OR Business
Recycling program evolves to sustain gains in waste reduction
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…
Editorial
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…
Mastering predictive modeling to improve patient care
The Best in OR Business Award is presented annually at the OR Business Management Conference to recognize an outstanding leader who has saved on costs, increased OR utilization, improved patient safety, or otherwise streamlined the surgical services department. The 2020 award will be presented to Vikram Tiwari, PhD, associate professor…
Develop standard work for successful ERAS implementation
At Virginia Commonwealth University (VCU) Health System in Richmond, implementation of Enhanced Recovery After Surgery (ERAS) incorporates principles of Lean thinking, a management methodology that emphasizes “…maximize[ing] customer value while minimizing waste. Simply, lean means creating more value for customers with fewer resources,” according to the Lean Enterprise Institute.1 Several…
Can your hospital survive the growing dominance of ASCs?
Of the approximately 57 million surgical procedures performed annually in the US, it is estimated that hospital inpatient procedures (overnight admissions) account for less than 20% of cases. Many procedures once performed in hospital outpatient surgery departments (HOPDs) have moved to ambulatory surgery centers (ASCs) over the past 15 years,…
FCOTS increase through smarter scheduling and surgeon accountability
Starting the first cases of the day on time is key for maintaining the OR schedule. A delay in first case on-time starts (FCOTS) can lead to less OR utilization, greater facility costs, and dissatisfaction among physicians, OR staff, and patients. It’s a problem in many surgical suites, but when…
Spending, quality effects of Medicare’s bundled payments for lower-extremity joint replacement
Editor's Note In this study, researchers found that over a 3-year period, compared to no participation, participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program was associated with a 1.6% decrease in average lower extremity joint replacement spending with no changes in quality, driven by early participants. When looking…
Can punctuality decrease OR costs?
Editor's Note In this study from Washington University School of Medicine, St Louis, a first case on-time starts (FCOTS) improvement initiative was linked to a higher frequency of FCOTS, which was independently associated with last case on-time ends (LCOTE) and decreased OR overtime costs. Of 12,073 cases (6,095 pre- vs…
House passes year-end bill that repeals ACA taxes including medical device tax
Editor's Note The US House of Representatives on December 17 passed a year-end spending bill that repeals several Affordable Care Act (ACA) taxes, including the 40% tax on generous health insurance plans and the 2.3% tax on the sale of medical devices, the December 17 Reuters reports. The bill also…
CMS expects greater scrutiny from Joint Commission surveyors
[This article from the January 2020 issue of OR Manager summarizes information presented at the 2019 OR Manager Conference. The presenter offered tips to help attendees comply with Joint Commission standards and achieve a successful Joint Commission survey. Readers are asked to note the following points of clarification: The presentation…
Free Daily News
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