A steady stream of changes and upheaval, ranging from increased use of bundled payments for reimbursement to the pressure of filling open positions with qualified staff, are affecting OR managers’ ability to be successful. Despite the challenges, more than two-thirds (67%) are satisfied with their jobs or positions, according to…

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Leaders of ambulatory surgery centers (ASCs) are less satisfied than they were a year ago, according to the OR Manager 2018 Salary/Career Survey. In 2017, 83% were satisfied with their current job or position, compared with 77% this year. Other areas where satisfaction dipped by five percentage points or more…

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We asked some top ambulatory surgery center (ASC) leaders, including members of OR Manager’s Editorial Advisory Board, to identify the top challenges ASC leaders are facing. Here are their responses. We believe you will see some of your own challenges reflected in their comments.   Mary Stewart, MSN, BSN, RN…

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Editor's Note Just as it was with Boomers, empowerment is a popular desire among Millennials, but organizations need to know they can’t just talk about empowerment as they did in the past, they actually have to empower Millennials, according to Steve Keating in the August 30 LeadToday.com. Millennials aren’t fooled…

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Editor's Note The Massachusetts state regulation of 1:1 or 2:1 patient-to-nurse staffing ratios in intensive care units (ICUs), as guided by patient complexity scores, was not linked with either increased nurse staffing or changes in patient outcomes, this study finds. Examining records from 246 medical centers nationwide, and comparing patient…

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The good news/bad news for OR leaders from the 2018 annual OR Manager Salary/Career Survey: Surgical volume continues to increase for many hospitals, but staff turnover and recruitment difficulties remain, creating challenges in meeting that increased volume. Another ongoing challenge is reimbursement changes; more than half of respondents report bundled…

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Surgical volume in the past year increased for 40% of respondents to the 2018 annual OR Manager Salary/Career Survey, down slightly from the 48% reported in 2017. This result is intriguing in light of the proliferation of procedures now being performed in ambulatory surgery centers (ASCs). Does this suggest some…

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Editor's Note Massachusetts voters will decide in November whether to mandate nurse staffing limits in hospitals, the July 9 Boston Business Journal reports. The nurse staffing question, which is being spearheaded by the Massachusetts Nurses Association, will ask voters to establish patient-to-nurse limits in different areas of the hospital. Hospitals…

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Editor's Note US hospitals added 10,600 jobs in June to a seasonally adjusted 5,175,800, the Bureau of Labor Statistics reported on July 6. That is 95,300 more employees than a year ago. The overall unemployment rate rose 0.2% in June to 4.0%.

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The loss of experienced nurse leaders to Baby Boomer retirement has been a concern for the past several years. A total of 17% of respondents to the 2017 OR Manager Salary/Career survey said they plan to retire sometime in 2018 to 2020, so grooming their successors should already be well…

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