Parents’ vs surgeons’ expectations during concurrent pediatric surgery
Editor's Note In this study, a significant mismatch was found between parents’ and pediatric surgeons’ expectations on the role of the surgeon on the day of surgery, with parents expecting more direct involvement by the attending surgeon. A total of 110 parents and 84 pediatric surgeons and surgical residents completed…
What do 'patient first' care models look like?
Creating a positive patient experience creates patient satisfaction, which can affect reimbursement. But it’s not just business that calls many OR leaders to focus on patient experience. Having been a patient who has had surgery, it’s near and dear to my heart,” says Carol Pehotsky, DNP, RN, NEA-BC, ACNS-BC, CPAN,…
Important ASC Medicare quality reporting deadlines approaching
Editor's Note All eligible Medicare-certified ambulatory surgery centers (ASCs) that want to avoid future penalties must complete a new electronic form by April 14 via the Centers for Disease Control and Prevention’s National Healthcare Safety Network website in order to report on ASC-8: Influenza Vaccination Coverage among Healthcare Personnel, the Ambulatory…
EHRs hinder ability to report quality measures
Editor's Note The poor design of electronic health records (EHRs) poses challenges for primary care practices to generate the required reports for federal value-based payment programs, this study finds. An analysis of survey responses from 1,492 practices in 12 states, found that the reports generated for meaningful-use participation, which requires…
Outpatient vs inpatient anterior cervical discectomy, fusion
Editor's Note Anterior cervical discectomy and fusion (ACDF) can be performed on an outpatient basis with comparable morbidity, readmission rates, and lower costs as on an inpatient basis, finds this study. In this analysis of 3,135 outpatient and 46,966 inpatient ACDFs, the mean Charlson comorbidity index, length of stay, and…
BCBS pilots hip, knee bundled model
Editor's Note Blue Cross Blue Shield (BCBS) of Michigan is piloting a bundled payment program for hip and knee replacements, the March 27 HealthcareDive reports. The pilot, which includes 64 surgeons at seven healthcare systems, will use a mix of inpatient and outpatient settings in an effort to reduce the…
ECRI Institute issues free white paper on purchased services best practices
Editor's note The ECRI Institute on April 2 issued a free white paper on “5 Ways to Drive Savings and Quality on Your Purchased Services.” The 5 key areas to consider when developing a best practice process to evaluate purchased services, reduce spending, and make informed vendor selections are: Making…
Study: Surgeon performance benefits from ‘warm-up’
Editor's Note In this study from the UK, researchers found a robust relationship between a surgeon’s daily OR schedule and surgical performance (indexed by duration of procedure). The researchers say surgeons should reorder their OR schedule, starting their days with the simpler cases and building up to the more difficult…
AHRQ helps promote Patient Safety Awareness Week
Editor's Note The Agency for Healthcare Research and Quality (AHRQ) is working with the Institute for Healthcare Improvement/National Patient Safety Foundation and sister Health and Human Services agencies to promote a wide variety of information and activities for Patient Safety Awareness Week March 11 to March 17. The annual…
Study: MIS vs open surgery in Medicare population
Editor's Note In this study led by Martin A. Makary, MD, MPH, professor of surgery at the Johns Hopkins University School of Medicine, minimally invasive surgery (MIS) was associated with better outcomes than open procedures in the Medicare population. Of 233,984 Medicare patients who had one of seven common surgical…
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