Surgery/Specialties
Oregon surgery center is pioneer in outpatient hysterectomy
Surgeons perform about 600,000 hysterectomies per year in the US, but less than 1% of these take place in ambulatory surgery centers (ASCs). Richard Rosenfield, MD, is trying to change that. Before he founded Pearl Surgi-Center in Portland, Oregon, Dr Rosenfield performed outpatient hysterectomies at several local hospitals as an…
Boomer business: Lean strategy turns total joints into thriving enterprise
More than 7 million Americans are living with a prosthetic knee or hip, and there is a growing incidence of adults younger than 65 undergoing these procedures, researchers reported at the 2014 annual meeting of the American Academy of Orthopaedic Surgeons in March. Among those over 50 years of age,…
Perceptive leadership fosters collaboration among hybrid OR staff
The expanded volume of interventional cardiology in recent years has played a major role in the growing prevalence of hybrid ORs. As a result, many perioperative services leaders have had to develop systems for managing hybrid ORs along with traditional ORs. “Management of hybrid ORs is really a collision of…
Survey finds surgeons largely unaware of orthopedic device costs
More than $150 billion is spent annually on medical devices in the United States, with orthopedic and cardiac procedures accounting for almost all of Medicare’s device-related expenditures. Most of the recent increases in such expenditures have been related to the wider use of orthopedic devices, which is expected to grow…
Faster discharge typical for patients undergoing hip surgery at ASCs
Innovations in surgical techniques, anesthesia, and equipment, along with the drive to decrease healthcare costs, are increasing the number of patients and procedures deemed suitable for outpatient surgery. Among the elective procedures now being performed at ambulatory surgery centers (ASCs) are total joint replacements. The buzz at recent conferences has…
Medicare may drop bariatric surgery center certification requirement
Supporters of the bariatric surgery facility certification established in 2006 by the Centers for Medicare and Medicaid Services (CMS) are anxiously awaiting the agency’s final ruling on whether to reverse that decision. CMS issued a proposed decision memo in June and is expected to make its final ruling by the…
Surgical growth hinges on good service line information
OR Business Performance is a series intended to help OR managers and directors improve the success of their business. Does your hospital’s CEO expect you to grow surgical volume in the upcoming fiscal year? Hospitals have always depended on surgical services to drive revenue and profit. Today, in the…
Safety, cost savings, simplicity back broader use of bloodless surgery
More than 120 centers throughout the US have bloodless surgery programs to serve patients who refuse blood transfusions for religious and other reasons. The practice, which began more than 50 years ago, has evolved through research on blood conservation and new techniques to minimize the need for transfusions. The Joint…
Standardizing to control costs of spinal implants
When Kimberley Murray, MS, RN, CNOR, administrator for the orthopedic and spine service line at St Joseph’s Hospital (SJH) in Syracuse, New York, set up a successful system for negotiating with orthopedic vendors on total hip and knee replacement surgery, she knew that spine implants would be the next mountain…
In reducing complications, plan on less revenue
One would think that reducing surgical complications would lower a hospital’s costs in addition to being the right thing to do. But the hospital’s bottom line can be seriously affected. The loss can be substantial unless new surgical volume is added to make up for the loss, a new analysis…
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- Study: Longer shifts, understaffing increase nurse sickness absence
- Power loss risks prompt FDA Class 1 recall designation for heart pump accessories
- Therapy dogs ease nurse burnout, boost morale
- Personalized perioperative pain management reduces opioid use
- Study: Colibactin-producing gut bacteria fuel colorectal cancer surge
- Augmented reality gains FDA nod, 10k-case milestone in orthopedics, strides in outpatient surgery
- Smart patient selection anchors DISC’s high-acuity spine ASC model
- Postop opioid prescriptions following outpatient surgery see steep, sustained fall
- Study: Bariatric surgery offers cost, survival benefits for cirrhosis patients
- AI monitoring, remote surgery advance