Comprehensive ROI pitch helps to procure OR equipment
Multiple requests for new equipment and technology—usually from surgeons but also sometimes from staff—are not uncommon. As part of their due diligence, OR leaders must determine whether the return on investment (ROI) justifies the purchase. Doing ROI calculations systematically—and involving key stakeholders—can help ensure that the organization makes the best…
Funds earmarked to enable nurse-led research
The United States is amid a conversion to a value-based system of healthcare. Although this new delivery model has contributed to the closure of some hospitals and the realignment of others into larger health systems, the primacy of the OR as a source of revenue for hospitals has remained constant.…
An undercover hazard: Beware of 'clean' mattresses
A patient is lying on an apparently clean bed or stretcher when blood from a previous patient oozes out of the surface. Clearly, you don’t want to put your patients through that experience. But is your facility doing enough to prevent it? For the second consecutive year, ECRI Institute addresses…
Surgical VAC mines new software for deeper look at products
After transitioning from a paper-based data and operations management system to one that uses relational database software, Lahey Hospital and Medical Center (LHMC) in Burlington, Massachusetts, saved more than $1 million in product purchases in 2017. The surgical value analysis committee (VAC) evaluated 150 product requests and managed the conversion…
2019 Medicare final payment rule brings big wins for ASCs
The holiday spirit got off to a good start at ambulatory surgery centers (ASCs) across the country with the November 2, 2018, announcement of the Centers for Medicare & Medicaid Services’ (CMS) 2019 Ambulatory Surgical Center Payment System and Quality Reporting (ASCQR) Program Final Rule. Several significant changes ASCs had…
Joint Commission surveys now seek evidence of performance
In the past few months, the Joint Commission has implemented a new process for accreditation surveys and changed the wording and interpretation of some standards, particularly infection control. At the 2018 OR Manager Conference in Nashville, Tennessee, in September, John R. Rosing, MHA, FACHE, executive vice president and principal of…
Policy compliance essential for overlapping surgery safety
Flipping rooms, or running two ORs back to back, is common in many perioperative services departments. Certain rules of thumb can help ensure efficiency and good outcomes, but sometimes those rules either don’t exist or are unclear. Does your facility have guidelines for overlapping surgery, and do your surgical teams…
Editorial
A greater focus on cost cutting and improving quality of care, a rise in outpatient procedures, and increased demand for cost and quality transparency were among the major healthcare trends projected for 2018. It’s safe to say these will continue to dominate in 2019 and beyond. A year ago, all…
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