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March 2025

Reimbursement denials diminish with more precise precertification

With no increases in reimbursement on the healthcare horizon, the leadership team at Advocate Good Samaritan Hospital in Downers Grove, Illinois, knew they needed to maximize revenue capture. The team, including Katrina Spears, MAOL, manager of business and informatics, used Lean methodology to improve precertification and reduce denials, resulting in…

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By: OR Manager
January 18, 2017
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Plan B: Managing surgical equipment failure

With safety and quality now tied to reimbursement as part of value-based purchasing (VBP), hospitals must meet benchmarks for patient satisfaction, clinical outcomes, and readmissions to avoid financial penalties imposed by the Centers for Medicare & Medicaid Services. The VBP program added the Patient Safety Indicator, or PSI 90, metric…

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By: OR Manager
January 18, 2017
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IUSS drops to 5% with team intervention

Reducing immediate use steam sterilization (IUSS) can be challenging, but adhering to standards is essential not only for patient safety, but also for successful accreditation surveys. “Accrediting organizations are hitting hard on all of sterilization, but especially IUSS,” says Rose Seavey, MBA, BA, RN, CNOR, CRCST, CSPDT, president and CEO…

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By: OR Manager
January 18, 2017
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Top 10 health technology hazards for 2017 named

Each year, advances in medical technologies offer new ways to improve the quality of patient care. But some also create new opportunities for harm. Medical technology is intended to improve patient care, but even the best of technology—if configured, used, or maintained improperly—can lead to problems. Hospitals must regularly examine…

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By: OR Manager
January 18, 2017
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Adding new business to the ASC, one procedure at a time—Part 1

An ambulatory surgery center (ASC) looking to expand its market may want to add new procedures, but only after careful consideration of resource investment versus ultimate benefit. In the first of a three-part series, OR Manager explores surgical specialties that appear to show promise for the outpatient setting. One of…

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By: Paula DeJohn
January 18, 2017
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Colorectal SSIs plummet with evidence-based care bundles

Surgical site infections (SSIs) not only harm patients, but also can squeeze a hospital’s bottom line through increased costs and reduced reimbursement. Patients undergoing colorectal surgery are particularly at risk for SSIs, according to data from the National Healthcare Safety Network (NHSN), but an effective multidisciplinary team and an evidence-based…

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By: OR Manager
December 14, 2016
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Military leadership principles point way to better patient care

Physicians receive little leadership training in medical school, so they don’t always perform well in leadership roles. At Florida Hospital Orlando, that education gap is being filled through the Physician Leader Development (PLD) program, which applies military leadership principles to the healthcare setting. The innovative course has benefited not only…

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By: OR Manager
December 14, 2016
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Editorial

Healthcare consumers and providers alike are watching to see what changes will occur under the administration of President-elect Donald Trump. Thus far, at least a partial repeal of the Affordable Care Act (ACA) seems likely. That’s in part because US Rep Tom Price (R-GA) is Trump’s pick for Health and…

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By: OR Manager
December 14, 2016
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