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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Surgical volume is up in nearly half (44%) of ambulatory surgery centers (ASCs), according to the 24th annual OR Manager Salary/Career Survey. To put this in perspective, consider that in 2009 only 19% of respondents said volume had increased and as recently as last year, only 25% reported an increase.…

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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…

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In the face of a changing healthcare landscape, staffing levels are stable, according to the 24th annual OR Manager Salary/Career Survey. Nearly two-thirds of respondents say staff turnover and the number of open RN and surgical technologist (ST) positions have stayed the same in the past year. When those positions…

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Block scheduling can be one of the most contentious issues that OR leaders face, but its effectiveness as an efficiency—and therefore cost management—tool makes it worth pursuing. Implementing block scheduling requires time, finesse, and dedication. James X. Stobinski, PhD, RN, CNOR, says it’s easy for OR managers to underestimate the…

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Projections made about a decade ago told us to expect that the RN workforce would peak at around 2.2 million in 2012 and would then begin to shrink as nurses reached retirement age. Instead, say the authors of a recent Health Affairs report, there were 2.7 million RNs working in…

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