Editor's Note US hospitals added 8,200 jobs in August to a seasonally adjusted 5,189,300, the Bureau of Labor Statistics reported on September 7. That is up 94,600 more employees than a year ago. Overall, healthcare employment has increased by 301,100 in the past year. The overall unemployment rate is 3.9%.

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Editor's Note Limited evidence exists about the comparative effectiveness and safety of bariatric surgical procedures in Medicare patients, this review study finds. Of 16 studies analyzed, researchers found that bariatric surgery overall, and in particular Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and adjustable gastric banding (AGB) appeared to be…

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Editor's Note Seven healthcare systems representing 500 US hospitals are forming Civica Rx, a nonprofit company that will manufacturer generic drugs, in an effort to combat shortages and skyrocketing prices, cnbc.com reported September 6. The company, which is teaming up Intermountain Healthcare, the Mayo Clinic, HCA Healthcare, and four others,…

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Editor's Note Hospital participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program for lower extremity joint replacement (LEJR) was not associated with changes in overall procedural volume or the majority of patient case-mix factors, this study finds. The analysis of 1,717,243 Medicare patients found hospital participation in the BPCI…

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Editor's Note The Joint Commission on September 5 announced it has refined its scoring for high-level disinfection (HLD) and sterilization to focus on process steps that post the highest risk to patients if they fail. The new scoring revisions apply to: soiled instruments enzymatic solution transportation of instruments instruments in…

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Editor's Note This interim analysis of the first year of the Comprehensive Care for Joint Replacement (CJR) bundled payment model finds that CJR may reduce institutional postacute care. Of  75 metropolitan statistical areas (MSAs) that were assigned the bundled payment model and 121 control MSAs, the mean percentage of discharges…

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Editor's Note Just as it was with Boomers, empowerment is a popular desire among Millennials, but organizations need to know they can’t just talk about empowerment as they did in the past, they actually have to empower Millennials, according to Steve Keating in the August 30 LeadToday.com. Millennials aren’t fooled…

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Editor's Note The Massachusetts state regulation of 1:1 or 2:1 patient-to-nurse staffing ratios in intensive care units (ICUs), as guided by patient complexity scores, was not linked with either increased nurse staffing or changes in patient outcomes, this study finds. Examining records from 246 medical centers nationwide, and comparing patient…

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Editor's Note Whether the problem is turnover, incivility, low patient scores, or managers who don’t know how to give direction, all have the same root cause−lack of a culture of clarity, the September 3 SmartBrief reports. The author gives three examples with lack of clarity at the root and how…

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Editor's Note When used after terminal cleaning, the pulsed-xenon ultraviolet light (PX-UV) significantly reduced contamination on high-touch surfaces in the OR, this study finds. This analysis included 1,464 surface samples from 136 ORs at 23 hospitals after terminal cleaning and again after PX-UV disinfection. Results showed the average colony forming…

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