Health systems across the country are enacting COVID-19 mandates to comply with a broad-sweeping federal requirement. Amid reports of high compliance rates, the mandate has triggered passionate and visceral responses on both sides of the debate. While some healthcare employees are eager to roll up their sleeves, others decry the…

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Editor's Note The Centers for Medicare and Medicaid Services (CMS), on November 2, released its 2022 final payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). The final rule increases Medicare prospective payment system rates by a net 2.0%—a combination of a 2.7% inflation update based on…

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Editor's Note About half of patients with appendicitis do not need an appendectomy for up to 4 years after receiving antibiotics, finds this study presented October 25 at the American College of Surgeons virtual Clinical Congress 2021. The study was conducted at 25 US medical centers in 1,552 adults with…

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Editor's Note This study from the Massachusetts General Hospital and Harvard Medical School, Boston, finds that the transition to incorporate virtual care into ambulatory healthcare during COVID-19 was not associated with an increased overall number of visits. The researchers identified 10,559,857 ambulatory visits by 1,530,772 patients at their large New…

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Editor's Note The Joint Commission, on October 27, announced that it will launch a new Comprehensive Heart Attack Center Certification in July 2022 and is seeking comments on the newly proposed standards. The Joint Commission also has revised standards for its current certification programs: Acute Heart Attack Ready and Primary…

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Consistency is the word that comes to mind when reviewing results from the 2021 OR Manager Salary/Career Survey. Despite the COVID-19 pandemic, leaders in ambulatory surgery centers (ASCs) reported that salary, satisfaction, and the number of employees supervised were comparable to metrics reported in 2020. The good news is that…

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Editor's Note In this study by researchers at Atrium Health Carolinas Medical Center, Charlotte, North Carolina, surgical patients find virtual follow-up care more convenient than traditional in-person appointments without loss of quality or efficiency, which are important components of patient satisfaction. The analysis included 289 patients having laparoscopic appendectomy or…

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The migration of surgical procedures from hospital ORs to hospital-owned ambulatory surgery centers (ASCs) is picking up speed. According to a recent survey, three-quarters of larger hospitals now have an ownership stake in more than one ASC. Two-thirds of US health systems are currently planning to increase their ASC investment.…

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Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…

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Advancements in technology have made it easier to distract children and ease their fears when they are undergoing surgery, but managing this patient population presents unique challenges. To guide parents and children through the surgery experience, leaders at some ambulatory surgery centers (ASCs) have turned to child life specialists, innovative…

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