CMS to make some pandemic telehealth provisions permanent
Editor's Note The Centers for Medicare & Medicaid Services (CMS) administrator Seema Verma says use of telehealth has grown dramatically during the COVID-19 pandemic, and some provisions that were extended temporarily will be made permanent, the June 2 Becker’s Hospital Review reports. During the pandemic, CMS expanded access to telehealth…
CMS unveils enhanced enforcement actions for nursing homes based on COVID-19 data, inspections
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on June 1 unveiled enhanced enforcement actions for nursing homes with violations of infection control practices. The enhanced and targeted accountability actions are based on trends in recent data regarding the incidence of COVID-19 in nursing homes and infection control…
Dr Gawande stepping down as Haven CEO
Editor's Note The May 8 Wall Street Journal reports that Atul Gawande, MD, is stepping away from the day-to-day operations of Haven—the Amazon, JPMorgan, Berkshire Hathaway healthcare venture. Instead Dr Gawande will be chairman of the joint venture so he can focus more on policy and advocacy work, particularly related…
OR leaders chart new territory for resuming elective surgery
Elective surgical procedures that were temporarily suspended in mid-March are now on the table—or soon will be—at some US facilities. The ban, announced on March 18 by the Centers for Medicare & Medicaid Services (CMS), was enacted to free up resources for facilities overwhelmed by surges of COVID-19 patients. On…
Children's hospital revises patient care criteria for COVID-19
The COVID-19 pandemic is having a major impact on all aspects of healthcare delivery worldwide. For children’s hospitals, the crisis has created unique challenges in ensuring patient and provider safety as well as helping to contain the spread of COVID-19 through their communities. According to the Centers for Disease Control…
Pandemic has altered perceptions of healthcare industry
Although COVID-19 cases are still emerging in many parts of the country, some businesses have reopened and some elective procedures are once again being performed. Many events that did not take place in the spring will be held in the fall, including the annual OR Manager Conference, September 30 to…
Hospital-wide ERAS adoption hinges on leadership support
Enhanced Recovery After Surgery (ERAS) is arguably the greatest advancement in surgery in the last 20 years. But even healthcare leaders who support the use of ERAS to achieve better outcomes can find it daunting to implement the protocols throughout their hospital systems. Standardizing practices across areas that have historically…
Device safety depends on routine cleaning, maintenance
Routine cleaning and maintenance of the equipment used to process medical devices is important to prevent contamination of medical devices. This article will discuss the required cleaning and maintenance in a sterile processing department (SPD) as well as the guidelines and regulations that inform these practices. Environmental issues Recommendations…
Implementing safety huddles to improve patient outcomes
The fast-paced environment in an ambulatory surgery center (ASC) requires meticulous handoffs, and daily huddles—brief (10 to 20 minute) stand-up meetings—can raise awareness of any potential safety issues. That has been the experience at UnityPoint Health in Des Moines, Iowa, and some of what we learned might help others improve…
Anticoagulants may improve survival in hospitalized COVID-19 patients
Editor's Note Treating hospitalized COVID-19 patients with anticoagulants may improve their chances of survival, this study from Mount Sinai finds. Of 2,773 COVID-19 patients analyzed, 786 received a full-treatment dose of anticoagulants, which was a higher dose than that typically given for clot prevention; it is one usually given to…
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