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February 2018
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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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Association between surgeon scorecard and OR costs

Editor's Note Providing surgeons with individualized cost feedback and surgical supply costs was associated with significantly reduced surgical supply costs, without negatively affecting patient outcomes in this study. The study involved 63 surgeons in an intervention group and 186 surgeons in a control group. Surgeons in the intervention group received…

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By: Judy Mathias
March 16, 2017
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Bill to repeal, replace Affordable Care Act released

Editor's Note The 123-page bill, called the “American Health Care Act,” was released March 6, Modern Healthcare reports. The bill replaces the Affordable Care Act’s (ACA’s) income-based premium tax credits with age-based tax credits. It also enhances federal funding for states to expand Medicaid to low-income adults, and it converts…

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By: Judy Mathias
March 7, 2017
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Effect of opt-out policy for physician supervision of anesthesia

Editor's Note Opting out of the Medicare rule that requires anesthesia to be administered with physician supervision has little or no effect on access to inpatient or outpatient surgery, this study finds. The researchers also found that opting out does not reduce costs, and in fact increases costs for inpatient…

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By: Judy Mathias
March 1, 2017
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