Ambulatory Surgery Center Operations

ASC — the live operational nerve center of the surgery center.

Where the EMRs document care, ASC runs the real-time floor — cases, rooms, inventory, controlled substances, and the preference cards that define and cost every case. Built on Supabase Realtime for multi-user, reactive state.

About ASC

One real-time app for the live floor.

Most ASCs run scheduling in one system, inventory in spreadsheets, and DEA logs on paper. ASC unifies the live floor, full inventory, a regulator-ready controlled-substance ledger, and preference-card case costing into one real-time app on the clinical network.

Core Workflows

From the live floor to case costing.

01

Live Case Console

Real-time surgical case monitoring with room-level status across the center, a floor-plan view, and per-case detail. Every workstation sees the same state live via Supabase Realtime.

02

Equipment catalog

Master OR equipment with maintenance, sterilization, and FDA compliance tracking. Full lifecycle management for surgical instruments and devices.

03

Surgical supplies inventory

Supply master with stock workflows: receiving, dispensing, restocking, and par-level alerts across the center.

04

Medication inventory

Non-controlled medication tracking with dispensing workflows, lot/expiry management, and usage reporting.

05

DEA controlled-substance log

Append-only transaction ledger under 21 CFR §1304.21: receipt, return-to-supplier, administration, waste, transfer in/out, inventory adjustment, theft/loss, emergency use, destruction. Hash-chained audit pipeline.

06

Preference cards & case costing

Per-procedure preference cards define supply, implant, and equipment lists. Charge capture tallies actuals. Facility costs feed the Revela patient proposal.

Features

Built for the live surgical floor.

Real-time floor view

Live case console with room status, floor-plan visualization, and per-case detail across the center.

Supabase Realtime

Multi-user, reactive state — every workstation sees updates instantly without polling or refreshing.

10-type DEA ledger

Receipt, return, administration, waste, transfer, adjustment, theft/loss, emergency, destruction — all append-only under 21 CFR §1304.21.

Schedule II Form 222

Regulatory receipt tracking for Schedule II controlled substances with full audit trail.

Discrepancy & waste reporting

Unverified waste awaiting witness, discrepancy reports, 30-day provider activity, and daily usage rollups.

Equipment lifecycle

Maintenance scheduling, sterilization tracking, FDA compliance, and 11-state sterile-processing workflow (AAMI ST79).

Preference-card case costing

Per-procedure supply/implant/equipment lists that drive OR readiness and facility cost calculations.

Combined patient proposal

ASC facility costs flow into Revela's ProposalBuilder for one professional, itemized patient-facing estimate.

Benefits

Why surgery centers choose ASC.

One real-time floor

Cases, rooms, supplies, equipment, and controlled substances — all live, all visible, all on one screen. No spreadsheets, no paper logs, no reconciliation.

Regulator-ready DEA compliance

Append-only ledger, hash-chained audit, Form 222 tracking, waste witnessing, discrepancy reporting. Built for the inspection you hope doesn't come.

Preference cards that cost the case

Define what every procedure needs, track what it actually uses, and feed the facility cost into one patient-facing proposal with the surgeon's professional fee.

The Connected Journey

How it intertwines.

The case is created in Forge, costed via ASC preference cards into the Revela proposal, run live here on the day, documented in Continuum (ASC consumes the anesthesia record, it doesn't own it), and the patient is handed to Companion for recovery — all on the same encounter_id, entered by cross-app token.

Why It's Different

Not a commodity ASC platform.

Most ASCs run scheduling in one system, inventory in spreadsheets, and DEA logs on paper. ASC unifies the live floor, full inventory, a regulator-ready controlled-substance ledger, and preference-card case costing into one real-time app on the clinical network.

Pricing

Facility-scoped plans.

Starter
$299
/month
For a single center with up to 2 operating rooms.
  • 1 center, up to 2 ORs
  • Case & room scheduling
  • Equipment catalog
  • Sterile processing tracking
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Enterprise
$1,499
/month
For multi-center networks requiring centralized visibility and management.
  • Multi-center / network
  • Everything in Professional
  • Cross-center reporting
  • Priority support
  • Dedicated onboarding
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Ready to run your center on ASC?

Cases, rooms, sterile processing, and revenue — all on one platform.