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GAO: Modest effects from Value-based Purchasing program

Editor's Note A new Government Accountability Office report shows that hospital performance on most quality measures was improving before the Affordable Care Act’s Hospital Value-based Purchasing (VBP) program began in 2012 and has not noticeably changed since then, according to the AHA News. Most inpatient prospective payment system hospitals eligible…

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By: Judy Mathias
October 5, 2015
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ASC legislation introduced in Senate

Editor's Note This week, US Senator Mike Crapo (R-ID) introduced the Ambulatory Surgical Center Quality and Access Act of 2015, which is intended to preserve patient access to ASCs, The ASC Association reports. The Act would: Fix a flaw that allows Medicare to use different measures of inflation for ASCs…

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By: OR Manager
October 1, 2015
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ICD-10 debuts October 1

Editor's Note The healthcare industry transitioned to the ICD-10 system October 1, expanding procedure codes from 14,000 to 70,000 for providers and from 44,000 to 72,000 for hospitals. Medicare officials say they won’t deny claims to providers solely for lack of specificity for the first 12 months, but that doesn’t…

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By: OR Manager
October 1, 2015
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Emotional toll of ‘never events’ on staff

Editor's Note An aspect of “never events”that is rarely discussed is the emotional toll they take on staff, according to this editorial. In each case, staff experience an enormous amount of emotional trauma, and a significant amount of accusation and stigmatization occurs. It is not enough to prevent and manage…

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By: OR Manager
October 1, 2015
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OR team uses evidence-based practices to reduce readmissions

Concerted efforts to reduce readmissions have paid off at Inova Fairfax Hospital in Falls Church, Virginia. Among its bragging rights since launching an initiative last year: decreased length of stay for colorectal surgery patients and a downward trend in readmissions. To learn how they did it, OR Manager spoke with…

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By: OR Manager
October 1, 2015
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Designing and implementing bundled payment program for total hips

Editor's Note A bundled payment program for total hip replacement was associated with similar total costs, lower posthospital costs, shorter length of stay, and similar or higher quality hospital care, in this study. Compared to controls, bundled payment patients had similar length of stay (3.0 vs 3.4 days), higher rates…

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By: OR Manager
September 28, 2015
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CMS unsure of ICD-10 readiness until processing begins

Editor's Note A Government Accountability Office study finds that although extensive testing of transition to ICD-10 codes has been done, the Centers for Medicare & Medicaid Services (CMS) will not know the true functionality of the systems until code processing begins October 1, Becker’s Health IT & CIO Review reports.…

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By: OR Manager
September 25, 2015
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California ASCs face new regulations

Editor's Note Ambulatory surgery centers in California face new regulations and oversight under a new law, which takes effect January 1, 2016. New regulatory requirements include peer-review evaluations every 2 years for physicians and surgeons working in ASCs and unannounced inspections of facilities.   SB 396 makes minor changes to…

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By: OR Manager
September 24, 2015
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Joint Commission removes LS chapter from Office-Based Surgery Practices Manual

Editor's Note The Joint Commission has removed the Life Safety (LS) chapter from the Office-Based Surgery Practices Manual, effective immediately. The revision limits office-based surgery practices to a business occupancy of three or fewer patients at the same time who are rendered incapable of self-preservation in an emergency or are…

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By: OR Manager
September 24, 2015
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FDA posts safety alert on reprocessed flexible bronchoscopes

Editor's Note The Food and Drug Administration (FDA) has identified bronchoscopes as a subset of devices that pose a greater likelihood of microbial transmission and represent a high risk of infection if not adequately reprocessed. The FDA is proactively investigating these devices to determine if additional reprocessing steps should be taken.…

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By: OR Manager
September 17, 2015
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