Surgical teams received more ammunition in their quest to avoid wrong-site surgery when the Joint Commission’s Center for Transforming Healthcare issued its latest set of guidelines, called the Targeted Solutions Tool (TST). Released February 14, 2012, the TST is available free to Joint Commission-accredited hospitals and ambulatory surgery centers (ASCs).…

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A new resource has emerged to help ambulatory surgery centers (ASCs) manage the proliferating requirements they face in achieving and demonstrating performance. It is the quality council. “Another meeting?” one might ask. “Another task that does not include hands-on patient care?” Actually, a well-run quality council can save time, ensure…

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Planning for capital purchasing requires skill. If the process isn’t effective, the OR director will end up with unhappy surgeons and staff. But done effectively, capital purchasing can build relationships among surgeons and hospital and OR leaders. “Capital planning is a challenge in today’s economy,” says Dana Crompton, MHA, vice…

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Where would you expect a patient to look to learn about the quality of your hospital’s services? Maybe the Joint Commission, Hospital Compare, or HealthGrades? Think Facebook, Google Reviews, or YouTube—that’s where many are likely to turn first. Social media increasingly are the go-to source for consumer reviews of any…

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Use of bone morphogenic protein (BMP) has risen sharply in the past decade, adding costs without evidence of better outcomes, according to a study in the February 2012 issue of Spine. BMP use rose rapidly, from 5.5% of lumbar fusions in 2003 to nearly a third (28.1%) of procedures in…

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A 65-year-old man with heart disease schedules a knee arthroscopy with his orthopedic surgeon. Thirty miles away, a note pops up to notify the hospital’s presurgical clinic of the impending surgery. A nurse practitioner pulls up the patient’s electronic health record (EHR), where she reviews the patient’s history. Comparing the…

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Preop “nurse navigators” aided by an electronic tool are helping a Pennsylvania health system create a more standardized, user-friendly preoperative process for preparing patients for surgery. A cornerstone of the process is evidence-based guidelines for preop evaluation developed by a 50-person task force. “We wanted to optimize our approach so…

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Four years ago, Duke Health’s Preop Screening Unit was facing challenges. The unit had a full schedule, some appointments were double-booked, and some patients had long wait times. There was no system for separating healthy patients from complex ones. Meanwhile, surgery centers were asking the unit to provide screening for…

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