Surgery
Mayo Clinic gives postop patients comforts of home
Editor's Note The Mayo Clinic, Rochester, Minnesota, is giving surgical patients an option to recover outside the hospital with comforts of home and with immediate access to a care team if needed. The Mayo Clinic program, called “Monitoring at Charter House,” allows physicians to arrange for US and international patients…
Impact of supply chain crisis on surgical services
What happens when global supply chains—which are already typically operated lean across the board—are hit with a once-in-a-century pandemic? An ongoing, collective lesson in economics. The problem is not hard to understand: COVID-19 shutdowns brought manufacturing to a near standstill, during which time the demand for goods increased, and now there…
Establishing service lines in ambulatory surgery centers
The effects of the COVID-19 pandemic on the healthcare industry could fill an entire academic curriculum at this point, let alone a single article. But one potential silver lining among the storms of bad news is the increasing migration of elective procedures from hospitals to ambulatory surgery centers (ASCs). Although…
Key items for cardiovascular, peripheral vascular service lines
Ambulatory surgery centers (ASCs) are ramping up cardiovascular and peripheral vascular service lines, as Medicare offers payment for a growing number of cardiac procedures and accrediting bodies offer support for this methodology. In 2021, the Medicare Payment Advisory Commission reported that the number of ASCs billing Medicare for cardiology procedures…
ASA: Best practices to manage acute pain in surgical patients developed at pain summit
Editor's Note The American Society of Anesthesiologists (ASA) announced on March 8 that it had joined with 14 leading medical specialty organizations to establish seven guiding principles to address the treatment of acute perioperative pain in complex surgical patients. The new principles were developed during a second landmark pain summit…
Survey: Concerns older adults have when considering elective surgery
Editor's Note New findings from the University of Michigan's "National Poll on Healthy Aging" show that while most adults between the ages of 50 and 80 express concerns when opting to have elective surgery, 2 in 3 are “very satisfied with the outcome” post-procedure, according to a March 9 American…
Report: Cardiology is fastest growing ASC specialty
Editor's Note According to the 2022 Key ASC Benchmarks and Industry Figures report published by Avanza Healthcare Strategies, an ASC consulting firm, cardiology is the fastest growing ASC specialty, Becker’s ASC Review March 10 reports. The Avanza report was released on March 8 and is a “compilation of recently [as…
2-year outcomes of TAVR vs surgical AVR in low-risk patients
Editor's Note In this study, researchers report the 2-year outcomes for patients enrolled in the Evolut Low Risk Trial (Medtronic Evolut Transcatheter Aortic Valve Replacement in Low Risk Patients), which show that transcather aortic valve replacement (TAVR) with a supra-annular, self-expanding valve is noninferior to surgical aortic valve replacement (AVR).…
10-year outcomes of off-pump vs on-pump CABG in Department of Veterans Affairs patients
Editor's Note This multi-center, randomized, clinical trial that compares on-pump coronary artery bypass grafting (CABG) with off-pump CABG finds no advantage for off-pump CABG. A total of 2,203 veterans were randomly assigned to off-pump (1,104) or on-pump (1,099) CABG procedures at 18 VA medical centers, and the veterans were then…
The Joint Commission adds requirements, expands review process for PSCs
Editor's Note The Joint Commission announced on February 9 that it will add requirements and expand the review process to 2-days for Primary Stroke Centers (PSCs) that provide mechanical thrombectomy (MT) and are seeking advanced certification or recertification, effective July 1, 2022. The additional tracer time and requirements will help…
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