Hornsby Business Institute: Foundations of Anesthesia Business (1/8/2026)

Participants will need a computer with internet connection sufficient for streaming media. This activity is self-paced and fully online. The Foundations Course module order is as follows:

1. Learning Modules (video lectures)
2. Post-tests
3. Learner Self Evaluation (included in post-test link)

All components of the activity are completed online. The assessment and post-test will remain locked until all video modules have been completed. To receive credit, participants must (1) review the target audience, learning objectives, and disclosure statements, (2) complete the video learning modules in full, and (3) complete the post-test and evaluation.

It is estimated that each video will take approximately 2 hours to complete. To receive 22 credits, the learner must receive a minimum score of 80% on each post-test. Two attempts are permitted to reach 80% score.

The Certificate of Completion will be sent directly to the participant once all requirements have been met and verified by the Continuing Education Coordinator and available for download.

At the conclusion of this activity, participants will be able to:

1. Explain key foundational business principles relevant to anesthesia practice.
2. Evaluate the personal and professional considerations of entering independent anesthesia practice or becoming a business owner.
3. Explain how to use the EDAM model in advocacy for CRNA practice and professional advancement.
4. Explain and analyze the key components of anesthesia billing and reimbursement, including base units, time units, and modifiers. Be able to calculate annual CRNA productivity.
5. Evaluate the relationship between provider productivity metrics and financial outcomes.
6. Evaluate the cost effectiveness of different anesthesia practice models and explain why CRNA utilization offers value and efficiency.
7. Explain effective advocacy strategies CRNAs can use to protect their scope of practice and grow their business presence.
8. Explain how CRNAs can engage in state and federal advocacy efforts to support full practice authority and policy advancement.
9. Analyze the financial and policy implications of incorporating AAs into anesthesia care teams and their impact on CRNA practice models.
10. Explain key contractual elements and financial considerations important in employment agreements for anesthesia providers.
11. Explain how to evaluate and calculate the cost components of an anesthesia services proposal. Describe the process of projecting revenue as part of a request for proposal for anesthesia services.
12. Explain the legal considerations and scope of practice limitations that CRNAs must understand to ensure safe and compliant practice.
13. Analyze how regulatory and contractual issues can create risk or protection for CRNA providers.
14. Identify types of negotiations and formulate a strategy to effectively prepare and engage in contract negotiations.
15. Explain billing and payment structures and assess the value of CRNA services in various healthcare delivery models.
16. Compare and contrast the legal, financial, and practice implications of 1099 and W-2 employment models for CRNAs.
17. Identify the key components and considerations when reviewing a 1099 contract.
18. Explain how the revenue cycle system manages claims processing and payment as well as revenue generation.
19. Explain the structure and reimbursement benefits of Critical Access Hospitals (CAHs) and rural pass-through arrangements for CRNAs.
20. Understand how macroeconomic and operational trends influence cost management, staffing, and reimbursement in anesthesia services.
21. Explain the broader economic, political, and healthcare trends influencing anesthesia as a profession.
22. Examine the essential elements of liability insurance coverage for CRNAs, including policy types, limits, and contract language.
23. Summarize key takeaways from the course and reflect on how course content will apply to future CRNA practice.
24. Explain the purpose and structure of a Request for Proposal (RFP) in the context of anesthesia services.
25. Analyze the components of a sample RFP to determine how to effectively respond as a CRNA or anesthesia group. Evaluate strategies for crafting a competitive and compliant RFP response using real-world examples and group discussion.
26. Evaluate anesthesia productivity by interpreting time units, base units, and modifiers, and apply this understanding to assess CRNA workload, efficiency, and its impact on compensation and staffing models.
27. Explain how anesthesia departments influence hospital operations, reimbursement strategies, and patient outcomes, and evaluate the importance of collaborative leadership and innovative practice models in supporting facility-wide goals.
28. Analyze the steps required to launch a successful consulting business in healthcare.
29. Evaluate the potential revenue streams and business models for CRNA consultants.
30. Present a professional elevator pitch that communicates personal value and aligns with current anesthesia business trends.
31. Calculate and evaluate basic reimbursement and productivity figures to support independent practice or contract negotiations.