Aging and active Americans are refusing to let back problems slow them down—the number of these patients is increasing, and they prefer the less invasive outpatient methods offered in ambulatory surgery centers (ASCs). So do their physicians. As a result, ASCs seeking to adopt new procedures are looking more closely…
When leaders at Memorial Healthcare, a 154-bed community hospital in Owosso, Michigan, wanted to get a jump on preparing for bundled payments, they chose to focus on total hip and knee surgery. Creating a perioperative surgical home (PSH) for this patient population paid off in enhanced patient satisfaction and reductions…
OR leaders besieged by surgeons and others clamoring for the latest innovations must ensure that the business case for any new technology makes good sense both for patients and the organization’s bottom line. Building a strong business case requires careful assessment, clear writing, and a strong partnership with the finance…
With safety and quality now tied to reimbursement as part of value-based purchasing (VBP), hospitals must meet benchmarks for patient satisfaction, clinical outcomes, and readmissions to avoid financial penalties imposed by the Centers for Medicare & Medicaid Services. The VBP program added the Patient Safety Indicator, or PSI 90, metric…
Reducing immediate use steam sterilization (IUSS) can be challenging, but adhering to standards is essential not only for patient safety, but also for successful accreditation surveys. “Accrediting organizations are hitting hard on all of sterilization, but especially IUSS,” says Rose Seavey, MBA, BA, RN, CNOR, CRCST, CSPDT, president and CEO…
An ambulatory surgery center (ASC) looking to expand its market may want to add new procedures, but only after careful consideration of resource investment versus ultimate benefit. In the first of a three-part series, OR Manager explores surgical specialties that appear to show promise for the outpatient setting. One of…
Surgical site infections (SSIs) not only harm patients, but also can squeeze a hospital’s bottom line through increased costs and reduced reimbursement. Patients undergoing colorectal surgery are particularly at risk for SSIs, according to data from the National Healthcare Safety Network (NHSN), but an effective multidisciplinary team and an evidence-based…
Physicians receive little leadership training in medical school, so they don’t always perform well in leadership roles. At Florida Hospital Orlando, that education gap is being filled through the Physician Leader Development (PLD) program, which applies military leadership principles to the healthcare setting. The innovative course has benefited not only…
Surgical site infections (SSIs) are a major cause of morbidity in surgical patients, leading to increased length of stay and healthcare costs. No single intervention has demonstrated efficacy in reducing SSIs. When SSIs rose to a rate of 16.3% in 2013 at St Elizabeth Boardman Hospital in Boardman, Ohio, perioperative…
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…