Cost management for ORs moves from minor to the major leagues
OR Manager; Vol. 27 No. 12; December 2011 If your household had to cut expenses by 7% to 8% and then hold the line for 10 years, how would you adjust? That’s the situation hospitals face as they cope with cuts in Medicare and Medicaid payments and rising numbers of…
CMS overturns its rule on advance patient notice
OR Manager; Vol. 27 No. 12; December 2011 In a sudden and welcome move, the Centers for Medicare and Medicaid Service (CMS) has not merely relaxed its rule on informing patients of their rights in advance of surgery; it has overturned it. On October 7, 2011, Health and Human Services…
Changing behavior to boost OR’s productivity
OR Manager; Vol. 27 No. 12; December 2011 Making inroads on on-time first-case starts and turnover time means process changes, of course. But changes won’t take root without a change in behavior. Cincinnati-based Tri-Health attributes the progress it has made to improved accountability by all levels of personnel, from front-line…
ASCs get pay hike, reprieve on quality reporting
OR Manager; Vol. 27 No. 12; December 2011 On November 1, 2011, in posting the final 2012 outpatient payment rule, Medicare gave the ambulatory surgery center (ASC) industry a reprieve in its quality reporting deadline and an unexpected pay hike. While industry experts are pleased with what they see as…
State of Evidence Base
OR Manager; Vol. 27 No. 11; November 2011 Quantity of Evidence Base (Low) The evidence base consists of a single controlled study of spinal fusion that compared the accuracy of pedicle screw placement in a patient group that had two-dimensional (2-D) and three-dimensional (3-D) intraoperative imaging using the O-arm System…
Six strategies for boosting outcomes as Medicare/Medicaid pay tightens
OR Manager; Vol. 27 No. 11; November 2011 The message coming out of Washington is clear: Do more with less. Under Medicare’s hospital inpatient value-based purchasing (VBP) program launched July 1, 2011, DRG payments will be tied to performance on quality and patient satisfaction metrics. This is part of the…
Seeking a cure for ASCs’ block schedule gridlock
OR Manager; Vol. 27 No. 11; November 2011 The Christiana SurgiCenter, a 7-OR ambulatory surgery center (ASC) was losing volume. Although its ORs were staffed 8 hours a day, surgeons were saying they couldn’t get their cases scheduled. The problem turned out to be the block schedule. It was like…
Over half of larger ORs have business managers
OR Manager; Vol. 27 No. 11; November 2011 Over half of teaching hospitals (52%) and larger surgical departments with 10 or more ORs (56%) now have OR business managers, according to the 2011 OR Manager Salary/Career survey. The position has become increasingly common over the past decade to meet the…
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