Most ambulatory surgery centers (ASCs) have some form of computer-based recordkeeping, such as scheduling and billing systems. So far, however, few have made the leap to electronic medical records (EMRs). With an EMR, clinicians enter data at the point of care, and that information is accessible to other clinical and…

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Two OR nurses are part of a diverse team that cares for Ebola patients at the Nebraska Biocontainment Patient Care Unit in Omaha, and the team’s nursing director is Shelly Schwedhelm, MSN, RN, a former OR Manager of the Year. “I chose OR nurses to be on the team because…

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What started out as a software package to train medical device representatives for the OR has evolved into a program to train OR personnel to scrub and support a “rep-less” model. The software, designed by a former perioperative nurse, helps orient staff to new procedures, documents their competency, and streamlines…

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More than 2,600 hospitals in fiscal year 2015 are facing Medicare readmission penalties, to the tune of an estimated $428 million, a recent Kaiser Health News report indicates. Among these, 39 hospitals—including some specialty surgical hospitals, small community hospitals, and a major teaching facility—will lose the maximum 3% of their…

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One way to shave the OR operating budget is to trim the supply spend, and for orthopedic service lines in particular, reining in costs related to implants can make a big impact. Some orthopedic service providers have achieved dramatic savings by adopting a “rep-less” model for certain procedures. At Loma…

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Physician alignment is a key element of current hospital strategy. Last month, we looked at how hospital ORs can use co-management agreements to build strong collaboration with surgeons. Payment reform has created an even more sophisticated option—participation in a bundled payment program. Bundled payment initiatives are more complex than most…

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With more than 36 years of experience in sterile processing, I have seen many changes occur, and I know what it takes to be an effective sterile processing (SP) manager. The goal of an effective SP manager is to determine where the department is now, where you want it to…

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Postsurgical pain scores are highly correlated with reports of overall patient satisfaction during hospital stays, according to a poster presented at the 2014 American Academy of Pain Medicine annual meeting. Dermot Maher, MD, and his colleagues from Cedars Sinai Medical Center in Los Angeles examined patient responses on HCAHPS (Hospital…

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