Healthcare lags behind other industries when it comes to innovation. That’s partly because new treatments must be vetted for safety and efficacy, and partly because fee-for-service reimbursement sparked little incentive for creativity and efficiency. Under value-based purchasing, OR leaders have more opportunity to be innovative, but first they must understand…

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One of the biggest challenges for OR managers is efficient use of OR blocks. OR managers struggle to balance revenue and utilization targets with surgeon and staff preferences. The result is underutilized OR time, unnecessary costs, and dissatisfied staff. “Let’s face it, our block allocation process isn’t very efficient,” says…

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Recent developments such as the Trump administration’s failure to pass its healthcare reform bill and the Centers for Medicare & Medicaid’s (CMS) decision to delay expanding its bundled payments program leave the healthcare industry in a position of uncertainty. It’s difficult to plan, and signs of any real progress are…

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Creating a harmonious work environment can only be achieved through effective leadership that discourages conflict and negativity. “Ditching the drama, restoring sanity to the workplace, and turning excuses into results” is how Cy Wakeman, MS, BSW, describes her leadership philosophy. “Circumstances are not the reasons we can’t succeed—they are the…

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As part of the shift to value-based care, a logical step for healthcare organizations is to adopt enhanced recovery after surgery (ERAS) protocols. The literature supporting the use of ERAS is growing, with many studies demonstrating that it leads to shorter length of stay (LOS) and fewer complications. Results of…

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Major changes at a facility such as reorganizing service lines or adding new ORs can be highly disruptive, cutting into productivity and potentially loss of revenue. What can OR managers do to avoid this situation? At Vanderbilt University Medical Center in Nashville, OR leaders were facing several simultaneous challenges: planning…

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The incidence of surgical site infections (SSIs) is estimated to exceed 290,000 cases per year, and costs can range from $11,874 to $34,670 for inpatient hospital services. Studies have demonstrated a link between SSI rates and airborne bacterial counts in the OR. Some facilities have used trained observers to monitor…

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What began as an employee request to reduce waste and create a “greener” workplace has resulted in an international award for TRIA Orthopedic Center, Bloomington, Minnesota. By conserving materials and energy, the ambulatory surgery center (ASC) not only reduced its environmental impact, but also saved money. The initiative started with…

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