Editor's Note This study found that hospital-acquired pressure ulcers add 44% to the cost of major surgical hospital stays, but the amount varies depending on length of stay. Using data from the Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases and the Medicare Patient Safety Monitoring System for 2011…

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Editor's Note Appendectomy is cost-effective for abscessed appendicitis in patients less than 34 years old, this study finds. For an 18-year-old patient, appendectomy costs $9,417.22 with a gain of 16.59 quality-adjusted life years (QALYs), compared with no appendectomy, which costs $11,613.57 with a gain of 16.52 QALYs. For a 35-year-old…

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Editor's Note Medicare’s value-based purchasing (VBP) program revealed superior performance associated with physician owned surgical hospitals in this study. Researchers analyzed 3,089 hospitals that included physician-owned surgical, University HealthSystem Consortium, US News & World Report Honor Roll, Kaiser Permanente, and Accountable Care Organization hospitals. Estimated mean total performance scores were…

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Editor's Note Patients in rural hospitals are significantly (14%) more likely than nonrural patients to die after traumatic injuries, this study finds. The disparity was greatest for injuries occurring in the South and Midwest and for cases with an injury severity score of <9 or unknown severity. Distance and time…

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OR leaders continue to face increases in volume and staffing mobility, according to the 2016 annual OR Manager Salary/Career Survey. The volume of surgical procedures in the past 12 months increased for slightly more than half of respondents (51%), compared to 43% in 2015. In terms of staffing, respondents noted…

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The interactive hybrid OR, which debuted at the annual OR Manager Conference in 2014, grows larger and more comprehensive each year. For 2016, representatives from more than 10 different companies will be on hand to answer questions, and product demonstrations will create a dynamic learning environment. The 2015 town hall…

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Despite warnings of calamities, implementation of the International Classification of Diseases (ICD)-10 on October 1, 2015, proceeded smoothly, with minimal impact on denied claims. In the fourth quarter of 2015, the percentage of Medicare claims denied was 10%, comparable to the preimplementation figure of 9.9%. But that doesn’t mean OR…

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As surgical volume increases, staffing challenges are trending slightly upward for OR leaders in ambulatory surgery centers (ASCs), with increases in open positions and turnover, according to the 2016 annual OR Manager Salary/Career Survey. More than half of respondents (56%) reported higher surgical volumes during the past 12 months, significantly…

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Leaders of ambulatory surgery centers (ASCs) know a competent staff is essential for optimal patient outcomes and financial well-being, but competing pressures sometimes relegate competency assessment to completing a checklist to meet regulatory requirements. Unfortunately, this approach can result in missed opportunities. “Competency assessment helps promote safe care and quality…

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How can leaders of ambulatory surgery centers (ASCs) ensure they have a competent staff? First, they must hire staff with the right skill sets, and then they should implement meaningful methods for ongoing assessment. Here are some strategies for meeting these goals.   Begin with the hiring process “When you…

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