Orthopedic PSH a prime model for value-based care--Part 1
Uncertainties pepper the healthcare landscape, but the shift to value-based care is expected to continue, even though momentum may slow under the current administration. That means perioperative services leaders must continue to explore new care delivery options such as the perioperative surgical home (sidebar, p 17). “The demand for value…
Novice OR nurses fill pipeline through effective education programs
Leaders seeking competent staff for the OR are increasingly training their own. These internal programs, typically targeted toward both new graduates and nurses without previous OR experience, require planning, organization, and follow-through. “You need to integrate the didactic with the clinical setting,” says Ellen Lord, MS, RN, CNOR, a perioperative…
Electronic scheduling system radically improves OR workflow
Between the expanding population and the increasing number of surgical procedures being performed, demand for surgical services is climbing. One study has predicted a 14% to 47% increase in surgical demand across all surgical fields by 2020. Given the high cost of operations, an efficient workflow is paramount, and there…
Do Medicare's latest code changes help or hurt ASCs?
Medicare is increasing approval of higher-acuity procedures performed in the ambulatory surgery center (ASC) setting, creating meaningful opportunities for ASCs. At the same time, however, a number of outpatient procedure codes have been deleted, reduced, or are packaged and considered all-inclusive in a case, without additional payment. “Key changes occurred…
Avoiding blood wastage in the OR can improve bottom line
Keeping a close eye on implants that are opened and not used is one way OR leaders can track practices that add significantly to costs. But what about blood products? Blood taken to the OR and not used also can be costly. Although an individual unit of blood doesn't compare…
New instrument shows promise as low-cost alternative to robot
Researchers at the University of Michigan (U-M), Ann Arbor, have invented a new surgical instrument with the goal of addressing a vast, unmet need in minimally invasive surgery. For less than a thousand dollars, this platform technology—currently being commercialized by the start-up FlexDex Surgical—offers capabilities similar to those of the…
Editorial
Efforts to repeal and replace the Affordable Care Act (ACA) are ongoing, with continued uncertainty about what may happen and when. To keep things in perspective, here’s a snapshot of recent developments. On May 4, the US House of Representatives approved the American Health Care Act (AHCA) by a vote…
Customer service can make or break a patient's experience
Healthcare providers and their patients have benefited from practices borrowed from other industries—for example, the checklists and time-outs used in aviation or the Lean management principles used in manufacturing. Applying lessons learned in the entertainment industry to the hospital setting may seem like a stretch, but Dennis Snow will explore…
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- Director- Clinical Operations, Operating Room, Riley Children's Hospital - Indiana University Health - Indianapolis, IN
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