How do we charge for invasive procedures performed at the bedside? What's the correct way to bill for patients who stay in the recovery room because of a lack of beds in the ICU? In this column, Keith Siddel, MBA, an expert on health care business operations, responds to questions…
Wanted: Operating Room Scheduler. Salary $33,000. Operating room schedulers reserve space for each surgical procedure in a hospital or ambulatory surgery facility. They determine how long a procedure will take and what staff is necessary. OR schedulers work with anesthesiologists to assign one for each procedure, as well as OR…
There are many reasons you may want to change how you organize or package an instrument set or the sterilization cycle for a set. Maybe the set weighs more than the 25 pounds recommended for containerized instrument sets. Perhaps the original container has sharp edges that tear the wrappers, and…
Two new independent studies examine the performance of technologies for preventing retained sponges. In the first study, which tested data-matrix-coded sponges (SurgiCount Safety-Sponge System), none of the sponges were retained out of 1.86 million counted over 18 months. The study conducted at the Mayo Clinic Rochester (MCR) in Minnesota was…
There's no shortage of literature on preventing orthopedic surgical site infections (SSIs). But how do you translate the evidence into practical strategies that are meaningful to clinicians on the front lines? A new guide aims to help. The Guide to the Prevention of Orthopedic Surgical Site Infections from the Association…
To our readers, Chips, pastes, putties, gels, powders, wedges, DBM, BMP, and assorted kits—the list of bone allografts and substitutes is long and confusing. These biologic materials have a big impact on the OR budget, but they are more than just another line of surgical supplies. Biologics originate with a…
When your OR is selecting allograft tissue, how do you know which federal regulations govern their safety? The US Food and Drug Administration (FDA) uses a tiered approach to regulating these materials, explains Scott Brubaker, CTBS, chief policy officer for the American Association of Tissue Banks (AATB). Minimally processed tissue…
Screening of tissue donors is a critical step in ensuring tissue safety. Screening is a complex, multidisciplinary process that begins every time a family says "yes" to the option of donation and ends when tissue is released for transplant. Tissue banks vary in what is considered a suitable donor. Regulating…