Editor's Note Chasing size through mega-mergers no longer guarantees sustainability for health systems, according to an April 15 article in HealthLeaders. Many of the nation’s largest systems are reporting significant losses, while emerging evidence links consolidation to stagnant or declining care quality and worsening workforce challenges. The article highlights financial…

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Editor's Note A sharp drop in 2025 brings hospital and health system mergers and acquisitions to their lowest point in years, according to Kaufman Hall’s most recent Mergers and Acquisitions Quarterly Activity Report. Just five transactions were announced in Q1, a steep decline attributed to widespread economic volatility, concerns over…

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Editor's Note Constitution Billing and Financial Services (CBFS), the revenue‑cycle arm of Constitution Surgery Alliance (CSA), has signed a commercial agreement with health tech startup Milagro to deploy its autonomous medical‑coding platform across CSA’s 26 partnered and managed ambulatory surgery centers (ASCs). The partnership was announced in an April 4 CSA press…

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Editor's Note HST Pathways’ most recent industry report, discussed on the Advancing Surgical Care Podcast by HST CEO David Thawley and Bill Prentice, CEO of the Ambulatory Surgery Center Association (ASCA), offers insights into cardiology and orthopedic procedures done in ambulatory surgery centers (ASCs) in 2024, Ambulatory Surgery Center News…

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Editor's Note Multiple states seek to limit corporate influence in medicine by instituting additional checks on private equity-driven healthcare mergers, according to a March 17 report in Axios. Referencing multiple state-specific reports, the article summarizes specific efforts in Massachusetts, where a new law expands oversight of transactions; Maine, where a…

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Editor's Note Health system executives cite regulatory uncertainty, workforce challenges, and technology investment as top priorities for the next five years, according survey data released February 26 by healthcare advisory firm Chartis. Based on responses from 61 US health system CEOs and chief security officers (CSOs) in December 2024, the…

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Editor's Note A systematic review found no strong evidence that compliance with the CMS Severe Sepsis and Septic Shock Management Bundle (SEP-1) reduces mortality, raising questions about its inclusion in hospital performance measures, according to a February 19 report from the University of Minnesota’s Center for Infectious Disease Research and…

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Editor's Note With several major gatherings planned for this spring—including those from AORN, AONL, ASCA, and ASPAN—a bustling events season offers perioperative leaders valuable opportunities for reflection on our careers and futures. Speaking of futures, the 2024 OR Manager Salary/Career Survey revealed an intriguing shift: only 9% of perioperative nurses…

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Health systems are fundamentally capital intensive. They are regulated; depend on highly educated, high-cost employees; and operate under complex reimbursement structures. Investing in new technologies and infrastructure upgrades is imperative to keeping up with the latest medical advances. But what happens when capital funds are insufficient or no longer available?…

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Editor's Note Universitätsmedizin Berlin reduced anesthesia-related carbon emissions by more than 80% since 2018 by eliminating high-impact anesthetic gases, implementing education initiatives, and revising clinical guidelines, according to a February 27 report in Medical Xpress. The hospital’s efforts targeted desflurane, an anesthetic gas with an extreme climate impact—nearly 8,000 times…

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