Surgeons usually don’t have a high awareness of costs, partly because they haven’t had an easy way to know them. An unfortunate byproduct of this lack of knowledge can be higher OR costs. “Imagine what it’s like if, when you go to the grocery store, there are no price tags,…

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Editor's Note Despite concerns that quality improvement efforts may widen disparities, national racial disparities in surgical mortality are narrowing, this study finds. Using Medicare claims data from 2005 to 2014, Harvard researchers found that, overall, national mortality trends improved for both black and white patients by 0.10% and 0.07% per…

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Editor's Note The Department of Veterans Affairs (VA) has started converting older, inactive paper healthcare records to electronic health records (EHRs) in an effort to reduce the amount of office space used for storage of patient records and to streamline the claims processes, the April 24 EHR intelligence reports. This…

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One of the biggest challenges for OR managers is efficient use of OR blocks. OR managers struggle to balance revenue and utilization targets with surgeon and staff preferences. The result is underutilized OR time, unnecessary costs, and dissatisfied staff. “Let’s face it, our block allocation process isn’t very efficient,” says…

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Editor's Note This study finds that the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) Surgical Risk Calculator serves its intended purpose of providing a general purpose risk calculator, which is applicable across many surgical domains, using easily understood and generally available predictive information. The Surgical Risk…

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Editor's Note Over time, electronic health records (EHRs) show a decline in face-to-face patient assessments by physicians and an increase in computer tasks, this study finds. Physicians now spend 50% of their time with patients and 50% of their time on computers.  The analysis included 471 physicians who worked on…

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Editor's Note A position paper from the American College of Physicians (ACP) makes recommendations on administrative tasks to mitigate or eliminate their adverse effects on physicians, their patients, and the whole healthcare system. Among the recommendations: Stakeholders external to physician practices (ie, payers, government and other oversight organizations, vendors, and…

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Editor's Note Providing surgeons with individualized cost feedback and surgical supply costs was associated with significantly reduced surgical supply costs, without negatively affecting patient outcomes in this study. The study involved 63 surgeons in an intervention group and 186 surgeons in a control group. Surgeons in the intervention group received…

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Editor's Note Healthgrades (Denver) on February 24 released its list of America’s 50 and 100 Best Hospitals for 2017. The top 50 represent 1% of all hospitals and are located in 22 states. California has the most at 10, followed by Illinois with 7. The top 100 hospitals are those…

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Increasing costs and shrinking margins have continued to pressure business managers and senior hospital leadership to rethink strategies for raising surgeons’ awareness of product and nonlabor costs within the OR. Often providers are asked to cut costs but are unaware of the actual costs of the products they use. In…

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