WSOA ASC Position Letter

Below is the letter that the Washington State Orthopaedic Association sent to Governor Jay Inslee regarding ambulatory surgery centers.

March 26, 2020

Dear Governor Inslee:

With the rapid spread of COVID-19 cases our health care system will be facing an unprecedented surge in the need for urgent and emergent medical care in the coming weeks. The number of patients that will require assessment for respiratory illness and potential treatment and hospitalization could very easily exhaust our emergency medical resources, hospital and ICU beds and all the components required to manage this pandemic. To make matters worse, there is a national shortage of protective equipment that caregivers for that will need in order to protect themselves from being infected by this potentially deadly virus.

While this is going on, we will still see a number of medically “well” patients with injuries that will need care. These may include fractures, tendon lacerations and other injuries which may require urgent surgical treatment. Although this type of care can be provided in a hospital setting, it may be a more effective use of limited hospital resources to triage these patients to an ambulatory surgical center (ASC). ASCs have already distinguished themselves for the efficiency and low cost of care as well as excellence in safety and patient outcomes.

The Washington State Orthopaedic Association believes that outpatient surgical centers may well play a crucial role in providing needed care during the pandemic when hospitals are being strained to cope with the patients with viral illness. We believe that outpatient surgical centers should be supplied with necessary protective equipment (PPE) to allow them to accomplish that mission. We also believe that surgical centers should make maximal effort to conserve such equipment to the benefit of everyone in the health care system.

The American College of Surgeons addressed this in a March 13 document entitled “COVID-19: Recommendations for Management of Elective Surgical Procedures” by stating that during the COVID-19 pandemic hospitals may “shift elective urgent inpatient diagnostic and surgical procedures to outpatient settings when feasible.” The CDC has also made that recommendation.

WSOA is aware of several ASCs that have largely or completely shut down. There also have been reports of hospitals requesting that privately owned ASCs give up their PPE so as to maximize the hospital supply. While we understand the need for that equipment at the hospitals, we wish to remind that ASCs may well play a very important role in managing the upcoming crisis.

We would also suggest that “cohorting” healthy patients with musculoskeletal injuries at ambulatory surgical centers would decrease the likelihood of disease transmission by separating them from the hospital environment where COVID-19 patients will be screened and treated.

We appreciate your attention to this matter.

Nicholas Rajacich, MD, FAAOS
President, Washington State Orthopaedic Association


COVID-19 Response

The Washington State Medical Association (WSMA), Washington state officials, and the state’s health care community have joined the Centers for Disease Control and Prevention in responding to an outbreak of respiratory illness caused by a novel coronavirus (COVID-19). Initially detected in Wuhan City, Hubei Province, China in December 2019, COVID-19 is now spreading in Washington state and other U.S. locations.

WSMA has a dedicated COVID-19 resource page that features patient and professional resources:

The ACCME has compiled a list of educational resources about COVID-19 for physicians, all of which include CME credit. The education consists of online courses, video, or articles, and most of these resources are free:


POSTPONED: WSOA REOP is Coming to Spokane!

Due to recommendations from county and national health officials, the Regional Educational Outreach Program (REOP) in Spokane has been postponed to a date to be announced.

We are excited to announce that we will be holding our first Regional Educational Outreach Program (REOP) in Spokane on Tuesday, April 28. Please join us for dinner at Anthony’s at Spokane Falls for a lecture from Dr. Keith Mayo, “Evolution of Hip Preservation- a Long Term Perspective.”

Tuesday, April 28, 2020
5:30 – 8:00pm
Anthony’s at Spokane Falls
510 N Lincoln St
Spokane, WA 99201

About Keith Mayo, MD:
Dr. Mayo is an internationally recognized expert in the surgical management of acetabular and pelvis fractures and a pioneer in hip preservation surgery. He graduated from medical school and Orthopaedic surgery residency at the University of Washington and then pursued fellowship training with Professor Reinhold Ganz at the University of Bern, Switzerland in 1983. He worked with Dr. Ganz to develop the innovative techniques of periacetabular osteotomy to address acetabular dysplasia and the surgical hip dislocation for open treatment of FAI. Dr. Mayo had additional training in hip and pelvic fracture surgery with Professor Emile Letournel in Paris before returning to Seattle in 1984 to join the faculty of the University of Washington where he was Clinical Associate Professor at Harborview Medical Center. In 1995, he became a Professor in the Department of Orthopaedics at Wayne State University. In 2015, Dr. Mayo established the Hansjörg Wyss Hip and Pelvis Clinic at Swedish Medical Center where is the Medical Director.

About WSOA:
The Washington State Orthopaedic Association is a membership-driven organization which represents the interests of orthopaedic surgeons and the patients with musculoskeletal problems whom we treat here in Washington. We are your advocates in Olympia both in the legislature and, sometimes more importantly, in the regulatory arena. We also serve as the “Boots on the Ground” representatives of the AAOS leadership so that the Academy is kept abreast of important issues here in Washington state, and that information about important issues that come up in other states or in Washington, DC is passed on to orthopaedic surgeons here at home.


Time to Renew Your Dues for 2020!

The Washington State Orthopaedic Association is a membership-driven organization which represents the interests of Orthopaedic Surgeons and the patients with musculoskeletal problems whom we treat here in Washington.

Thank you for recognizing the importance of supporting your local orthopaedics community. Your participation and financial support are essential as we continually strive to strengthen our organization.

Renew Now

Benefits of Membership

  • NEW in 2020, the WSOA Regional Education Outreach Program: with support from AAOS, WSOA will be hosting dinners around Washington State to provide educational and networking opportunities for members
  • Advocacy in Olympia
  • Representation in the AAOS Board of Councilors
  • Networking at our 2020 WSOA Alumni Reception at the AAOS Annual Conference in Orlando
  • Registration for the 2020 WSOA Annual Meeting and Lifetime Achievement Award Dinner

WSOA is excited to offer two new pricing models for 2020:

  1. 50% off dues for the first two (2) years in practice for Active, Active Part-Time, Affiliate, and Active Military members.
  2. For practices that choose to join/renew all members with one payment, receive 20% off your total dues! If you would like to be invoiced as a practice, please email WSOA Executive Director Emily Jones at

Don’t forget to make a donation to the Washington State Orthopaedic Foundation to help fund its important work, including the highly popular Abstract Competition at our Annual Meeting.


WSOA 2019 Annual Meeting

Thank you for joining us at the WSOA 2019 Annual Meeting. We look forward to seeing you again next year!

Our incredible line up of speakers included:

  • Kristy Weber, MD, AAOS’s first female President
  • David Martin, MD, Executive Director of ABOS
  • Alden Roberts, MD, Chair of the Washington Medical Commission

View the meeting program here.

Saturday, September 28, 2019
Embassy Suites, Seattle Downtown-Pioneer Square
255 South King Street
Seattle, WA 98104

Thank you to our Working Lunch Sponsor, Flexion Therapeutics

Thank you to our exhibitors

ATI Physical Therapy
Avenue Medical Products
DePuy Synthes
Northwest Sports Physical Therapy
Physician Direct Services
Shukla Medical