Starting October 1, 2012, the Centers for Medicare and Medicaid Services (CMS) began requiring quality reports on Medicare claim forms from ambulatory surgery centers (ASCs). From all indications, complications were few, and ASCs already are using the new statistics to gain insight into operational trends. Ultimately, the self-reports of patient…

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Nausea or vomiting after surgery can cause more distress than the pain, and even with modern anesthetics, it is not as rare as once thought. If the procedure is outpatient, symptoms may arise after the patient is at home, away from medical intervention. Thus, ambulatory surgery centers (ASCs) need to…

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While the nation concentrates on the consumer implications of health care reform, ambulatory surgery centers (ASC) are examining its provisions for clues to the impact it will have on their operations and revenue. One likely outcome is that the Patient Protection and Affordable Care Act (ACA) will transform their supply…

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A new villain has emerged in the struggle against drug shortages that continue to plague health care: the single-use vial. When a vial of injectable medication contains more than a particular patient needs, if the vial is designated “single-use,” the remainder must be discarded, according to recommendations from the Centers…

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Financial challenges may have eased slightly for ambulatory surgery centers (ASCs), according to the 22nd annual OR Manager Salary/Career Survey. Only 29% of ASC managers report financial difficulties because of current economic conditions, much lower than the 43% in 2010. Reasons cited for those financial difficulties have changed in the…

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A weak economy continues to affect staffing in ambulatory surgery centers (ASCs), according to the 22nd annual OR Manager Salary/Career Survey, with about 80% of nurse managers saying staff turnover stayed the same compared to 12 months ago, similar to 2011 results. Other staffing parameters are also similar to last…

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Like their older, larger, and sicker fellow patients, children can be candidates for outpatient surgery, and some ambulatory surgery centers (ASCs) opt to specialize in treating the younger set. There is more to expanding an ASC’s patient base to pediatrics than putting a few toys in the waiting room (although…

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With obesity increasing across the country, it is not surprising that obstructive sleep apnea (OSA) also is on the rise. For ambulatory surgery centers (ASCs), obesity offers a major—but not the only—clue that a patient may have, or be at risk for, OSA. A common health risk of obesity, OSA…

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With the early issuance of quality reporting codes for Medicare, both ambulatory surgery centers (ASC) and the Centers for Medicare and Medicaid Services (CMS) have a chance to develop expertise in their use and to resolve any technical problems before the mandatory start date of October 1, 2012. And that…

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While the deadline for beginning to report quality measures on Medicare claim forms is not until October 1, 2012, ambulatory surgery centers (ASCs) can start practicing. On April 1, 2012, the Centers for Medicare and Medicaid Services (CMS) released a set of reporting codes for the first 5 measures. The…

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