OR Business
Co-management agreements thrive in a culture of responsibility
Most hospitals are experimenting with ways to collaborate better with physicians. An alignment model that is particularly relevant for hospital ORs is the surgical services co-management agreement (CMA). Under a CMA, surgeons receive compensation for helping to manage a service line. Several leading ORs have used CMAs to engage surgeons…
Sharpen coding skills and reimbursement strategies during ICD-10 delay
The Centers for Medicare & Medicaid Services (CMS) once again has extended the deadline to begin using International Classification of Diseases-10 (ICD-10) billing codes. Implementation has been set for October 1, 2015, and a growing number of billing, technology, and clinical specialists agree it is time to move ahead with…
Editorial
Individual health insurance coverage mandated by the Affordable Care Act (ACA) went into effect a year ago. Whether that has helped or hindered patients is unclear. Similarly, the jury is still out on the ACA’s long-term effects for healthcare providers. A recent report from Moody's Investors Service paints a bleak…
Affordable Care Act prompts OR leaders to push the efficiency envelope
As implementation of the Affordable Care Act (ACA) continues, OR leaders are looking ahead and finding the view murky. “I think every organization is struggling because our crystal ball is not very clear as to what is coming,” says Donna Doyle, MS, RN, NE-BC, CNOR, administrative director for surgery and…
Prepare now for more stringent joint replacement documentation requirements
Medicare administrative contractors (MACs) in several states recently ratcheted up their documentation requirements for joint replacement surgery and other orthopedic procedures. For hospital ORs, these changes represent the tip of an iceberg that calls for careful navigation. Enhanced medical necessity documentation requirements were launched in Florida in 2011. The state’s…
Cost control leads list of strategies related to healthcare reform
When the Affordable Care Act (ACA) was signed into law, many ambulatory surgery center (ASC) leaders viewed it with optimism because it requires everyone to have health insurance unless they choose to pay a penalty. “We thought this would be a very positive thing because we would see an increase…
Orthopedic hospital uses 'price point' strategy to lower implant costs
Total joint arthroplasty volumes have ballooned in the last two decades, and reimbursement has not kept pace with costs. Rising implant prices are a major driver of hospital spending on these procedures. As the aging US population creates growing demand for joint replacement, controlling implant costs is becoming a top…
Having more reliable performance data will boost your credibility
Most OR leaders use performance reports to inform and guide critical decisions. The problem is that in most hospitals, the data used to create these reports are not reliable. Why? Even the smallest surgery department is too complex for the most sophisticated OR data solution. To yield reliable reports, information…
Aligning staff with business goals builds a stronger surgery department
Aligning employees with organizational goals is a challenge in any industry. In a hospital OR, staff alignment is important because it can affect everything from efficiency and costs to clinical quality and patient outcomes. Directors face many common obstacles to focusing staff on OR business goals. In some hospitals, differences…
Systematic approach to scheduling smoothes out the daily wrinkles
In many surgery departments, schedule management is a daily struggle. Staff work hard to manage case requests, juggle resources, and respond to changes, but errors, inefficiencies, and general frustration persist. The results are frequent case delays and cancellations, low utilization, high costs, low staff morale, and poor surgeon satisfaction. The…
Free Daily News
- Study: ERAS protocol reduces opioid use after cardiac surgery
- Study: Prehabilitation reduces surgical complications, speeds recovery
- Commentary: Studies show how surgeon decisions follow the money
- Proposed HIPAA updates would improve cybersecurity, increase costs for healthcare providers
- Study: EMR data can enhance hand hygiene compliance, infection prevention
- Study: Machine learning model improves perioperative pain assessment
- Call for improved suicide risk screening in ASCs aims to strengthen safety protocols
- Study: Perioperative pregabalin reduces risk of kidney decline compared to gabapentin
- Medical school diversity declines after Supreme Court ruling
- Surgeons risk losing ground as transcatheter tricuspid valve interventions rise