Study: COVID-19's impact on oncological surgery offers lessons for future crises
Editor's Note A scoping review of 15 studies reveals that the COVID-19 pandemic significantly disrupted oncological abdominal surgery (OAS), leading to postponed or canceled procedures, adoption of alternative treatment plans, and increased psychological stress among surgical teams. Published November 5 in the American Journal of Surgery, the findings emphasize the…
Study links pandemic stress to persistent increases in nursing-sensitive quality indicators
Editor's Note A study analyzing data from the National Database of Nursing Quality Indicators (NDNQI) revealed that nursing-sensitive quality indicators (NSIs) worsened during the COVID-19 pandemic and remain elevated years after the onset of the pandemic, reflecting ongoing challenges in nursing practice. Published in the journal Nursing Research, the findings…
Five leadership lessons from an ASC CEO
Editor's Note Neeraja Kikkeri, DDS, CEO of North Texas Team Care Surgery Center, drew on her unique perspective as a mother of five to guide her leadership in the demanding field of ambulatory surgery center (ASC) management. On November 14, she shared with D Magazine five strategies for fostering a…
CMS final rule for CY 2025: Key updates impacting Medicare payments, quality programs
Editor's Note The Centers for Medicare & Medicaid Services (CMS) issued its final rule for the 2025 calendar year, updating payment systems and quality reporting requirements across healthcare settings, JD Supra November 19 reports. Effective January 1, 2025, the rule outlines significant changes to Medicare payments and conditions for participation…
Strategic thinking tools, techniques transform vision to reality
Takeaways • The 3A Strategic Thinking Framework and the GOST Framework are examples of tools that can help make the abstract process of strategic thinking more concrete for perioperative leaders. • Carving out dedicated time for planning and fostering strategic thinking in others are important to achieve optimal results. •…
Conference community-building proves its worth
How should responsibilities associated with C-sections be divided between the OR team and the OB/GYN department at a staff-strapped rural hospital? This was just one of many questions I had never considered prior to attending the 2024 OR Manager Conference, which drew perioperative professionals to the MGM Grand in Las…
The anesthesia staffing crisis: How we got here, what hospitals can do
Takeaways • Documentation and coding procedures are rife with opportunity for cost savings. • Passed in 2022, the No Surprises Act is designed to protect insured patients from surprise billing for emergency services from out-of-network providers. However, the result has been nearly 40% cuts in reimbursements to anesthesiologists. • OR…
Virtual care enhances perioperative efficiency
Eliminating physical distance as a barrier to communication makes it easier for caretakers to help not only their patients, but also one another. This is the promise of virtual care technology, which offers system-wide potential for providers facing growing demand for high-quality, cost-effective care. For perioperative leaders specifically, advantages of…
Tardiness policies fine-tune rural OR reform efforts
When a speaker at a recent conference asked if anyone had achieved a first-case on-time start (FCOTS) rate above 90%, Jay Parker, BSN, RN, could have been the only one in the room with his hand up. However, Parker was not inclined to call attention to himself. As director of…
Why bullying, incivility demand distinction
Think of that colleague you would not miss if they called out sick. You may be short-staffed, but you know you are going to have a better shift without their chronic complaining, drama, and lack of productivity sucking all the energy and joy out of the department. Tolerated for too…