and issues affecting the healthcare industry.

Who are you and what do you do?
We are a physician-owned and operated anesthesia management company. We partner with hospitals, ambulatory surgical centers, and anesthesia groups of all sizes nationwide to improve the quality, efficiency, and revenue potential of their anesthesia services.

What services do you offer?
Each healthcare facility and anesthesia group has different needs. We offer support in all areas of anesthesia, including the following:

  • Executive management/leadership
  • Clinical affairs, quality assurance
  • Recruiting, credentialing, human resources
  • Payer contracting, revenue management, billing
  • Logistics, equipment, medical supplies
  • Legal/compliance

Do you outsource any of your anesthesia services?
No, we do not outsource our services. We have built an in-house infrastructure to support our healthcare partners with all their anesthesia needs. We work with our partners to develop short- and long-term strategy that meets and exceeds their specific clinical and business goals.

Our corporate team, including our Chief Medical Officer and Vice President of Medical Affairs, supports an on-site team that includes a Chief of Anesthesia and non-clinical anesthesia administrator. Our healthcare partners find our comprehensive on- and off-site team approach efficiently manages the clinical, administrative, and operational issues that occur daily, and creates a more effective anesthesia department.

What makes you different from any other anesthesia management company?
Unlike other management companies, we focus only on anesthesia services. What that means for our healthcare partners is a dedication to building anesthesia teams that consistently deliver improved anesthesia performance, clinical outcomes, and optimized financial results. It’s what we do and who we are.

As a physician-owned company, we understand both the clinical and business challenges our healthcare partners face. We work side-by-side with our partners who appreciate the easy access they have to executive management and our team of professionals. We are committed to being there for the lifetime of our business partnership.

Best of Breed Anesthesia: Borrowing from IT Success describes the value of an anesthesia management company that specializes in anesthesia only.

How do you make sure our surgeons and nurses are satisfied with any changes in anesthesia?
We recognize the importance of ensuring that all staff is on board with any changes to the delivery of anesthesia. We collaborate with surgeons, nurses, anesthesia providers, and administrators in assessing, implementing, and evaluating anesthesia changes.

We solicit feedback from patients, staff, and medical providers in the form of satisfaction surveys and face-to-face discussions. We believe transparency and partnership are important to improve both clinical and operational efficiencies, while ensuring a successful transition and optimizing patient care.

Best Practices for Anesthesia Onboarding and Change Management describes three phases for change and offers best practices tips for a successful transition.

Creating a Perioperative Partnership for Operating Room Managers examines the role of OR managers and how a collaborative partnership with anesthesia leadership helps solve issues affecting the OR’s clinical and financial efficiency.

How do we know making a change in anesthesia services is the right thing to do?
Change is never easy. We understand that you need to weigh the impact of that decision. We offer several tools to aid you in your decision-making process. In our Thought Leadership section, you can download free white papers and resource documents on topics that fit your circumstances. 

For example, A Hospital’s Guide to Evaluating Anesthesia Services provides hospital administration with a detailed, easy-to-understand guide for evaluating the delivery of anesthesia services. The document identifies four areas for consideration – leadership, financial management, quality improvement, and clinical services.

We also offer the Somnia Anesthesia Evaluation Tool app that is available at the App Store.

Five Warning Signs of Suboptimal Anesthesia Management: How Even a Talented Clinical Team Can Put a Hospital at Risk discusses the warning signs of poorly managed anesthesia services, including clinical inefficiencies, performance deficiencies, dissatisfied customers, administrative problems, and ineffective leadership.

These are just a few examples of the resources and tools available for free download in our Thought Leadership section.

If you are ready for a thorough analysis of your anesthesia services, Request a Proposal, and we will be in touch within 24 hours to start your free analysis of your anesthesia needs.

Will you retain our anesthesia providers?
We are committed to helping you find the best team for your anesthesia services. That team often includes existing team members who perform at optimal clinical levels, and who share the same objectives and goals of the facility or group. We recognize team dynamics play a critical role in improving overall quality of care and efficiency. Where needed, we blend local and national talent who possess the clinical and interpersonal skills needed to form an efficient, collaborative team. 

What kind of anesthesia staffing model do you promote?
The anesthesia staffing model depends on your patient care needs and the goals of your facility or group. It is important to consider both the clinical and business aspects of anesthesia services (as discussed in our resource document Evaluating Anesthesia Engagement Models for Hospitals).

We perform a two- to three-day on-site visit and meet with key stakeholders to determine the right staffing model for your organization. Our objective is to minimize expenses, maximize revenue, while optimizing quality and coverage.

Typically, staffing models are one of the following: 1) physicians only, 2) an Anesthesia Care Team – anesthesiologists with medically directed or supervised certified registered nurse anesthetists (CRNAs) and/or Anesthesia Assistants (AAs), or 3) a CRNA-only model.

We review the proposed model for staffing efficiency for improved pre-operative and post-operative care, increased availability and coverage, and cost-effectiveness without compromising the quality of care.

If you are interested in reviewing additional information on staffing models, the following resources are available for download: CRNAs in the Care Team Model and Anesthesia Staffing Models That Drive Value and Improve Quality.

How do you measure clinical quality and patient safety for anesthesia?
We help you deliver the highest level of clinical quality and patient safety. We were the first anesthesia-only management company that the Agency for Healthcare Research & Quality named a Patient Safety Organization.

Our Clinical Quality Excellence (CQE) program is the hallmark of our company. The clinical standards underlying our CQE program are the building blocks of best practices, based on evidence-based medicine sanctioned by our professional societies and the subspecialty societies we serve.

We define, measure, and value anesthesia clinical quality through each patient encounter. One tool we use is our Anesthetic Incident Report that captures up to 31 clinical quality/patient safety indicators that align with the Anesthesia Quality Institute (AQI). We use our clinical quality data to profile group and individual clinician performance against the entire Somnia network of more than 300 clinicians and 150,000 anesthetics. The data helps identify opportunities for improvement and establishes appropriate benchmarks for anesthesia care standards. 

How do you help with legislation and health reform changes?
In the past, the specialty of anesthesia had little, if any, direct effect on a hospital’s clinical quality or performance (HealthGrades) reporting. The Centers for Medicare & Medicaid Services (CMS) Value Based Purchasing Program and other legislative reform changed that.

For example, approximately 10% of the current clinical measures reported to CMS are anesthesia related, and additional changes are in development for surgical/anesthesia-specific Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction surveys.

Changing federal and health reform legislation includes anesthesia services in the performance and outcomes of hospitals and health systems. We have dedicated resources to stay ahead of the reform curve and team with our healthcare partners to maximize clinical quality and their bottom line. 

With a singular focus on anesthesia, we are well positioned to help you comply with legislative requirements specific to anesthesia services. Our white paper How Anesthesia Can Help Hospitals with Value-Based Purchasing is one example of available resources.

We have also embraced the new Accountable Care Organization (ACO) concept by labeling our focused efforts to quantifiably improve quality and reduce costs through our recognition as an Accountable Anesthesia Organization (AAO). Our resource document The Role of Anesthesia in Accountable Care Organizations outlines how anesthesia services affect the success of ACOs in your organization.   



Questions? We have answers.

To discuss your current and future anesthesia needs with our experienced staff, please call us at 877-795-5788, or use our Request A Proposal form to tell us about your requirements.