The Business of Surgery

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November 2025
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Survey: Relatively flat compensation in an era of many stressors

Data and surveys

Compensation has remained relatively flat for leaders in ambulatory surgery centers (ASCs), according to the 2022 OR Manager Salary/Career Survey, even as leaders face ongoing stressors. This is reflected in the 40% of respondents who reported a total current annual compensation of $120,000 or more—unchanged from 2021. Ongoing stress is…

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By: Cynthia Saver, MS, RN
September 27, 2022
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In the OR, behind-the-scenes adjustments make a big difference

Precision matters in the OR. Successful patient outcomes depend on carefully timed procedures, inventory selection, state-of-the-art equipment, and specialized staffing. These precise requirements represent a significant time and cost investment for hospital systems, and those investments are likely to continue to increase. The height of the COVID-19 pandemic presented considerable…

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By: Sheri Voss
September 27, 2022
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Editorial

The 2022–2023 fiscal budget for most health facilities has now been approved. Leaders across the board are facing unprecedented challenges with retaining their staff. And those leaders who choose to invest on their teams’ professional development are seeing the best results. Most, if not all, facilities have a bucket set…

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By: Jane E. Kuhn, MSN, RN, CNOR(E), NEA-BC
August 19, 2022
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Is there a nursing shortage, or a shortage of solutions?

Is there really a nursing shortage? “Is this a question or a statement?” asks Ruth P. Shumaker, BSN, RN, CNOR, executive director perioperative services, Regional One Health, Germantown, Tennessee. “It’s a little bit of both,” she answers. “Some of it has been self-made, and some of it is because we…

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By: Judith M. Mathias, MA, BS, RN
August 19, 2022
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Sponsored Message

Easing the pain of electronic health records: Part 1

Electronic health records (EHRs) have been decried as a drag on an organization’s efficiency and a source of frustration for clinicians and managers. Complaints related to documentation time, compatibility with other systems, and report generation are common. These shortcomings were reflected in the 2022 OR Manager Salary/Career Survey. More than…

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By: Cynthia Saver, MS, RN
August 19, 2022
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Survey: ASC leaders see staffing challenges with rising volume

Data and surveys

As organizations adapt to COVID-19 and the number of severe cases eases in many areas of the country, leaders in ambulatory surgery centers (ASCs) are seeing a significant uptick in volume of surgical procedures, according to the 2022 OR Manager Salary/Career Survey. More than half (56%) reported increased volume in…

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By: Cynthia Saver, MS, RN
August 19, 2022
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Sponsored Message

Bundled payments: A win-win-win approach for ASCs

Healthcare costs in the US have increased exponentially in recent years. Surgical procedures are especially costly. Cost control without sacrificing high quality care is the ultimate goal for many surgical practices and payers. Alternative practices and payment models have been explored to meet this goal. Episode-based payments, more commonly known…

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By: Uyen Vo, BSN, MBA
August 19, 2022
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A team approach to reducing instrumentation, costs during the age of COVID-19

ORs rebounding from the financial impact of COVID-19 are looking for ways to reduce expenses. With rising costs coming from all angles of the economy, some have adopted systemwide processes to reduce, streamline, and improve surgical instrumentation sets. Two major health systems, the Cleveland Clinic and Thomas Jefferson University Hospital…

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By: Jennifer Lubell
July 26, 2022
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Editorial

With inflation hitting yet another record-breaking high—9.1% at the time of publication—hospitals and health systems continue to contend with challenging supply chain disruptions that force leaders into a constant state of putting out fires. Supply chain issues are not new. But instead of having time to plan ahead and implement…

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By: Tarsilla Moura
July 26, 2022
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Ramifications of unprofessional behavior on patients, staff

Lynn Webb, PhD, assistant dean of the Vanderbilt School of Medicine, Nashville, Tennessee, shared an anecdote about unprofessional behavior with attendees of the recent OR Business Management Conference in San Antonio, Texas. A nurse reported that a surgeon was performing a transverse colon resection, and at the appropriate point, they…

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By: Brita Belli
July 26, 2022
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