Culture, communication, and clinical skills essential for ERAS success
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,…
Pandemic pressures include recruiting and retaining OR staff
Recruiting and retaining OR nurses is harder than ever in the COVID-19 era. Many healthcare facilities are reconstructing their surgical case schedules after the mandatory pause in elective procedures, and some are still on hold. OR leaders are focused largely on guiding staff through the crisis and working toward a…
Monitoring implant contracts can save millions of dollars
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,…
Preoperative protocols enhance outpatient total joint outcomes
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…
COVID-19 linked to severe lower extremity arterial thrombosis
Editor's Note COVID-19 patients have larger lower extremity arterial thrombi and a significantly higher rate of amputation and death than uninfected patients with the same condition, this study finds.ontefi Researchers at Montefiore Medical Center, New York City, compared 16 COVID-19 patients who had symptoms of leg ischemia with 32 COVID-19…
HHS opens new COVID-19 hospitalization data portal
Editor's Note The US Department of Health and Human Services (HHS) on July 20 launched a new Data Hub for COVID-19 hospitalization data that officials say provides a more comprehensive view of the pandemic than the Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network, where the information…
Panel issues guidelines for safe resumption of elective orthopedic surgery
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…
US House of Representatives moves to expand the use of telehealth beyond COVID-19
Editor's Note Leaders of the US House of Representatives telehealth caucus introduced legislation on July 16 to permanently open up access to telehealth services for Medicare patients, the July 16 Fierce Healthcare reports. The bipartisan bill will eliminate restrictions on use in Medicare patients, and it will provide a bridge…
COVID-19 ICU mortality has fallen by a third
Editor's Note This meta-analysis from the University of Bristol, UK, finds that overall COVID-19 intensive care mortality has fallen by a third since the start of the pandemic. Data from 24 studies, including 10,150 patients from centers in Asia, Europe, and North America, demonstrate an ICU mortality rate of 41.6%,…
COVID-19 data reporting moved to HHS
Editor's Note The Department of Health and Human Services (HHS) on July 15 announced that in a move to improve information gathering and resource allocation, hospitals will begin sending their COVID-19 related data directly through HHS Protect or TeleTracking rather than submitting it the Centers for Disease Control & Prevention…
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