First assistants (FAs) can play an important role in achieving optimal outcomes and higher surgical case volumes. Part 1 of this two-part series discussed types, education, and certification of FAs (OR Manager, May 2021, pp 1, 15-18). Part 2 answers questions related to risk management and oversight, and discusses possible…

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A year ago at this time, healthcare facilities were busy resuming elective procedures that had been put on hold because of COVID-19—a feat that required agility, innovation, and collaboration to ensure staff and patient safety amid the ongoing pandemic. It’s remarkable that multiple vaccines have since been developed and administered…

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Reforms are underway to curb surprise billing practices, with new federal government regulations due to be published by July 1 as part of the No Surprises Act passed by Congress in late 2020. Among many other provisions, the new law will require insurance providers to be more transparent about prices…

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Unexpected benefits can arise from unexpected circumstances. Relatively new nurse leaders at two different facilities have found this to be true, for different reasons. Both have faced sudden changes that made their jobs more difficult but also gave them opportunities for growth. When the director of ambulatory care at Brigham…

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A global pandemic did not stop the proliferation of joint ventures between ambulatory surgery centers (ASCs) and hospitals in 2020. The trend continues in 2021, as federal regulators expand on the types of procedures that can be performed in the ambulatory setting. Hospitals are recognizing the need for a surgery…

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Editor’s Note. This article presents value-based analyses on the use of Mako robotic technology in total knee, partial knee, and total hip arthroplasty. The authors are with Stryker Orthopaedics in Mahwah, New Jersey.   Joint arthroplasty is an effective procedure to treat advanced osteoarthritis of the hips and knees. It…

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Editor's Note In this study, researchers from Brigham and Women’s Hospital and Harvard Medical School, Boston, find that ambulatory surgery offers significant cost savings and generally superior 30-day outcomes compared to inpatient surgery. Of 73,724 patients having hernia repair, primary total or partial thyroidectomy, laparoscopic cholecystectomy, or laparoscopic appendectomy in…

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Editor's Note This study from Brigham and Women’s Hospital, Boston, and the University of Pennsylvania, Philadelphia, estimates the national revenue loss because of cessation of major elective surgeries during COVID-19 to be $22.3 billion. Sensitivity analysis finds that the recovery time to market equilibrium once elective surgeries fully resume is…

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Editor's Note The Joint Commission, on April 6, launched the SAFER Dashboard for its accredited healthcare organizations. The dashboard, which is accessible on an organization’s Joint Commission Connect extranet site, is a data analytic tool that allows organizations to view their survey data and national comparison data in one place.…

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Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…

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