Costs & Cost Controls

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November 2024
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Competition engages staff in cost savings and standardization

More than half of respondents to a recent OR Manager reader survey put cost-saving initiatives at the top of their list of important topics, and cost reduction is an ongoing challenge for many OR managers. Leaders at Lehigh Valley Health Network (LVH), based in Allentown, Pennsylvania, took a creative approach…

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By: Cynthia Saver, MS, RN
March 16, 2020
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Survey: Healthcare execs ramping up AI implementation efforts

Editor's Note A survey of 500 US healthcare industry leaders conducted by Optum finds that executives are ramping up their implementation of artificial intelligence (AI) efforts, with 62% saying they have adopted AI strategies in their organizations, the March 11 HealthIT Analytics reports. This is a nearly 88% increase from…

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By: Judy Mathias
March 11, 2020
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Outcomes, costs of Medicare patients having surgery at teaching vs nonteaching hospitals

Editor's Note This study of Medicare patients at 340 teaching hospitals and matched patient controls at 2,444 nonteaching hospitals found that as risk of mortality increased, the mortality benefit of treatment at teaching hospitals also increased, though with marginally higher costs. Included in the analysis were 86,751 pairs of general,…

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By: Judy Mathias
March 9, 2020
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Effect of total joint bundled payment program on patient selection

Editor's Note In this study, researchers found little to no significant change in the characteristics of patients having total hip and knee replacement surgery after the Centers for Medicare & Medicaid Services introduced the mandatory bundled payment programs in selected metropolitan statistical areas. The analysis included a matched set of…

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By: Judy Mathias
February 24, 2020
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CMS proposes changes to total joint bundled payment program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 20 issued a rule proposing changes to the Comprehensive Care for Joint Replacement (CJR) program, which bundles payments to acute care hospitals for hip and knee replacement surgical procedures. CMS proposes extending the CJR model for an additional…

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By: Judy Mathias
February 24, 2020
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Using project management principles to hardwire ERAS protocols

Implementation of Enhanced Recovery After Surgery (ERAS) at Virginia Commonwealth University (VCU) Health System in Richmond has been achieved through project and change management tools that transform the current state to the desired future state. To hardwire ERAS protocols in the OR as well as the ambulatory and acute care…

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By: OR Manager
February 21, 2020
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Association of surgical jackets, bouffant head covers with SSIs

Editor's Note Long sleeved surgical jackets and bouffant head covers are neither beneficial nor cost-effective in preventing surgical site infections (SSIs), this study finds. A total of 34,042 inpatient surgical procedures performed at the University of Alabama at Birmingham Hospital were analyzed during three periods between January 2017 and October…

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By: Judy Mathias
February 12, 2020
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FDA: Coronavirus hasn’t led to drug, device shortages, but situation fluid

Editor's Note The Food & Drug Administration (FDA) Commissioner Stephen Hahn says there have been no drug or medical device shortages reported in the US so far amid the coronavirus outbreak, but the situation remains fluid, the February 7 Politico reports. The FDA has pulled its inspectors from China, and…

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By: Judy Mathias
February 12, 2020
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Medicare may overpay for postop care

Editor's Note Medicare may be overpaying surgeons for postoperative care they provide to patients, according to a new Rand Corporation analysis in the January 23 New England Journal of Medicine. The authors of the analysis suggest that federal officials should incorporate ways to more objectively measure the amount of postoperative…

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By: Judy Mathias
January 23, 2020
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Virtual physical therapy rehab vs traditional care after TKA

Editor's Note A virtual system for in-home physical therapy (PT) provided similar patient outcomes after total knee arthroplasty (TKA), with lower costs than traditional in-person PT, finds this study. A total of 306 TKA patients were randomly assigned to have traditional PT, either at home or at clinic visits, or…

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By: Judy Mathias
January 16, 2020
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