Editor's Note Employment in US hospitals was up 9,700 jobs in January to a seasonally adjusted 5,252,800, the Bureau of Labor Statistics reported on February 7. That’s up 88,500 more employees than a year ago. Overall, healthcare employment has increased to a seasonally adjusted 360,700 in the past year. The…

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Editor's Note The Joint commission on January 29 announced a new R3 report detailing changes to the Advanced Certification for Total Hip and Total Knee Replacement program. Effective July 1, there will be 11 new and 11 revised elements of performance (EPs) that will be applicable to all accredited ambulatory…

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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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Editor's Note In this article, the American College of Surgeons and the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, which launched the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care and Recovery (ISCR) in 2016, announce that they are expanding the scope…

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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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Editor's Note This study from the division of cardiology at Dallas’ University of Texas Southwestern Medical Center and the Yale School of Medicine, New Haven, Connecticut, challenges concerns about Medicare’s Hospital Readmission Reduction Program (HRRP)--ie, that it leaves patients more vulnerable and increases postdischarge mortality rates. Analyzing inpatient and outpatient…

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Editor's Note This study finds that robotic surgery increased dramatically from 2012 to 2018 and has diffused widely across a broad range of common procedures. This trend was associated with a decrease in the use of open and laparoscopic minimally invasive procedures. In this analysis of 169,404 patients in 73…

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Surgeons often are eager to acquire the newest technology, particularly right after attending a conference with a vendor-packed exhibit hall. How can OR leaders weigh surgeon demands with organizational cost constraints to ensure they meet patient needs while being fiscally responsible? The first step is to acknowledge the complexity of…

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Approximately 5.9 million tons of waste annually comes from the healthcare industry, and one-third of that waste comes directly from the OR. Each year, an increasing number of disposable products are used in the OR. To address this dilemma, an OR recycling performance improvement committee was formed at Massachusetts General…

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Nonprofit hospitals and health systems got a vote of confidence in December 2019 when Moody’s Investors Service revised its 2020 outlook from negative to stable. The report projected an increase in operating cash flows by 2% to 3%. Moody’s says increased reimbursements and higher patient volumes will boost revenue. But…

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