Effect of hospital-wide measure of readmissions for HRRP
Editor's Note Changing to a hospital-wide measure of readmissions for the Hospital Readmissions Reduction Program (HRRP) would result in only 76 more hospitals being eligible to receive penalties, but it would substantially increase the penalties for safety-net hospitals, this study finds. For the analysis, researchers used Medicare claims from 2011…
Survey finds nearly three-quarters of physicians prefer fee-for-service models
Editor's Note A survey of 980 physicians in eight specialties by New York City-based Bain and Company found that 73% prefer fee-for-service rather than value-based care models because of concerns about the complexity and quality of care associated with value-based models, the October 12 Healthcare Informatics reports. More than 60%…
Celebrating three decades of OR leader education, networking
More than 1,350 perioperative nurse leaders from across the US and other countries gathered in Orlando, Florida, October 2-4 for the 30th annual OR Manager Conference. The celebration of this milestone anniversary coincided with the inaugural postanesthesia care unit (PACU) Manager Summit, which brought together more than 250 leaders. Many…
CMUNRO SCALE created to facilitate risk assessment for pressure injuries
In 2016, after 10 years of research and validation, Cassendra Munro’s Pressure Ulcer Risk Assessment Scale for Perioperative Patients (Munro Scale) was made available for use in the perioperative setting and was added to the AORN Prevention of Pressure Ulcers Tool Kit. The Munro Scale assesses a patient’s risk level…
Editorial
The leadership gap expected to occur when Baby Boomers retire leaves many OR managers worried about succession planning. About 40% of respondents to the annual OR Manager Salary/Career Survey plan to retire between now and 2026. By 2020, about half of all nurses will be Millennials, according to the literature.…
Externships help suss out nurses best suited to the OR
Where will new OR nurses come from in the future? Some OR leaders are answering that question with nurse externship programs for students. Although they require an initial investment, these programs can ultimately pay off financially. Externs who decide to train for the OR tend to be happy with their…
Skill plus will equals successful OR leadership succession
The makeup of the nursing workforce, specifically the aging of that group, has been the subject of numerous publications and presentations in the last decade. Many have made dire predictions that a shortfall of nurses will likely occur in the near future, but a nationwide scarcity of severe impact has…
Improved communication tools put PACU visitors at ease
About 8 years ago, Maine Medical Center (MMC) in Portland had a policy that required visitors to wait in the surgery waiting room at least 3 hours before being allowed to visit their loved ones. The postanesthesia care unit (PACU) nurse was not expected to communicate with the family while…
Track ASC metrics to produce a healthy bottom line
Each day seems to bring new tasks for leaders of ambulatory surgery centers (ASCs), adding to their already overflowing plate. One task that can easily fall off that plate is collecting and analyzing metrics, yet failing to do so can have serious financial consequences. OR Manager recently asked ASC leaders…
Walk the talk: Words matter when it comes to patient safety
Every week Ann Shimek, MSN, BSN, RN, CASC, hits the road to communicate about communicating. Shimek is senior vice president of clinical operations at United Surgical Partners International (USPI) in Addison, Texas. She and her team of six clinical nurses travel among USPI’s 21 hospitals and 260 ambulatory surgery centers…