Costs & Cost Controls
Surgical development teams save millions in clinical costs
Surgeon champions can make or break a perioperative initiative. But it’s not enough to simply identify a single champion. OR leaders must engage a wide range of physicians to improve the organizational structure of the healthcare system. At Intermountain Healthcare, a 22-hospital system based in Salt Lake City, Utah, surgical…
Some 60% of hospitals could face penalties under new joint replacement rule
Editor's Note A new analysis by Avalere Health (Washington, DC) finds that 60% of hospitals participating in Medicare’s Comprehensive Care for Joint Replacement bundled-payment model could face penalties if they don’t reduce their costs. The average total joint costs around $13,000, but the entire episode-of-care costs twice that at $26,000.…
Most Americans do not link healthcare quality to costs
Editor's Note Most Americans do not think healthcare prices and quality are associated and may avoid low-price care, finds this study. Depending on how the question was framed, 58% to 71% of Americans in a nationally representative survey did not associate healthcare prices and quality. A minority did perceive an…
Mini-MVR provides excellent outcomes without increased costs
Editor's Note Patients undergoing minimally invasive mitral valve repair or replacement (mini-MVR) have similar outcomes as patients having traditional open procedures and also experience shorter hospital stays and fewer blood transfusions, finds this study. The study included 1,304 patients, including 425 mini-MVRs. Compared with traditional MVR, Mini-MVR patients had similar…
ERAS program for total joints reduces length of stay
Editor's Note Use of an Enhanced Recovery after Surgery (ERAS) program in total hip and total knee patients reduced length of stay by 1 day in this study. Short term complications and readmission rates were similar for patients in the ERAS program and those managed in a traditional perioperative care…
ACA costs rising
Editor's Note Over the next 10 years, the Affordable Care Act (ACA) will cost $1.34 trillion, which is $136 billion more than the Congressional Budget Office predicted a year ago, the San Francisco Chronicle reports. The hike in costs is mostly a result of higher-than-expected enrollment in the expanded Medicaid…
ECRI Institute and London School of Economics partner on device pricing project
Editor's Note ECRI Institute announced on March 17 that is collaborating with the London School of Economics in a project examining medical device pricing across different countries. Medical devices are estimated to account for 6% to 7% of total health expenditure in the US and European countries, but little is…
Committee saves over $1 million through cost conscious initiatives
Creating a “Cost Conscious Culture Committee” helped Maine Medical Center (MMC) in Portland shave more than $1.8 million in operating costs from the beginning of 2014 to the end of 2015. Not only that, but during 2015, MMC’s perioperative services leaders were also involved in a $40 million expansion project…
Advance preparation tends to waste many absorbable hemostatic agents
Results of a recent survey suggest that a great deal of unnecessary product waste could be avoided if OR nurses changed their approach to using absorbable hemostatic agents. The survey, administered electronically to 200 US registered nurses in late 2014, found that 62% of respondents prepared absorbable hemostatic agents before…
Study: Performing total knees in high-volume hospitals could save billions
Editor's Note If all total knee replacements were performed at high-volume hospitals, it could save the US healthcare system between $2.5 and $4 billion annually by 2030, finds a study presented March 4 at the annual meeting of the American Academy of Orthopedic Surgeons. In this study of nearly 90,000…
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- Study: ERAS protocol reduces opioid use after cardiac surgery
- Study: Prehabilitation reduces surgical complications, speeds recovery
- Commentary: Studies show how surgeon decisions follow the money
- Proposed HIPAA updates would improve cybersecurity, increase costs for healthcare providers
- Study: EMR data can enhance hand hygiene compliance, infection prevention
- Study: Machine learning model improves perioperative pain assessment
- Call for improved suicide risk screening in ASCs aims to strengthen safety protocols
- Study: Perioperative pregabalin reduces risk of kidney decline compared to gabapentin
- Medical school diversity declines after Supreme Court ruling
- Surgeons risk losing ground as transcatheter tricuspid valve interventions rise