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March 2025
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Block schedule best practices: Calculate, allocate, and regulate

A common strategy for managing OR utilization is block scheduling: Assigning surgical time to individual surgeons or surgeon groups based on their volume. But what sounds like a simple process is often complicated by the potential for dissatisfaction and reduced utilization. Yet done effectively, block scheduling can significantly boost the…

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By: Cynthia Saver, MS, RN
November 14, 2018
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Editorial

Polls leading up to the midterm elections put healthcare as the top issue of concern among likely voters, with gun policy, Supreme Court nominees, the economy and jobs, and education right behind it. In a year fraught with an ever-widening chasm along party lines, there were distinctly different priorities among…

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By: Elizabeth Wood
November 14, 2018
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2019 OR Business Management Conference sets up shop in San Diego

Interest in the OR Business Management Conference has grown steadily in tandem with the number of proposals submitted each year. More than 400 individuals attended the conference in 2018, and they left with tools and strategies to implement in a variety of clinical settings upon their return. Feedback from attendees…

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By: Elizabeth Wood
November 14, 2018
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Advise and collect: Helping patients pay for surgery

Long gone are the days when employer-based health insurance covered most, if not all, of patients’ healthcare bills. Insurance companies and employers expect individuals to pay a larger chunk of healthcare costs themselves. The 2018 benchmark Kaiser Family Foundation (KFF) Employer Health Benefits Survey found that “a quarter (26%) of…

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By: Janet M. Boivin, BSN, BSJ, RN
November 14, 2018
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93% of eligible clinicians received MIPS payment under QPP last year

Editor's Note New data from the Centers for Medicare & Medicaid Services (CMS) shows that 93% of eligible clinicians who participated in the Merit-Based Incentive Payment System (MIPS) under the Quality Payment Program (QPP) received positive payment adjustments for their performance last year, the November 9 EHR Intelligence reports. Only…

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By: Judy Mathias
November 13, 2018
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New decision support algorithm improves discharge outcomes

Editor's Note In this study from the University of Pennsylvania School of Nursing, researchers developed, validated, and tested an algorithm called, “Discharge Referral Expert System for Care Transitions (DIRECT),” which helped clinicians identify patients most in need of post-acute care (PAC) and lowered readmission rates. The researchers conducted a 4-month…

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By: Judy Mathias
November 8, 2018
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Hospital employment up again in October

Editor's Note US hospitals added 13,000 jobs in October to a seasonally adjusted 5,216,100, the Bureau of Labor Statistics reported on November 2. That is up 106,900 more employees than a year ago. Overall, healthcare employment has increased 322,500 in the past year. The overall unemployment rate is 3.7%, matching…

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By: Judy Mathias
November 6, 2018
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CDC reports decline in hospital infections

Editor's Note The Centers for Disease Control and infection (CDC) on October 31 reported that the risk of hospital patients having healthcare-associated infections was 16% lower in 2015 than in 2011, largely because of declines in surgical site and urinary tract infections. The percentage of patients having surgical site and…

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By: Judy Mathias
November 1, 2018
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ECRI Institute announces new white paper on top value analysis challenges

Editor's Note ECRI Institute on October 30 announced a new white paper--Value Analysis: Addressing Top Challenges by Using the PICOTS Framework--which presents findings from national seminars on the top five challenges value analysis professionals face daily. The challenges are: Antiquated workflow C-suite buy-in Accessibility to data Physician engagement Bandwidth. The…

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By: Judy Mathias
October 31, 2018
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Effect of prehabilitation program on abdominal surgery patients

Editor's Note Colectomy patients participating in a preoperative prehabilitation program had positive physiologic effects and experienced fewer complications, this study finds. The prehabilitation program−Michigan Surgical and Health Optimization Program (MSHOP)−engages patients in four activities before surgery: Physical activity, pulmonary rehabilitation, nutritional optimization, and stress reduction. For the study, patients were…

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By: Judy Mathias
October 30, 2018
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