A plan for ASC value-based purchasing
The government laid out a roadmap for moving toward value-based purchasing (VBP) for ambulatory surgery centers (ASCs) in an April 2011 report to Congress. The Health and Human Services (HHS) Secretary was required to develop a plan under the Affordable Care Act passed in 2010. The government sees VBP as…
Managing SSI surveillance in an ASC
Tracking surgical site infections (SSI) is not easy for ambulatory surgical centers (ASC). Most patients are gone soon after waking up, but infections may not occur for days, weeks, or, in the case of implants, up to a year or more. Yet tighter infection reporting rules (along with other quality…
Looking to front-line clinicians, staff for lasting improvements
A patient with a multidrug-resistant infection is coming to your OR. That patient will travel from her room—one of the most contaminated areas of the hospital—to surgery, which is perhaps the cleanest. How can her caregivers avoid cross-contamination that could transmit the infection to others? At 219-bed St Patrick Hospital…
Nurses speak up on new ORs design
OR managers have many opportunities to improve the lives of their patients. They meet with staff to review scheduling policies and infection prevention procedures. They may sit on committees to help select new supplies and equipment. The physical work environment, however, is usually a given. The operating room may have…
Does Medtronic action signal a shift?
Medtronic caused a stir in February 2011 when it canceled several contracts with the 2 largest group purchasing organizations (GPOs), Novation and Premier. The big device company ended 5 Novation contracts worth $2 billion covering spinal implants, neurosurgery power tools, bone graft materials, and cardiac rhythm management products plus a…
Hybrid ORs: What's behind the increasing demand?
Imaging has a long history in the operating room. In the 1960s, x-ray units were mounted on the ceiling, as they might be today. But the surgeon had to go to an adjacent room to view the image, and images could only be stored for 10 minutes. Mobile C-arms, introduced…
Planning and staffing a hybrid OR
"Building hybrid rooms is building for the future," says Nicholas D. Troeleman, RNFA, director of perioperative services at the University of Maryland Medical Center (UMMC), Baltimore. "Having hybrid rooms in a research setting like the University of Maryland gives physician researchers the ability to develop new techniques and build on…
A third of hospital patients are affected by an adverse event
Adverse events in hospitals are even more common than thought—and more common than the usual reporting methods uncover. A new study finds an adverse event happens in more than a third (33.2%) of hospital admissions. Many happen in the OR. Surgery was the second most frequent type of adverse event…
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