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Cross-training staff solves competency and engagement puzzle

High labor costs, surgeon dissatisfaction, high staff turnover, and low staff competency are problems that dog many OR leaders at some point in their careers. When managers at the Stanford University Medical Center Main OR in Stanford, California, found themselves facing all of these problems at once, they knew something…

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By: Judith M. Mathias, MA, RN
April 22, 2019
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Accuracy of surgical procedure valuations in Medicare’s Fee Schedule

Editor's Note The Center’s for Medicare and Medicaid Services (CMS) is legally responsible for setting and updating the work element of its relative value units (RVUs), which form the Medicare Physician Fee Schedule used to determine physician payments. In practice, however, updating what is known as the “work RVU” is…

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By: Judy Mathias
April 18, 2019
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Hospital employment up 13,600 jobs in March

Editor's Note US hospitals added 13,600 jobs in March to a seasonally adjusted 5,223,400, the Bureau of Labor Statistics reported on April 5. That’s up 108,500 more employees than a year ago. Overall, healthcare employment has increased 397,500 in the past year. The overall unemployment rate was unchanged at 3.8%.

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By: Judy Mathias
April 11, 2019
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ECRI Institute announces Healthcare Supply Chain Achievement Award winners

Editor's Note The ECRI Institute on April 1 announced the 11 US healthcare organizations that received its 2019 Healthcare Supply Chain Achievement Award. The winners demonstrated excellence in overall spend management in their supply chain processes, and include: Albany Medical Center, Albany, NY Cambridge Health Alliance, Cambridge, MA Cooperative Services…

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By: Judy Mathias
April 3, 2019
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Low-value procedures associated with hospital-acquired complications

Editor's Note Patients admitted to the hospital for procedures that would not be expected to require admission (ie, low-value procedures) are being harmed, consuming additional hospital resources, and delaying care for patients for whom the services would be appropriate, this Australian study finds. In this analysis of 9,330 episodes of…

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By: Judy Mathias
April 2, 2019
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After 10 years, EHRs don’t live up to promise

Editor's Note The US government claimed that digitization of healthcare records would improve the quality and value of healthcare; however, 10 years after legislation fast-tracked the move to electronic healthcare records (EHRs), even the architects of the effort agree that the $36 billion investment has not delivered as expected, the…

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By: Judy Mathias
March 20, 2019
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Cleveland Clinic launches new artificial intelligence center

Editor's Note The Cleveland Clinic has launched a new Center for Clinical Artificial Intelligence, which will focus on applying machine learning to healthcare diagnostics, predictive analytics, and treatment planning, the March 13 Health IT Analytics reports. As part of the Cleveland Clinic Enterprise Analytics division, the new center will analyze…

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By: Judy Mathias
March 20, 2019
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ORBMC gets business leaders off to a strong start in 2019

San Diego in January is a place where many people would rather be, and the 475 healthcare business and industry leaders who gathered there for the 2019 OR Business Management Conference (ORBMC) enjoyed the mild climate along with high-quality presentations and fun networking events. Conference attendance rises each year, yet…

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By: Elizabeth Wood
March 15, 2019
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Non-opioid pain management gaining favor in ASCs

Pressure to contain opioid overuse in the United States is at a boiling point. The Centers for Disease Control and Prevention reports that overdose deaths linked to opioid prescriptions have increased fivefold over the last two decades. To reduce reliance on opioid prescriptions, the Centers for Medicare & Medicaid Services…

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By: Jennifer Lubell
March 15, 2019
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IV and oral acetaminophen work equally well after THA

Editor's Note Intravenous (IV) acetaminophen did not result in a significant difference in pain scores, opioid consumption, or opioid-related adverse events compared with oral acetaminophen, finds this study presented March 12 at the American Academy of Orthopaedic Surgeons Annual Meeting in Las Vegas. A total of 154 patients having total…

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By: Judy Mathias
March 13, 2019
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