The anesthesia staffing crisis: How we got here, what hospitals can do
Takeaways • Documentation and coding procedures are rife with opportunity for cost savings. • Passed in 2022, the No Surprises Act is designed to protect insured patients from surprise billing for emergency services from out-of-network providers. However, the result has been nearly 40% cuts in reimbursements to anesthesiologists. • OR…
Why nurse travelers are more friends than foes
Many are quick to blame travelers for the poor state of hospital finances. However, isn’t there a difference between a traveler in the OR—an interim staff member in the hospital’s profit center—and an interim RN in an area financially supported by OR profits? What about the argument that travelers can…
On-demand staffing reduces costs, boosts efficiency
For many healthcare facilities, operational costs are steadily rising, and no clearcut solution is in sight. However, some hospital systems are gradually reclaiming control over their budgets by finding ways to stabilize their finances and improve workforce morale. During the pandemic, many hospitals turned to short-term contract labor as a…
Traveler tightrope: OR leaders balance best practices, reduction strategies
Takeaways Providers are generally seeking to reduce use of travelers through strategies such as float pools, training programs, and cultural reforms. However, travelers remain useful as a bridge to permanent staff and for difficult-to-fill positions. Best practices for selection, onboarding, team integration, and performance evaluation are essential for maximizing return…
Countdown to OR Manager Conference: Lean and mean surgery centers—thinking outside the box
Editor’s Note Bob Winandy, MSN, MBA, RN, CEO of Brightside Surgical, Brightside Specialty Clinics, and Infinity Medical Management, LLC, shared insights on innovative practices for ambulatory surgery centers (ASCs) at last year’s OR Manager Conference. With nearly 20 years of experience in surgical services, he emphasized the importance of flexibility,…
Survey: Staffing woes ease slightly, but challenges remain
Takeaways • Surgical volume continues to increase for most organizations. • Staffing remains a challenge, although some parameters, such as recruiting and turnover, have improved slightly. • Filling an open RN position takes an average of 77 days, and filling a surgical technologist position takes an average of 120 days.…
Study links patient mortality to low nurse staffing, overreliance on temporary hospital staff
Editor's Note A recent study conducted across 185 hospital wards in England highlights the significant impact of nurse staffing levels and staff composition on patient mortality. Published August 19 in JAMA, the study analyzed data from over 626,000 hospital admissions between 2015 and 2020. It found that low staffing levels…
Countdown to OR Manager Conference: Creative staffing models to increase surgical case volume within a fixed footprint
Editor's Note MD Anderson Cancer Center shared insights on overcoming OR capacity challenges during a session at last year’s OR Manager Conference that highlighted creative solutions to staffing shortages and capacity constraints. With the ongoing pressures exacerbated by COVID-19, which is hitting a peak this summer, MD Anderson has implemented…
High RN, higher travel RN pay reflect post-pandemic demand
Editor's Note Heightened demand has made nursing lucrative relative to other professions, especially since the COVID-19 pandemic, according to a May 9 report from healthcare job marketplace Vivian Health. Based on the firm’s proprietary salary data as well as information from the Bureau of labor Statistics, Vivian estimates registered nurses…
Ambulatory endoscopy management strategies keep patients, finances healthy
Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…
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