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December 2017
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‘Training’ patients for surgery reduces LOS, costs

Editor's Note A home-based preoperative training program decreased hospital length of stay (LOS), reduced costs, and was well accepted by patients, this study finds. Elements of the Michigan Surgical Home and Optimization Program include improving the patient’s diet, reducing stress, breathing exercises, smoking cessation, and an emphasis on light physical…

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By: Judy Mathias
April 11, 2017
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ACS NSQIP Surgical Risk Calculator accurately estimates complication risks

Editor's Note This study finds that the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) Surgical Risk Calculator serves its intended purpose of providing a general purpose risk calculator, which is applicable across many surgical domains, using easily understood and generally available predictive information. The Surgical Risk…

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By: Judy Mathias
April 7, 2017
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Study: Physicians now spend half their time on computer tasks

Editor's Note Over time, electronic health records (EHRs) show a decline in face-to-face patient assessments by physicians and an increase in computer tasks, this study finds. Physicians now spend 50% of their time with patients and 50% of their time on computers.  The analysis included 471 physicians who worked on…

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By: Judy Mathias
April 7, 2017
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Surgery center consolidation on the rise

Editor's Note A March 23 report by Axios finds “massive consolidation among ambulatory surgery centers” (ASCs), and more is expected because about half of some 5,500 ASCs are not owned by chains. ASCs are becoming a target for acquisition because they are high-profit organizations. Recent financial reports show: Envision Healthcare (260…

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By: Judy Mathias
March 29, 2017
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ACP position paper calls for reducing administrative tasks for physicians

Editor's Note A position paper from the American College of Physicians (ACP) makes recommendations on administrative tasks to mitigate or eliminate their adverse effects on physicians, their patients, and the whole healthcare system. Among the recommendations: Stakeholders external to physician practices (ie, payers, government and other oversight organizations, vendors, and…

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By: Judy Mathias
March 28, 2017
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Reduced risk of pressure injuries in hospitals with WOC certified nurses

Editor's Note Hospitals that employ nurses certified in wound, ostomy, and continence (WOC) care have lower rates of hospital-acquired pressure injuries (HAPIs), finds this study. Of 928 hospital included in the analysis, 36.6% employed WOC certified nurses. Hospitals with WOC certified nurses had lower HAPI rates and better pressure injury…

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By: Judy Mathias
March 27, 2017
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Effect of hospital and specialty factors on readmissions

Editor's Note Hospital surgical readmissions are primarily explained by patient- and procedure-specific factors and less by broader specialty and hospital effects, this study finds. There was no correlation between specialty-specific readmissions for general and orthopedic, general and vascular, and vascular and orthopedic procedures. Within specialties, there were modest correlations between…

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By: Judy Mathias
March 23, 2017
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Effect of gender on hospital satisfaction after total hip

Editor's Note Differences in perception of hospital care exist between men and women after total hip replacement (THR), finds this study presented March 14 at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons in San Diego. Using patient satisfaction data from Press Ganey, researchers found that staff…

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By: Judy Mathias
March 21, 2017
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Analysis predicts hip replacement implant market at $9.1B by 2024

Editor's Note A Transparency Market Research analysis predicts the global market for hip replacement implants will reach $9.1 billion by 2024, with a 3.9% compound annual growth rate, the March 17 Becker’s Spine Review reports. Fueling the growth are an expanding geriatric population, an increasing incidence of osteoarthritis, and technological…

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By: Judy Mathias
March 21, 2017
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CMS interim rule delays bundled payment programs

Editor's Note In an interim final rule, the Centers for Medicare and Medicaid Services (CMS) has delayed expansion of the Comprehensive Care for Joint Replacement (CJR) bundled payment program and  implementation of its bundled payment programs for cardiac care from July 1 to October 1, 2017, the March 20 Modern…

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By: Judy Mathias
March 20, 2017
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