The Business of Surgery H ealthcare trends come and go, but one that shows no signs of stopping is value-based payment. Just this year, the Centers for Medicare & Medicaid Services launched the Comprehensive Care for Joint Replace-ment (CCJR) model, which mandates bundled payment for two of the most common surgical procedures in the…
Each year, 3 million Americans have cataracts removed, according to the American Society of Cataract and Refractive Surgery (ASCRS). Between the aging population and the increasing number of cataract procedures being performed, it’s not surprising that ophthalmology has led the way in specialties that are moving to the outpatient setting.…
Recommendations emerging from a data analytics project have helped OR leaders at Vanderbilt University Medical Center in Nashville, Tennessee, better anticipate daily surgical case volume and share that information with their managers. Data gleaned from the project are now being used to predict staffing needs for the OR, anesthesia department,…
Some perioperative services leaders retire from the OR with plans to become consultants, drawing on their years of experience to help facilities and remain active in the field. Some do not envision this or any other type of post-retirement career, yet they find themselves lured into a business opportunity. Entrepreneurship…
Hospitals with better nursing work environments and above-average staffing levels were associated with better surgical value (ie, lower mortality with similar costs) in this study, especially for higher-risk patients. Past studies have shown that hospitals with better nursing work environments provide better quality of care, but less is known about…
Surgeons often complain that their physician preference cards (PPCs) are not current, and keeping on top of the situation can be a struggle. Yet having accurate information on these cards greatly enhances both efficiency and patient safety, say surgical services leaders who have overhauled their systems. In this article, experts…
Even the most experienced OR leaders often view physician preference cards (PPCs) as a beast that acts out and demands attention at the most inconvenient times. Two organizations that have managed to tame the PPC beast shared their experiences with OR Manager. Updating cards saves more than $3.2 million Tresa…
High reliability has now permeated the healthcare literature, but some clinicians are still unsure exactly what it means. A simple definition offered by Coleen Smith, MBA, RN, CPHQ, director of High Reliability Initiatives for the Joint Commission Center for Transforming Healthcare, is “excellence in patient care for every patient, every…
Sterilization packaging is considered a medical device and thus it must undergo validation testing before being used in healthcare facilities. To ensure proper packaging that will maintain the integrity of sterilization, consult the packaging manufacturers’ instructions for use (IFU) and follow the sterilization standards and guidelines from the Association for…
With several months of experience using an updated version of the International Classification of Diseases-10 (ICD-10) diagnosis coding system, most US healthcare providers, including ambulatory surgery centers (ASCs), are finding their worst fears have yet to materialize. ‘Lights would go out’ Although Medicare has not yet released data, insurance…
