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Scripps Health eliminates 100 management jobs

Editor's Note San Diego-based Scripps Health announced March 21 that it will restructure its management and eliminate about 100 jobs, mostly from management and administration, in an effort to reduce operating expenses, Modern Healthcare reports. A memo to Scripps employees noted that although Scripps has enjoyed healthy operating margins and…

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By: Judy Mathias
March 29, 2016
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ERAS program for total joints reduces length of stay

Editor's Note Use of an Enhanced Recovery after Surgery (ERAS) program in total hip and total knee patients reduced length of stay by 1 day in this study. Short term complications and readmission rates were similar for patients in the ERAS program and those managed in a traditional perioperative care…

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By: Judy Mathias
March 28, 2016
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ACA costs rising

Editor's Note Over the next 10 years, the Affordable Care Act (ACA) will cost $1.34 trillion, which is $136 billion more than the Congressional Budget Office predicted a year ago, the San Francisco Chronicle reports. The hike in costs is mostly a result of higher-than-expected enrollment in the expanded Medicaid…

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By: Judy Mathias
March 28, 2016
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CMS reports drop in physicians, hospitals in ‘meaningful use’

Editor's Note The number of physicians that participated in the Centers for Medicare & Medicaid Services (CMS) “meaningful use” program dropped from 228,662 in 2014 to 226,514 in 2015, and hospital participation declined from 4,177 to 4,071, Bloomberg BNA reports. The drop in participation occurred despite repeated efforts by CMS…

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By: Judy Mathias
March 23, 2016
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ECRI Institute and London School of Economics partner on device pricing project

Editor's Note ECRI Institute announced on March 17 that is collaborating with the London School of  Economics in a project examining medical device pricing across different countries. Medical devices are estimated to account for 6% to 7% of total health expenditure in the US and European countries, but little is…

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By: Judy Mathias
March 18, 2016
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Nurses’ perceptions of EHR

Editor's Note This study was designed to understand nurses’ perceptions of using an electronic health record (EHR) at the point of care. At 1 year after EHR adoption, the nurses said: it did not improve patient care the learning curve was steep they had lower confidence using the EHR than…

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By: Judy Mathias
March 17, 2016
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Healthcare and self-care dovetail as themes at business conference

More than 350 surgical services leaders from across the US gathered at the OR Business Management Conference in Glendale, Arizona, in February to learn strategies for managing both healthcare and self-care. Attendees came away inspired by thought-provoking keynotes and ready to implement ideas sparked by interactive sessions, exhibitors, and their…

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By: Cynthia Saver, MS, RN
March 17, 2016
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ERAS improves outcomes, shortens length of stay

Enhanced recovery after surgery (ERAS) programs are gaining ground with recent data showing that they improve outcomes. The programs consist of multidisciplinary, evidence-based protocols implemented in the perioperative period to provide standardized patient care. Like other changes in healthcare delivery, adopting ERAS programs takes time and effort. Despite positive results…

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By: Judith M. Mathias, MA, RN
March 17, 2016
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Committee saves over $1 million through cost conscious initiatives

Creating a “Cost Conscious Culture Committee” helped Maine Medical Center (MMC) in Portland shave more than $1.8 million in operating costs from the beginning of 2014 to the end of 2015. Not only that, but during 2015, MMC’s perioperative services leaders were also involved in a $40 million expansion project…

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By: Elizabeth Wood
March 17, 2016
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Advance preparation tends to waste many absorbable hemostatic agents

Results of a recent survey suggest that a great deal of unnecessary product waste could be avoided if OR nurses changed their approach to using absorbable hemostatic agents. The survey, administered electronically to 200 US registered nurses in late 2014, found that 62% of respondents prepared absorbable hemostatic agents before…

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By: Elizabeth Wood
March 17, 2016
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