Surgery
Study shows increased telemedicine use early in the COVID-19 pandemic
Editor's Note This study by researchers from Harvard Medical School, Boston, on data from 16.7 million insured individuals, shows that 30.1% of total outpatient visits early in the COVID-19 pandemic (March 18-June 16, 2020) were conducted via telemedicine, and weekly telemedicine visits were 23 times higher, compared with the pre-COVID-19…
Joint Commission adds new performance measure for THKR certification
Editor's Note The Joint Commission, on January 20, announced that data collection for a new standardized performance measure assessing a patient’s functional and health status postoperatively will be required for the Advanced Certification for Total Hip and Total Knee Replacement (THKR) program. Organizations will be required to assess a patient’s…
Parsing COVID-19 transmission routes informs levels of protection needed
Information about COVID-19 transmission and treatment has evolved between the time this infectious disease first emerged and now. As evidence-based knowledge grows and protocols change, and as populations are vaccinated to develop herd immunity, there is increasing optimism about the ability to combat the virus. Meanwhile, it is important to…
Editorial
The rollout of COVID-19 vaccines starting in December 2020 was the one bright spot in an otherwise tragic year with a rapidly rising death toll currently over 385,000. Distribution of the 20 million doses promised by year end was thwarted by problems such as lack of coordination and lack of…
New year brings some changes to quality reporting criteria
The 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS)/ASC Final Payment Rule was released on December 1, 2020, and became effective as of January 1, 2021. Gina Throneberry, MBA, RN, CASC, CNOR, director of education and clinical affairs, Ambulatory Surgery Center Association (ASCA), summarized the status of Medicare regulations and…
Joint Commission approves four new EPs for office-based surgery
Editor's Note The Joint Commission, on January 13, announced that it had approved four new elements of performance (EPs) for office-based surgery practices that prescribe medication. The EPs for Medication Management Standard MM.04.01.01, which will become effective July 1, address the following: Having a written policy that identifies specific medication…
The sharp end of safety: The fight to reduce needlestick injuries
Each December, the international medical community marks Sharps Safety Awareness Month, which serves as a powerful reminder of the significant risks from injuries caused by needlesticks and surgical sharps faced by surgeons, nurses, and other clinicians in their daily lives. Every needlestick injury incurred in the OR comes with a…
Effect of intubation barrier devices on aerosol exposure
Editor's Note Barrier devices used for intubation may reduce operator exposure to infectious droplets and aerosols, but there is wide variation in aerosol containment, this study finds. Fully enclosed barrier devices reduced vapor and aerosol content in the area of the operator. If no barrier device was used, aerosol content…
ASA, APSF issue guidance on surgery, anesthesia for COVID-19 patients who have recovered
Editor's Note The American Society of Anesthesiologists (ASA) and Anesthesia Patient Safety Foundation (APSF) issued a joint statement December 8 on performing elective surgery and anesthesia on COVID-19 patients who have recovered from the virus. The statement notes that: In general, all non-urgent procedures should be delayed until the patient…
CMS releases final 2021 Medicare payment rule for ASCs, HOPDs
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 2 released its 2021 final payment rule for ASCs and hospital outpatient departments (HOPDs). CMS has finalized the addition of 11 procedures to the ASC covered procedures list, including total hip arthroplasty, autochondrocyte knee implant, and open complex…
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