We are Passionate About Surgery Centers
There is no substitute for experience
Progressive Surgical Solutions, a division of BSM Consulting since 2018, was born in 2002 when surgeons began turning to Regina Boore for compliance assistance as surgery centers came under increasing regulation. Regina was an ASC Administrator at the time with a reputation for successfully navigating the regulatory maze. Since then PSS has grown into an internationally respected consulting firm specializing in compliance, development and management of outpatient surgery centers.
We continue to bring the same “hands-on” expertise to each project that attracted those first surgeons. Most of our consultants are nurses. All consultants currently work in ASCs. Our assessments and recommendations come from more than 125 years of combined ASC work experience. Plus, we have touched ASCs in 49 states, Puerto Rico and 6 Canadian provinces. We not only see firsthand what’s working and what’s not, we have access to hundreds of survey reports that give us a unique insight into the Medicare and accreditation surveyor perspective.
We built our practice from the ground up to be a flexible, direct and responsive resource for administrators, nurse managers and physician-owners who are as concerned about compliance and center performance as they are about patient outcomes.
Regina Boore Senior VP, Executive Consultant
MS, BSN, RN, CASC
Regina has more than 40 years of clinical, administrative, teaching and consulting experience in ambulatory surgery. The breadth and depth of her ‘hands-on, real world” experience in both single-specialty and multi-specialty ASCs has equipped her with meaningful insights and practical approaches to the operational and organizational issues and challenges in the ASC environment. Her goal is to equip her clients with functional tools and strategies to increase efficiency, improve outcomes, and enhance the quality of life in the work environment. Consulting projects include planning and organization development, ASC design and development, state licensure, Medicare certification, quality and risk management programs, regulatory compliance reviews and plans, staff training and development, and accreditation. She has at one time held every nursing position in an ASC.Read More
Regina is a Registered Nurse and is credentialed as a community college instructor. She received her Bachelor of Science degree in Nursing from California State University at Long Beach, and holds a Master of Science degree in Human Resource Management and Development with honors from Chapman College in Orange, California. She has published numerous articles in Outpatient Surgery Magazine, Administrative Eyecare, and Ophthalmology Times. She is a frequent presenter on ambulatory surgery topics at national meetings such as OR Excellence, Hawaiian Eye, ASOA, OOSS, AAASC, ASC Association, ASIPP and AORN.
DEBRA STINCHCOMB SENIOR CONSULTANT
MBA, BSN, RN, CASC
Debra has 36 years of health care experience including development, clinical, administrative, operations and sales. The last 19 years have been focused exclusively in the ASC industry with a particular emphasis on multi-specialty centers. Previous positions held include: ASC Administrator, Regional Vice President and Director of Operations Preparations. Her responsibilities have included budget development/management, revenue/expense management, contract negotiation, licensing/certification/accreditation compliance, marketing, risk management, quality improvement and benchmarking.Read More
Debra is a Registered Nurse. She received her Bachelor of Science degree in Nursing from the University of Arizona, Tucson and her MBA from California Coast University. She is a founder and current President of the Arkansas Ambulatory Surgery Association and has served nationally as a past board member of FASA and past board member of ASC Association. She received her CASC credential in 2002. Debra has been a AAAHC surveyor and has served as Vice Chair and Chair of the Joint Commission Ambulatory Professional and Technical Advisory Committee. She currently serves as Chair of the Quality and Patient Safety Committee for ASCA.
CRISSY BENZE SENIOR CONSULTANT
MSN, BSN, RN
Crissy has worked for the last 12 years in a variety of inpatient and outpatient clinical settings, including critical care, trauma and ambulatory surgery. Her clinical experience gives her an acute appreciation for the challenges involved in interpreting and applying regulations and standards in the clinical setting. Her consulting responsibilities include development of facility documentation to meet regulatory and accreditation standards, licensing/certification/accreditation compliance, infection control and quality management. She also manages Progressive eSupport, including answering forum questions and developing and planning content.Read More
Crissy is a Registered Nurse. She received her Bachelor of Science in Nursing from California State University, Long Beach and her Master of Science in Nursing, with a Leadership concentration, from California State University, Fullerton. Her practicum hours, for her Master’s degree, were working with the Director of Evidence-Based Perioperative Practice at AORN. She is also a member of ASOA and ASORN and is a frequent presenter on ambulatory surgery topics at national meetings such as ASOA and Hawaiian Eye.
VANESSA SINDELL SENIOR CONSULTANT
MSN, BSN, RN, CAIP
Vanessa joined the Progressive Surgical Solutions team in 2018. In the past eight years, Ms. Sindell worked as the director of nursing for a busy ophthalmic surgery center. As director, she successfully completed three deemed-status surveys with no deficiencies. Ms. Sindell’s recent experience in running an ASC makes her an expert in clinical operations and management.
Overall, Ms. Sindell has 13 years of experience in nursing in different specialties, including critical care, Med-Surg, and outpatient surgery. Using her expansive experience and knowledge, she has presented on ambulatory surgery topics at several national industry meetings.Read More
Ms. Sindell received her Bachelor of Science in nursing from California State University, Long Beach. She earned her master’s in nursing leadership from California State University, Fullerton.
CYNDI KRAUSE SENIOR CONSULTANT
BSN, RN, CRNO
Prior to joining Progressive Surgical Solutions in 2020, Cyndi spent three years serving as the Director of Training for a large ophthalmology practice, comprised of over 20 surgery centers. Ms. Krause has more than 20 years of experience in leadership and training and more than 10 years of combined experience in ophthalmic, multi-specialty, and ambulatory surgery environments, including 14 years working as a registered nurse.
In her current role, Cyndi provides ongoing support to ASCs. Her areas of expertise include regulatory compliance, licensing, certification and accreditation, survey preparation, facility documentation development, staff training, infection control and prevention, and ASC operations and management.Read More
Cyndi received her Bachelor of Science in Nursing degree from Chamberlain University. She serves as secretary on the Board of Directors for the Arizona Ambulatory Surgery Center Association and Arizona Visionaries.
PEGGY RUSSO-SMITH SENIOR CONSULTANT
BSN, RN, CASC
Prior to joining Progressive Surgical Solutions in 2021, Peggy spent two years working as a surveyor for the California Department of Public Health’s Licensing and Certification department. Ms. Russo-Smith also worked in an orthopedic surgery, limited spine, and pain management ASC for 15 years, seven of which she served as the clinical director.
In her current role, Peggy provides ongoing support to ASCs. Her areas of expertise include Orthopedics, regulatory compliance, licensing, certification and accreditation, survey preparation, facility documentation development, staff training, infection control and prevention, and ASC operations and management.Read More
Peggy received her Bachelor of Science in Nursing degree from University of Arizona, Tucson. She is a Qualified Federal Surveyor (SMQT), Registered Nurse, and CASC credentialed.
APRYL MCELHENY SENIOR CONSULTANT
MBA, MSN, RN, CASC, CIC
Prior to joining Progressive Surgical Solutions in 2022, Apryl served as the Clinical Director/Administrator, Quality Assurance Coordinator, and Infection Preventionist for the Laurel Laser & Surgery Center in Duncansville, Pennsylvania. A Registered Nurse with 14 years of experience, she has dedicated her career exclusively to the ambulatory surgery center environment.
In her current role, Apryl provides ongoing support to ASCs. Her areas of expertise include regulatory compliance, licensing, certification and accreditation, survey preparation, facility documentation development, staff training, infection control and prevention, and ASC operations and management.Read More
Mrs. McElheny holds a Master of Science in Nursing (MSN) and a Master of Business Administration degrees (MBA). Current certifications include the Certified Administrator Surgery Center (CASC) and Certified in Infection Control (CIC). She has been an active member of APIC since 2011 and previously served on the CBIC Board of Directors (2021-2022).
NANCY STEPHENS SENIOR CONSULTANT
Nancy joined the Progressive Surgical Solutions team in 2009. She has been in the ASC industry since 2007 and in the medical financial service industry since 2002. Nancy oversees the business and financial aspects of our business. She handles the financial projections for startup ASC clients, providing our clients with a 5 year financial business plan they can take to the bank to obtain financing. She also provides financial over site to our existing ASC clients by evaluating the key performance indicators, financial statement analysis and price per share calculations. She is a resource for our clients that need assistance with corporate partner buyouts and due diligence work. She enjoys working with our clients to help them improve their bottom line. Nancy holds a B.S. in Accounting from the University of Massachusetts and is a member of the ASOA and CASA.
JOHN L. CROWDER JR., PG, CHFM, CFPS SENIOR CONSULTANT
Mr. Crowder is involved in all phases of architectural consulting, plan development and compliance matters for healthcare projects throughout the United States. His extensive background in construction and facility management of healthcare facilities for over twenty-(20) years provides a solid understanding of design methods, code requirements and various regulations required by the Centers for Medicare and Medicaid Services (CMS) for facilities seeking deemed status. As an active Life Safety Surveyor for the Accreditation Association for Ambulatory Health Care (AAAHC), Mr. Crowder maintains a thorough knowledge of the most current and updated code requirements through continual education and site surveys of numerous healthcare facilities in the United States. His expertise in translating operational requirements into optimal facility solutions and preparing facilities for upcoming deemed status surveys by accrediting agencies is vital to the successful operation of each consultation.Read More
His resume of successful projects include new hospitals, surgery centers, medical office buildings, orthopaedic centers, outpatient surgery centers, ambulatory care facilities, retrofit of existing facilities and installation of various medical equipment and new technologies.
COURTNEY LEONIS DIRECTOR OF OPERATIONS
Courtney Leonis joined the Progressive team in 2010. As director of operations, she handles team coordination, strategic planning, project management, service proposals, marketing, website management, eSupport memberships and content, as well as planning and facilitating internal events and the annual ASC Nurse Leadership Conference. Prior to joining Progressive Surgical Solutions, Courtney spent 7 years doing motivational speaking, retreat organization and facilitation, and personal mentoring for youth.Read More
As a licensed Insights Discovery™ practitioner, Courtney has guided teams through the 4 color energy model to better understand themselves and each other. She sees the big picture, beyond known and accepted possibilities and uses her natural intuition and remarkable insight to draw ideas out of others. Her enthusiasm and dynamic communication skills enable her to effectively engage and lead groups of people. Her industry experience spans from non-profit ecclesial organizations to health care consulting teams, and outpatient surgery centers.
LYN CRISOLOGO OPERATIONS SPECIALIST
Lyn Crisologo is an operations specialist, assisting with team coordination, contracts, marketing, website design and management, eSupport membership, webinars, reports, customer support, and continuing education.
Prior to joining Progressive in 2018, Ms. Crisologo spent more than 28 years in various business administrative and technical roles, including working at three orthopedic medical practices. Her other past positions include contract medical transcriptionist, medical credentialing specialist, customer service specialist, information systems specialist, administrative assistant, office manager assistant, accounts payable manager, mortgage loan processor, and workers’ compensation coordinator. Ms. Crisologo is excited to contribute her skills and experience to BSM. Ms. Crisologo earned her Bachelor of Arts degree in applied mathematics from the University of California, San Diego.
“With us every step of the way”
ClearView Surgery Center opened its doors on December 15th, 2015. From our first contract signing to our successful completion of a TJC survey, Progressive Surgical Solutions has been with us every step of the way. Crissy, Regina, and the team at PSS guided us through the “construction” process of starting up a brand new surgery center. With multiple on-site visits by PSS, we were able to run through mock surveys which truly helped correct our deficits and ensure we were ready for TJC to arrive. The staff at ClearView Surgery Center are very thankful for PSS! Thank you for all of your assistance!
Building an ASC is such a complicated endeavor that the single most important person is the consultant. I have been extremely impressed by Progressive’s knowledge, resourcefulness, and responsiveness. They know every aspect of the industry, and have the experience and the contacts that are indispensable. I couldn’t be happier with their services.
“Stellar and second to none.”
Probably the most critical ingredient in the execution of a plan to build and launch an ophthalmic ASC is to involve an ASC consultant from day one. In short, the PSS team has an incredible ability to sift through the noise and get the job done, expertly and expeditiously and most importantly, make you feel they are part of your staff. The entire Progressive Surgical Solutions team is stellar and second to none. I cannot think of a reason that I would ever have embarked on this project without them.