A 4-year study shows patient outcomes didn’t change significantly when hospitals and physicians joined in a pay-for-performance (P4P) program for 8 types of surgery. The researchers say this is one of the first studies of P4P to look at patient outcomes. The project used a gainsharing model in which 3…

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With hospitals under ever greater economic pressure, perioperative managers are expected to hew closely to staffing productivity targets, meaning they must match staffing as closely as possible to the hours of surgery actually performed. They’re also expected to grow surgical volume. Hospitals’ revenue depends on it. To grow volume, ORs…

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Is your OR’s clinical documentation as specific as it needs to be? That’s the key question perioperative directors and managers need to ask as their organizations gear up for ICD-10. The big date is October 1, 2013. Starting then, all claims have to be submitted using the ICD-10 coding sets.…

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When Providence Sacred Heart Medical Center and Children’s Hospital in Spokane, Washington, decided to tackle waste and inefficiencies in its 4,400 square-foot-case cart and sterile supply room, leaders set modest goals for improvement: increase case picking productivity by 4% and relocate enough items to create 6 carts of space for…

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For a variety of reasons, survey inspectors this year are looking more closely at ambulatory surgery centers (ASC) and other outpatient facilities for evidence of compliance with sharps-safety guidelines. Bloodborne pathogens, of course, have been a concern since awareness of HIV and hepatitis C emerged. Physicians and nurses have long…

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This year, the quality movement takes a big step with the start of Medicare’s value-based purchasing (VBP) program. Beginning October 1, 2012, part of your hospital’s Medicare payments will be based on your hospital’s performance on a set of quality measures, usually referred to as the core measures and HCAHPS…

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It’s common for physicians to order 2 units of blood. But with growing awareness of the hazards of transfusions, hospitals are adopting stricter measures to manage their blood supplies, including developing guidelines for transfusions and making sure physicians are compliant. Over the past 5 years, research has shown that transfusions…

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For the first time, starting this month, hospitals will need to report surgical site infection (SSI) rates for 2 procedures, colon surgery and abdominal hysterectomy, to get their full Medicare payment update in 2014. The list of procedures is likely to expand. It’s easy to think of infection rates as…

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