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August 18, 2009 |
Volume
17, Number 8
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Hacienda Surgery Center Ramps Up Quickly
Open Less than a Year, Center Now Performs Over 300 Procedures per Month

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The Hacienda Surgery Center is at the corner of Willow and Stoneridge.
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By Nicole Zaro Stahl
NETWORK Editor
Open since October 2008, the Hacienda Surgery Center (HSC) has
already claimed its place as a key healthcare provider in the region,
with a patient volume that has quickly risen to 300-plus cases per
month. This fast track to success is hardly an overnight phenomenon,
however. Rather, it is the result of visionary thinking, backed up by
almost five years of meticulous planning to meet exacting industry
standards.
The driving force behind the new facility was a
pair of far-sighted and energetic physicians: Robert Malstrom, M.D., a
musculoskeletal specialist, founder and President of Tri-Valley
Orthopedic Specialists (TVO), and President of HSC; and Gregory Horner,
M.D., a hand specialist and CFO of the Surgery Center, according to Ken
Venos, M.D., the Center’s Medical Director and an orthopedic surgeon
himself. Recognizing the role of decentralized patient care in
offsetting rising medical costs, Drs. Malstrom and Harner resolved to
help the community adapt to the changing healthcare landscape by
creating an ambulatory surgery center offering orthopaedic,
gastroenterology, ENT, spinal, and pain services.
The search
for an appropriate site for the proposed center was “not a simple
task,” relates Venos. When the 32,000-sf building at 4626 Willow Road
became available a few years ago, the project became viable—especially
with the prospect of a co-located TVO on the second floor.
The
next hurdle was retrofitting the 1980s tilt-up to accommodate all the
systems and equipment necessary for outpatient surgery, and making sure
the building was up to current codes. “This was not a rehab, it was a
total reconstruction. We now meet full standards for fire and
earthquake safety, but the only way to do that was to take the building
down to the studs.” Given its magnitude, the project actually “went
quite smoothly,” Venos notes, observing that “to anticipate, build,
license, and open a facility like this over such short a timeline is
quite an accomplishment.”
In the course of the reconstruction,
the entire existing information infrastructure was removed and replaced
with state-of-the-art technology, putting both organizations several
steps ahead of the current national initiative for electronic patient
records. “Our IT team has created a very sophisticated system that has
equipped us with the full armamentarium for sharing patient
information, such as MRI studies from other facilities. The Obama
Administration has made paperless information systems and electronic
patient management mandatory for 2015, but we are already at that
apex,” he says.
A synergistic relationship with MedBridge, a
Santa Barbara-based company that develops and manages medical
facilities, was instrumental in “avoiding hiccups” throughout the
process, Venos adds. “The complexities of insurance contracting,
licensure, etc., demand a high level of attention. MedBridge was
involved from early in construction, and, because of the specialized
expertise required, our facility manager and human resources manager
are MedBridge employees.”
The 16 surgeons who
practice from the facility are supported by a staff of 49
full-time employees, including operating room and recovery room
nurses, scrub technicians, sterile processors, and medical assistants.
The director of nursing, operating room manager, and post-op and
recovery manager are also on site, along with materials management and
administrative personnel.
For more information, visit www.haciendasc.com.
Attorneys and Staff at Hoge, Fenton, Jones & Appel Enjoy New Hacienda Home
"We Always Wanted to be Part of the Business Community Here in the Park," Notes Managing Shareholder

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Lynn A. Green and Steve Siner of Hoge, Fenton, Jones & Appel.
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By Nicole Zaro Stahl
NETWORK Editor
After eight years in a building nearby, the Pleasanton branch of
Hoge, Fenton, Jones & Appel, the San Jose business law firm, moved
into the park last month, taking over a 6,000-square-foot suite on the
third floor of Hacienda Terrace, at 4309 Hacienda Drive. The dozen
employees based in the office—seven attorneys and a staff of five—are
enjoying their new environment, which boasts floor-to-ceiling windows
looking out onto Mount Diablo and the eastern foothills.
Beyond
its beautiful views, the new location represents “more than just new
digs,” according to Hoge Fenton Managing Shareholder Steve Siner, who
just happens to be resident in the Pleasanton office. “We always wanted
to be part of the business community here in the park, and when the
conditions were right we jumped at the opportunity. The quality and
image of the new space is truly reflective of the quality of our law
firm, and our neighbors are businesses we’d like to represent,” Siner
relates.
Established in 1952, Hoge Fenton has a
long history in northern California, with a broad spectrum of practice
areas in the business arena. “We identify ourselves as a full-service
business and real estate law firm. We have 45 lawyers and pride
ourselves on servicing a wide variety of business entities and
individuals.”
The Pleasanton practice closely parallels
that of the larger office in San Jose. “I do a lot of estate planning
and business work,” says Siner. “The other attorneys here—Sblend
Sblendorio, John Doyle, David Hofmann, Catosha Woods, Laura Dumas,
Lorna Drope, and Raji Nagarkar—have expertise in litigation, business
finance, work-outs for troubled companies, mergers and acquisitions,
estate planning, and tax and IP transactions.” Dumas, Drope, and
Nagarkar divide their time between the two offices. “Our clients value
our small-firm client service, mid-size firm creative billing
solutions, and large-firm expertise and bench strength,” Siner remarks.
Given the firm’s long-time relationships with many of the
region’s leading businesses, Siner has an interesting perspective on
the current economic climate. “I’m a realist. That means I am very
cautious and probably the last person to put a positive spin on
things,” he comments. Still, there has been an undeniable uptick in
business lately. “Clients who had been postponing discretionary legal
work, like redoing a trust or making a small business acquisition, are
now venturing out to do something they previously couldn’t afford,” he
observes. He has also noticed a diminishing need to stretch out payment
schedules. “The business cycle always has its ups and downs, but
sometimes you have to look harder to find the silver lining. These are
very significant signs to me, so I do see the dark clouds parting.”
Along
with a strong focus on client service, Hoge Fenton has an established
tradition of civic engagement and community service. “All lawyers in
the firm are encouraged to participate in pro bono legal work, and to
be good corporate citizens,” Siner points out. The firm supports a long
list of Tri-Valley nonprofits and is looking forward to participating
in Hacienda’s community initiatives as well.
For more information, visit www.hogefenton.com or call (925) 224-7780.
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