OR Business
Editorial
The rollout of COVID-19 vaccines starting in December 2020 was the one bright spot in an otherwise tragic year with a rapidly rising death toll currently over 385,000. Distribution of the 20 million doses promised by year end was thwarted by problems such as lack of coordination and lack of…
Expanding reprocessing programs can yield cost savings
The financial impact of COVID-19 on healthcare providers has been considerable. With experts predicting that half of all US hospitals would be operating in the red by the end of 2020, healthcare leaders have had to seek multiple ways to cut costs. The expansion of single-use medical device (SUD) reprocessing…
New year brings some changes to quality reporting criteria
The 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS)/ASC Final Payment Rule was released on December 1, 2020, and became effective as of January 1, 2021. Gina Throneberry, MBA, RN, CASC, CNOR, director of education and clinical affairs, Ambulatory Surgery Center Association (ASCA), summarized the status of Medicare regulations and…
Preop screening for COVID-19 in asymptomatic patients using chest CT, RT-PCR
Editor's Note This study from the Netherlands found that the added value of using chest CT in addition to RT-PCR to screen patients for COVID-19 before surgery was limited. Of 2,093 preoperative patients without COVID-19 symptoms analyzed, 1,224 were screened by CT and RT-PCR and 869 by chest CT only.…
Interim leadership: A challenging but rewarding career alternative
Demand for interim executive leadership services in 2018 increased by 113%, according to a 2019 Nurse Leader article. “We are experiencing a gap for qualified and trained nursing leaders at all levels, but especially the chief nursing officer level,” says Ila Minnick, MS, BSN, RN, president, Interim Leadership Associates. “Because…
Editorial
A November 2020 survey from National Nurses United, the largest union of RNs in the US, rang some alarm bells about the preparedness of healthcare facilities bracing for influenza season along with COVID-19 case surges. Among the more than 15,000 nurses surveyed by the union, 30% named staffing shortages as…
COVID-19 has hastened outpatient surgery migration
The latest surge of COVID-19 cases has put many hospitals in a precarious position, with shortages of staff, space, and supplies. Lessons learned earlier in the pandemic cannot necessarily shore up systems that have been overwhelmed with patients. Throughout most of 2020, some patients postponed medical or surgical care. When…
CMS releases final 2021 Medicare payment rule for ASCs, HOPDs
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 2 released its 2021 final payment rule for ASCs and hospital outpatient departments (HOPDs). CMS has finalized the addition of 11 procedures to the ASC covered procedures list, including total hip arthroplasty, autochondrocyte knee implant, and open complex…
CMS releases final PFS for 2021, surgeons say rule jeopardizes care
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on December 1 released its 2021 final rule for the Medicare physician fee schedule (PFS), which expands telehealth services and increases payments for primary care and chronic disease management. The rule also reduces payments for surgeons, emergency physicians, and other…
Effect of cancelling elective surgery on ICU bed, ventilator capacity
Editor's Note This study led by researchers at the Icahn School of Medicine, Mount Sinai, New York City, finds that patients having elective surgery make up a small fraction of ICU bed and mechanical ventilation use in New York State. The researchers reviewed 5 years of New York State data…
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