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CMS: New round of readmission penalties affects 2,583 hospitals

Editor's Note Data from the Affordable Care Act’s Hospital Readmissions Reduction Program (HRRP) shows that Medicare cut payments to 2,583 hospitals on October 1 because of the number of patients readmitted within a month, the October 1 Kaiser Health News reports. The Centers for Medicare & Medicaid Services (CMS) estimates…

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By: Judy Mathias
October 2, 2019
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CMS releases final rule on discharge planning

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 26 released a final rule that revises discharge planning requirements for hospitals, the September 26 Becker’s Clinical Leadership & Infection Control reports. Among the requirements: Hospitals must prioritize patients’ care goals and treatment preferences during discharge planning. Hospitals…

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By: Judy Mathias
October 1, 2019
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Using AI to improve OR efficiency

Editor's Note In this study, a machine learning algorithm resulted in the most accurate estimation of operative case-time duration. Researcher developed models to predict case-time duration using linear regression and supervised machine learning. Each model included an all-inclusive model, service-specific models, and surgeon-specific models. The data set used included 46,986…

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By: Judy Mathias
September 26, 2019
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HealthStream’s top 10 healthcare trends

Editor's Note 2019 continues to be a year of change in the healthcare industry as well as great innovation. HealthStream has broken down the top 10 trends and identifies solutions that can help an organization streamline initiatives and improve outcomes. Among the top trends: Amazon is becoming a major disrupter.…

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By: Judy Mathias
September 26, 2019
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Amazon launches Amazon Care

Editor's Note Amazon has launched Amazon Care, a virtual primary care clinic, with an option for home visits from nurses, the September 24 CNBC.com reports. Employees will have an option to see a physician, nurse practitioner, or RN via a mobile app or website, and they can text a nurse…

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By: Judy Mathias
September 25, 2019
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OR manager job satisfaction ranks high despite flat compensation

OR leaders live with many challenges, ranging from obtaining adequate reimbursement to having sufficient staff on hand. Despite constant pressures, most respondents to the 2019 annual OR Manager Salary/Career Survey remain satisfied with their jobs. In all, 70% are satisfied with their current jobs or positions, comparable to the 67%…

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By: Cynthia Saver, MS, RN
September 23, 2019
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As ASC leaders' salaries dip, so does satisfaction

Salaries for ambulatory surgery center (ASC) leaders are down slightly, according to the OR Manager 2019 Salary/Career Survey, with slightly more than half of respondents (52%) earning $100,000 or more—a decline from 60% in 2018, 54% in 2017, and 53% in 2016. That dip may be contributing to corresponding lower…

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By: Cynthia Saver, MS, RN
September 23, 2019
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Hospital employment up in August

Editor's Note Employment in US hospitals was up 8,800 jobs in August to a seasonally adjusted 5,253,200, the Bureau of Labor Statistics reported on September 6. That’s up 97,400 more employees than a year ago. Overall, healthcare employment has increased 392,100 in the past year. The overall unemployment rate remains…

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By: Judy Mathias
September 9, 2019
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Effect of ‘regression to the mean’ on excess readmissions

Editor's Note Strong evidence suggests that most declines in excess readmissions--after implementation of Medicare’s Hospital Readmission Reduction Program (HRRP)--at poorly performing hospitals can be explained by a statistical phenomenon called “regression to the mean [RTM],” this study finds. In RTM, entities farther away from the mean in one period are…

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By: Judy Mathias
September 4, 2019
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Staffing and surgical volume vie for 'top challenge' facing OR leaders

Staffing headaches for OR managers continue, according to the 2019 annual OR Manager Salary/Career Survey, with more than a third of respondents reporting that the percentage of open positions compared with 12 months ago has increased for both RNs and surgical technologists (STs). The clock has to be turned back…

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By: Cynthia Saver, MS, RN
August 23, 2019
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