How NAPA Protocols Helped an ASC Earn National Recognition for Clinical Outcomes, Improve Efficiency, Achieve 100% Patient Satisfaction, and Add Value for its Hospital Partner

Capital City Surgery Center (CCSC) is a multispecialty ambulatory surgery center (ASC) serving central North Carolina with seven operating rooms and four procedure rooms. The freestanding facility located on WakeMed Health & Hospitals’ Raleigh Campus is associated with the hospital and local physicians. NAPA’s anesthesia team, comprising a Chief, eight physician anesthesiologists, and 13 certified registered nurse anesthetists (CRNAs), is fully integrated into the Center’s highly collaborative culture. Their contributions to standardizing procedures have helped CCSC produce outstanding results and earn a prestigious dual AAAHC Center of Excellence certification, awarded for the highest level of healthcare.

This case study describes how NAPA’s anesthesia leadership worked with CCSC’s medical staff and administrators to transition total joint procedures safely and efficiently from the hospital to the ASC. By decreasing variability and applying best practice protocols from pre-admission testing through recovery, the team was able to define standardized patient pathways for orthopedic care. That enabled the surgery center to significantly increase volume and patient satisfaction while reducing costs and the use of opioids. Following evidence-based processes implemented over a six-year period, CCSC’s excellent clinical outcomes were recognized with Newsweek’s “Best ASC” for North Carolina in 2021, 2022, and 2023.

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