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…

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OR directors and managers in hospitals continue to see stable salary patterns, even though volume is increasing in many areas of the US and leaders have more responsibilities, according to the 24th annual OR Manager Salary/Career Survey. One-third of respondents said surgical volume has increased in the past year, compared…

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Solid teamwork and a commitment to high-quality patient care are the hallmarks of a successful healthcare facility. But egos sometimes get in the way, and competition among surgeons in the orthopedic service line at St Louis-based SSM Health Care was impeding progress. The surgeons were affiliated with three independent groups,…

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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…

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Most retained surgical items (RSIs) involve team/system errors and more than two safety omissions or variances, which supports the need for institutional emphasis on team training, finds a study led by S. Peter Stawicki, MD, Ohio State University College of Medicine, Columbus. Though RSIs feature prominently among surgical “never events,”…

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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…

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Reducing preventable complications is a high priority, especially in light of readmission penalties. A recent data analysis by Premier, Inc, has identified 86 high-impact potential inpatient complications (PICs) associated with increased inpatient mortality, costs, and length of stay (LOS). In their study of 530 inpatient facilities, Premier, a healthcare performance…

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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…

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