Costs & Cost Controls
Survey finds surgeons largely unaware of orthopedic device costs
More than $150 billion is spent annually on medical devices in the United States, with orthopedic and cardiac procedures accounting for almost all of Medicare’s device-related expenditures. Most of the recent increases in such expenditures have been related to the wider use of orthopedic devices, which is expected to grow…
ASCs seek efficiencies to offset decline in reimbursement
About 70% of respondents to a nationwide survey of ambulatory surgery centers (ASCs) say they are trying to cut costs in reaction to changes brought about by healthcare reform. That’s the major finding of a nationwide survey of 359 administrators, directors, and office managers in ASCs, cancer centers, home health…
Collaborate with surgeons and vendors to control high-end supply costs
OR Business Performance is a series intended to help OR managers and directors improve the success of their business. Surgical supplies are a major component of OR expenses. In the July issue of OR Manager, we showed how controlling spending on low- and mid-priced supplies can reduce overall costs.…
Taking small steps to control supply costs yields a much better bottom line
OR Business Performance is a series intended to help OR managers and directors improve the success of their business. Surgical supplies are a major cost category for hospital ORs. Depending on the specialty and the procedure, supplies may represent 50% or more of total costs per case. Unfortunately, new…
Better business performance is a critical competency
OR Business Performance is a new series intended to help OR managers and directors improve the success of their business. Imagine that you were recently hired as director of perioperative services at a 450-bed hospital with 18 operating rooms. Now, 6 months into your tenure, it’s time for your…
Standardizing to control costs of spinal implants
When Kimberley Murray, MS, RN, CNOR, administrator for the orthopedic and spine service line at St Joseph’s Hospital (SJH) in Syracuse, New York, set up a successful system for negotiating with orthopedic vendors on total hip and knee replacement surgery, she knew that spine implants would be the next mountain…
Surgery centers zero in on savings on supply costs
While the nation concentrates on the consumer implications of health care reform, ambulatory surgery centers (ASC) are examining its provisions for clues to the impact it will have on their operations and revenue. One likely outcome is that the Patient Protection and Affordable Care Act (ACA) will transform their supply…
Tackling perioperative supply chain as a system
A systemwide focus on supply chain management is helping Sutter Health, a large, Sacramento, California-based health system, to improve its financial performance by adopting best practices and taking a contemporary approach to strategic sourcing, value analysis, and logistical support. The target: Trim $200 million from expenses by 2012, and they’re…
Shared savings change dynamics between a hospital and surgeons
An agreement with orthopedic and spine surgeons to share savings has enabled a large medical center to make major strides on its implant costs. It’s also provided eye-opening opportunities to improve patient care. Under the agreement, termed gainsharing, a hospital and physicians enter into a formal contract to share savings…
For implants, balancing choice and cost control
Negotiating with orthopedic vendors can be frustrating as OR leaders strive to balance competing agendas among companies, surgeons, and the hospital. Kimberley Murray, MS, RN, CNOR, administrator for the orthopedic and spine service line at St. Joseph’s Hospital (SJH) in Syracuse, New York, reduced frustration by adopting a program that…
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