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Physician practices spend $15.4 billion annually on quality reporting

Editor's Note Physician practices each year spend 785 hours per physician to track and report quality measures for Medicare and private health insurers at a cost of  more than $15.4 billion a year, this study finds. Eight in 10 physicians surveyed reported spending more effort on quality measures now than…

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By: Judy Mathias
March 8, 2016
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Study: Performing total knees in high-volume hospitals could save billions

Editor's Note If all total knee replacements were performed at high-volume hospitals, it could save the US healthcare system between $2.5 and $4 billion annually by 2030, finds a study presented March 4 at the annual meeting of the American Academy of Orthopedic Surgeons. In this study of nearly 90,000…

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By: Judy Mathias
March 7, 2016
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Study doesn’t support capnography for colonoscopy

Editor's Note Capnographic monitoring during outpatient colonoscopy with moderate sedation increased costs significantly and did not improve patient safety or satisfaction, this study finds. The analysis included 966 patients (465 without and 501 with capnography) who underwent colonoscopy at the Beth Israel Deaconess Medical Center, Boston. Patients and nurses reported…

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By: Judy Mathias
February 23, 2016
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CMS publishes Medicare fee-for-service provider and supplier lists

Editor's Note As part of efforts to improve care delivery, data sharing, and transparency, the Centers for Medicare & Medicaid Services (CMS) on February 22 published a list of Medicare fee-for-service providers and suppliers currently approved to bill Medicare.   The Moratoria Provider Services and Utilization Data Tool includes interactive…

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By: Judy Mathias
February 23, 2016
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Data analytics improve odds for predicting surgical case volume

Recommendations emerging from a data analytics project have helped OR leaders at Vanderbilt University Medical Center in Nashville, Tennessee, better anticipate daily surgical case volume and share that information with their managers. Data gleaned from the project are now being used to predict staffing needs for the OR, anesthesia department,…

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By: OR Manager
February 19, 2016
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Post-OR career path may lead to business opportunity--Part 1

Some perioperative services leaders retire from the OR with plans to become consultants, drawing on their years of experience to help facilities and remain active in the field. Some do not envision this or any other type of post-retirement career, yet they find themselves lured into a business opportunity. Entrepreneurship…

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By: OR Manager
February 19, 2016
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Nursing work environment linked to better surgical value

Hospitals with better nursing work environments and above-average staffing levels were associated with better surgical value (ie, lower mortality with similar costs) in this study, especially for higher-risk patients. Past studies have shown that hospitals with better nursing work environments provide better quality of care, but less is known about…

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By: OR Manager
February 19, 2016
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Manage physician preference cards to boost efficiency and patient safety

Surgeons often complain that their physician preference cards (PPCs) are not current, and keeping on top of the situation can be a struggle. Yet having accurate information on these cards greatly enhances both efficiency and patient safety, say surgical services leaders who have overhauled their systems. In this article, experts…

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By: OR Manager
February 19, 2016
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Dedication, determination help tame PPC beast

Even the most experienced OR leaders often view physician preference cards (PPCs) as a beast that acts out and demands attention at the most inconvenient times. Two organizations that have managed to tame the PPC beast shared their experiences with OR Manager. Updating cards saves more than $3.2 million Tresa…

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By: OR Manager
February 19, 2016
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High reliability: Excellent care every time

High reliability has now permeated the healthcare literature, but some clinicians are still unsure exactly what it means. A simple definition offered by Coleen Smith, MBA, RN, CPHQ, director of High Reliability Initiatives for the Joint Commission Center for Transforming Healthcare, is “excellence in patient care for every patient, every…

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By: OR Manager
February 19, 2016
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