In June, 1989, after being in private practice since 1979, Dr. Roger T. Brill, expanded his facility into the adjacent office. This was because of a continued growth of the medical practice and the increased need for additional employees, work areas for employees, and accommodations for the patients. In addition, in this expansion, an additional operating room was added. The surgery performed in this facility was very limited.  With a persisting limitation and potential inability to achieve our long-term goals, a decision was made to move to a larger facility that was capable of delivering the level of care required by the demands of medical care. Since the practice began in 1979, many advances in technology have resulted in more outpatient surgery procedures being performed and a decrease in the need for hospital admission for otherwise healthy patients. 

In September, 1992, Dr. Roger T. Brill, moved his office based practice to a larger facility.  The facility was in the same office park but a larger facility that was more suitable for his practice.  The new facility had two operating rooms which met the qualifications for the American Association for Accreditation of Ambulatory Plastic Surgery Facilities and the facility was subsequently accredited by the AAAPSF.  Following the accreditation the efficiency and quality of care has been maintained and increased significantly.

The decision was made to have the facility accredited after extensive research was performed.  This included feasibility studies which were done by the staff as well as advisors and peers.  It was thought if it is a licensed facility, then all the requirements would be met which would facilitate maintaining quality assurance and quality care. 

Over the past several years, scheduling patients for surgery in the hospital has become increasingly more difficult. There has been "block-booking" where blocks of time in surgery are assigned to a specific physician making it impossible for elective surgery to be scheduled during those times unless the physician relinquishes that time or does not schedule surgery at that time.  When the physician does not schedule surgery, prior to a certain number of days, then he relinquishes that block of time.  This has become impractical because patients cannot schedule surgery and make arrangements for elective surgery, such as plastic surgery, in such short notice. These are patients which make personal plans far in advance. This has increased the necessity for the need for this surgical facility.

An additional factor in justifying the construction of the facility was the financial benefit to both the patient and insurance carrier. Exorbitant hospital charges were avoided understandably since our overhead was not as great and we have been able to pass that savings to the patient. Furthermore, patients like the convenience as well as the personalized and specialized attention we are able to offer and staff efficiency is much greater.

We take great pride in the fact that over the past few years, this facility has had minimal complications such as infections from surgical procedures performed.  The efficient design, the calming atmosphere, and the cleanliness are second to none.  Semi-annual testing and inspection of our equipment is performed to insure the safety of our patients. 

In July, 1995, remodeling and upgrading the facility to a licensed ambulatory surgical center (ASC) was completed.  This included installation of an emergency call system, emergency fire system, upgrading the emergency power system, and also constructing the proper fire wall construction to meet the code requirements. Construction was completed in 1996.

In addition to the usual reasons for increase in cost of outpatient surgical care, licensure has resulted in an increase of expenses in terms of facility and staffing requirement.  During the past several years, facility costs have been absorbed by Dr. Brill for each individual surgery. Obtaining licensure provides a vehicle for insurance reimbursement of facility expenses such as operating room fees, surgical supplies and associated services.  Spiraling medical costs as well as the maintenance of quality assurance regarding patient care results in the need for obtaining official accreditation and licensure.