Bundled payments: Part and parcel of value-based care
Government and third-party payers are pushing for value-based, rather than volume-based, models of care, yet few hospitals are moving that direction, a survey shows. The Centers for Medicare & Medicaid Services (CMS) requires that half of hospitals’ payments be value based by 2018, according to a 2016 Health Catalyst survey…
Preventing a cyber attack takes commitment--and money
Information technology (IT) has been a lifesaver and a timesaver in healthcare, bringing speed and precision to medical-surgical procedures and replacing paperwork with electronic computation, storage, and communication. But there is a dark side. Systems can be sabotaged, files can be opened, and devices used in surgery can fail at…
Survey: OR staff low in volume, experience, engagement--Part 1
OR managers might yearn for a past when a well-staffed team of experienced RNs and surgical technologists were committed heart and soul to their jobs, but it’s clear that idyllic time is gone, if indeed, it ever really existed. Most managers now face a triple threat in staffing trends, any…
Survey finds little change in ASC leader compensation, satisfaction
Leaders in ambulatory surgery centers (ASCs) are seeing little to no growth in salary, even through most are experiencing higher surgical volumes, according to the OR Manager 2016 Salary/Career Survey. The average annual salary was $104,721, slightly more than the $102,051 in 2015, but the average total compensation was down…
Surgical volume rising along with staff vacancies, survey shows
OR leaders continue to face increases in volume and staffing mobility, according to the 2016 annual OR Manager Salary/Career Survey. The volume of surgical procedures in the past 12 months increased for slightly more than half of respondents (51%), compared to 43% in 2015. In terms of staffing, respondents noted…
Higher staff turnover correlates with volume increase at ASCs
As surgical volume increases, staffing challenges are trending slightly upward for OR leaders in ambulatory surgery centers (ASCs), with increases in open positions and turnover, according to the 2016 annual OR Manager Salary/Career Survey. More than half of respondents (56%) reported higher surgical volumes during the past 12 months, significantly…
High competency levels promote ASC staff and patient satisfaction
Leaders of ambulatory surgery centers (ASCs) know a competent staff is essential for optimal patient outcomes and financial well-being, but competing pressures sometimes relegate competency assessment to completing a checklist to meet regulatory requirements. Unfortunately, this approach can result in missed opportunities. “Competency assessment helps promote safe care and quality…
Creativity holds keys to competency assessment
How can leaders of ambulatory surgery centers (ASCs) ensure they have a competent staff? First, they must hire staff with the right skill sets, and then they should implement meaningful methods for ongoing assessment. Here are some strategies for meeting these goals. Begin with the hiring process “When you…
Process improvements raise SPD standards and quality
When audits revealed areas of deficit in the sterile processing departments (SPDs) of the Memorial Hermann Health System in Houston, leaders pulled together a team to help implement a quality improvement plan. By analyzing and standardizing their processes, creating auditing tools, and educating staff, they significantly increased quality scores throughout…
Wearable technology brings both benefits and risks to the OR
Personal wearable technology, which covers the gamut from activity trackers such as Fitbit to e-textiles that monitor vital signs, have the potential to revolutionize healthcare. Like most innovations, however, the technology comes with risks. For OR leaders, those risks include possible security breaches, distractions, and violation of patient privacy and…
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