Understanding the Fundamentals and Business of Independent and Office Based Anesthesia (1 Class A CE)

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Class A Credits: 1.00

Format: Video

Course Launch Date: 3/30/21

Course Expires: 3/29/24

As we search for ways to reduce cost and improve patient care there is a shift in elective procedures away from hospitals and into ambulatory surgery centers and office-based practices. As CRNAs we are at the forefront of this movement and are the best-positioned anesthesia provider to bring this service to our communities. To be prepared to offer our services we have to expand our knowledge past the hospital based setting and be prepared to think out of the box which requires knowledge of several the fundamentals of both the practice and the business of anesthesia.

The goal of this discussion is to create the fundamental building blocks necessary for our CRNA anesthesia providers to step out and feel they have the tools necessary to begin building their own independent anesthesia small business. These fundamental building blocks will include, but not be limited to, things such as marketing, negotiating, meeting standards of care, cost control, equipment acquisition, and more.

The American Association of Nurse Anesthetists is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.


Post-Test Attempt Notice
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:

The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthetists.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthetists has no responsibility or liability for the accuracy or completeness of the content.

  • Understand the fundamentals needed to build and maintain an independent practice.
  • Identify the key differences between hospital based and independent/officebased practice.

Brett B. Maxfield, MS, CRNA

President/CEO of Maxfield Healthcare Solutions

Brett completed his anesthesia training at the University of Michigan-Flint in 2009. He is the founder and President/CEO of Maxfield Healthcare Solutions, an anesthesia and surgical consulting firm, which has grown nationally to include several hundred clients in forty-nine of the fifty states and Puerto Rico, and is recognized as a national leader in surgical center and office-based surgerical consulting. He is also the Co-Owner and Managing Director of Madison Avenue Surgery Center, a multi-specialty independent ambulatory surgery center, and Clinical Operations Coordinator of Elison Oral Surgery Center.


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