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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Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…

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Editor's Note An electronic medical record (EMR) data analysis by Epic Health Research Network for the Kaiser Family Foundation finds that from March through December 2020, hospital admissions were 8.5% below predictions because of COVID-19. The analysis, which is based on Epic’s EMR data on all inpatient admissions from December…

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Editor's Note A Foley & Lardner survey finds that state telehealth reimbursement laws have significantly increased during the COVID-10 pandemic, but more can be done to address telehealth adoption barriers, the February 15 Revcycle Intelligence reports. More than 43 states and Washington, DC, have some telehealth statute for commercial payers,…

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