Subscriber Content Five standard quality measures are endorsed for surgery centers

Ambulatory surgery centers (ASCs) have a new set of 5 standard measures to use in quality reporting and benchmarking. The measures, endorsed by the National Quality Forum (NQF), were developed by ASC experts. The measures include: 4 patient outcome measures: —patient burn —patient fall in the ASC —wrong site, side,…

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By OR Manager

Subscriber Content CMS sets final 2008 ASC payment rates

For 2008, ambulatory surgery centers (ASCs) generally will be paid at 65% of hospital outpatient department (HOPD) payments, under a final rule issued Nov 1 by the Centers for Medicare and Medicaid Services (CMS). The rule, effective Jan 1, 2008, sets rates for the first year of the new ASC…

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By OR Manager

Subscriber Content Tips for a successful hire in your ASC

The temporary staffing agency you use for your ASC assures you it conducts thorough background checks. You decide to hire the accounts receivable clerk sent from the agency. Your prehire background check reveals the clerk spent time in prison for embezzlement. You escort the clerk out the door. Most managers…

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By Cynthia Saver, RN, MS

Subscriber Content An advanced spine surgery center

ACalifornia neurosurgeon has set up an advanced spine center other surgeons might envy. Robert S. Bray, Jr, MD, spent $12 million to renovate an empty office building in Marina del Rey, California, and stocked it with state-of-the-art technology, opening the DISC (Diagnostic and Interventional Spine Care) integrated surgical center in…

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By OR Manager

Subscriber Content Spine surgery migrates to outpatient setting

More spinal surgery is moving to ambulatory surgery centers (ASCs) as spine surgeons look for the same control, efficiency, cost-effectiveness, and patient satisfaction that the outpatient setting has offered other specialties. As spine surgery migrates, hospitals are seeking ways to partner with surgeons to keep from losing the revenue from…

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By OR Manager

Subscriber Content Medicare to update ASC coverage rule

For the first time since issuing the original ambulatory surgery center (ASC) rules 25 years ago, Medicare is proposing to update its conditions for coverage, or CfCs. The rules apply to ASCs that participate in Medicare and Medicaid. The rules primarily affect ASCs not accredited by a private body such…

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By OR Manager

Subscriber Content ASC pay plan better, but still falls short

Ambulatory surgery centers (ASCs) see pluses and minuses in Medicare's final rule for a revised ASC payment system, released July 16. The new system, mandated by Congress to take effect by Jan 1, 2008, will for the first time base ASC payments on the hospital outpatient prospective payment system (OPPS).…

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By OR Manager

Subscriber Content ASC staffing strong; challenges remain

OR nurse leaders in ambulatory surgery centers (ASCs) have fewer open positions and lower turnover rates than hospitals, but recruitment of experienced OR staff remains a challenge. Those are some findings from the 2007 annual OR Manager Salary/Career Survey. The survey was mailed in May to 1,000 nurse managers of…

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By OR Manager

Subscriber Content An ASC's relentless focus on savings

No cost is too small to escape the eyes of managers at Evansville Surgery Center in Evansville, Indiana, which shaved about $100,000 from its supply budget in the past year as part of an overall $417,000 reduction in variable costs. Evansville has 2 multispecialty surgery centers that perform about 9,900…

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By OR Manager

Subscriber Content Preventing TASS: Advice from experts

Four letters that strike fear into the heart of any administrator of an ambulatory surgery center (ASC) are T-A-S-S, or toxic anterior segment syndrome. This complication of cataract surgery has been around for years, but news of an outbreak in 2006 brought it to the forefront. A new report of…

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By Cynthia Saver, RN, MS
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