Strategies that can achieve the aims of excellence in clinical care, fewer complications, and reduced costs are sorely needed, and the comprehensive implementation of an Enhanced Recovery After Surgery (ERAS) program can help achieve these aims in the surgical population. ERAS pathways have been found to reduce morbidity, hospital stay,…

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Orthopedic implants comprise a significant percentage of an OR’s costs, so effectively managing contracts for these items can help OR leaders in hospitals and ambulatory surgery centers (ASCs) bolster the bottom lines of their organizations. “The contract is your best mechanism to control the influx of non-anticipated items, resolve overcharges,…

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On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began reimbursing healthcare providers for total hip arthroplasty performed in outpatient hospital settings and total knee arthroplasty in ambulatory surgery centers (ASCs), thereby opening the floodgates for explosive growth in outpatient total joint arthroplasty (TJA). About a million…

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Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…

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Editor's Note The Centers for Disease Control & Prevention (CDC) on July 10 reported that health-related workplace absenteeism rates were significantly higher than expected in March and April for some occupational groups in essential critical infrastructure categories. The following significantly exceeded their epidemic thresholds: personal care and services, including childcare…

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Editor's Note Surgical mortality and complications were higher in patients with COVID-19, compared with those without COVID-19, this Italian study finds. In this cohort study of 41 surgical patients with COVID-19 and 82 matched control patients without COVID-19: 30-day mortality was significantly higher in COVID-19 patients (19.51% of COVID-19 patients…

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Editor's Note The Joint Commission announced June 24 that it has revised its position statement on preventing nosocomial COVID-19 infections as healthcare organizations resume regular care delivery. The Joint Commission supports the following positions: Continuing to follow Centers for Disease Control and Prevention’s recommendations for universal masking of staff, patients,…

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Editor's Note As hospitals begin ramping up elective surgical procedures, healthcare leaders face significant challenges, the June 23 Becker’s Hospital Review reports. A market research survey by Lumeon (Boston) found that the top operational concern for healthcare leaders is making sure patients feel safe to schedule and come into hospitals…

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Resuming elective surgical procedures is critical for recovering revenue lost during the early phase of the COVID-19 pandemic and treating patients whose health may have been compromised while awaiting surgery. Timetables and protocols for resuming those procedures tend to differ by facility, but OR leaders nationwide feel that “we’re all…

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Hospitals nationwide have thousands of unique instrument trays that take up valuable space on their shelves. Many trays are cluttered with rarely used instruments that are there “just in case.” The problem can be particularly acute in large health systems. Across Cleveland Clinic’s multiple locations in northeast Ohio, for example,…

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