New risk calculator predicts bariatric surgery morbidity
Anew risk calculator allows surgeons to model and predict the risk of complications for individual patients after bariatric surgery, a new study reports. Available free online, the risk calculator will aid in surgical decision making and help patients better prepare for their surgery by understanding the true risks and benefits,…
Coping with state infection reporting
Ambulatory surgery center (ASC) staff, like their hospital colleagues, are battling health care-acquired infections (HAIs), but there's a twist: Most of the newest regulations shaping ASC infection control programs are coming from state legislators, not federal officials. So far, 9 states have passed laws requiring ASCs to report infections related…
Answering your questions on charging
A column on managing the OR revenue cycle. How to charge for OR time and services is a frequent source of questions from OR directors and business managers. In this column, Keith Siddel, MBA, answers questions about charging posed by members of the OR Business Management Listserv. Siddel is CEO…
Making a decision on Steris System 1E
This summary is based on a special report by ECRI Institute. Can you consider using the Steris System 1E even without a biological indicator (BI)? Yes, but decide carefully, ECRI Institute advises. A number of questions have been raised about the Steris System 1E (SS1E), which is marketed by the…
How clinics help the preop process
The preoperative process is critical to safe care and a smooth OR process. Missing paperwork, incomplete assessments, and the need for last-minute consults can disrupt any surgical day. Is a preoperative clinic the answer? Each organization needs to weigh the cost against the potential benefits, such as fewer delays and…
Turnover? Focus on everything else
If your OR wants to improve on-time first-case starts and turnover time—focus on everything else. That's the advice of Integris Southwest Medical Center in Oklahoma City, recently recognized as a "leading performer" for OR first-case on-time starts by VHA, Inc. Its strong performance is the outgrowth of a 4-year focus…
HCAHPS: How the OR's scores affect your whole organization
Fiscal year 2013 will be a milestone for hospital reimbursement. That's the year Medicare's proposed new hospital value-based purchasing program starts. Under value-based purchasing, a portion of hospitals' DRG reimbursement will be based on their performance on quality metrics, including patient perceptions of the quality of care (PPQC). (See March…
Handoffs: What ORs can learn from Formula One race crews
Hospitals are taking lessons from the high performance of Formula 1 racing pitstop crews and applying them to handoffs between the OR and the ICU. "The hand- off is like a pit stop: surgery is the first section of the race, the second part is intensive care, and the handoff…
Free Daily News
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