Editor's Note An October 2023 report from Fitch Ratings finds that nonprofit hospitals will continue to have weak operating margins into 2024 and need to control labor costs in order to return to stronger margins, Chief Healthcare Executive October 5 reports. Some highlights of the report include: Median operating margins…

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Editor's Note This review published by the Journal of the American College of Surgeons shows that surgical scorecards, or cards that summarize information regarding the cost of surgical items and procedures along with comparisons to similar operations, have been shown to significantly reduce costs without impacting clinical outcomes when presented…

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Editor's Note Major warehouse corporation Costco has entered a partnership with virtual care company Sesame to expand its healthcare offerings to its members, Chief Healthcare Executive September 27 reports. This collaboration will reportedly allow Costco members to access Sesame's telehealth services at “affordable rates.” David Goldhill, Sesame's CEO and a…

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The OR is the financial motor of a hospital. As such, inefficiencies in this space adversely impact patient safety as well as the financial stability of the hospital and/or healthcare system. The first case on-time starts (FCOTS) metric is one of the primary benchmarks for assessing OR efficiency. The following…

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Editor's Note A study from economists and public health officials in the September 2023 issue of the journal American Economic Review: Insights found that when undocumented immigrants were provided assistance to visit primary care doctors via a pilot program, it resulted in a 21% drop in emergency room (ER) use.…

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Editor's Note “Has your CNO [chief nursing officer] ever said you are the CEO of your department?” Jessica Gruendler, DNP, senior director of nursing, Perioperative Services, at Dignity Health, posed to OR Manager Conference attendees at the start of this session in a packed room with standing room only. A…

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Editor's Note The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which is set to take effect in 2025, will set up a separate Centers for Medicare and Medicaid Services (CMS) payment for certain nonopioid pain management techniques in outpatient and ambulatory surgery center (ASC) settings, the September 12 Becker’s…

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Editor's Note This study from Trinity Health, Ann Arbor, Michigan, compares prepandemic surgical site infection (SSI) rates before reusing personal protective equipment (PPE), to pandemic SSI rates after reusing PPE in trauma surgical patients. A total of 48,987 patients were included in the analysis, with half in the postpandemic group.…

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ASC leaders continue to see increased surgical volumes but are finding it difficult to staff their centers, according to the 2023 OR Manager Salary/Career Survey. More than half (56%) of respondents reported increased volume in the past 12 months, the same as last year. Yet the ability to recruit new…

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Ambulatory is the term the industry is “stuck with” because that is the name the founders came up with in 1970, says David Shapiro, MD, CASC, CPHRM, LHR, an anesthesiologist with extensive experience in ambulatory surgery management and a member of the Accreditation Association for Ambulatory Health Care (AAAHC) board.…

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