Quality

Latest Issue of OR Manager
February 2018

Survey finds nearly three-quarters of physicians prefer fee-for-service models

Editor's Note A survey of 980 physicians in eight specialties by New York City-based Bain and Company found that 73% prefer fee-for-service rather than value-based care models because of concerns about the complexity and quality of care associated with value-based models, the October 12 Healthcare Informatics reports. More than 60%…

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By: Judy Mathias
October 19, 2017
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ACS NSQIP pilot identifies geriatric–specific risk factors that affect surgical outcomes

Editor's Note A new pilot study from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) finds that adding geriatric-specific risk factors to traditional risk factors could significantly improve the ability of surgeons to predict poor surgical outcomes in older patients. The study involved 36,399 older surgical…

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By: Judy Mathias
October 18, 2017
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Frailty linked to increased morbidity after ambulatory general surgery

Editor's Note Frailty was associated with postoperative morbidity in patients having ambulatory general surgery procedures, independent of age, type of anesthesia, and other comorbidities, this study finds. In this study of 140,828 patients older than 40 years of age, frailty was associated with increased adjusted odds of 30-day morbidity after…

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By: Judy Mathias
October 16, 2017
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Data analytics tops list of challenges for healthcare execs in 2018

Editor's Note In a survey from the HealthCare Executive Group, clinical and data analytics was was the top of 10 challenges the healthcare industry will face in 2018, the October 9 Becker’s Health IT & CIO Review reports. Value-based payments was third, cybersecurity was sixth, and mobile health technology was…

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By: Judy Mathias
October 11, 2017
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Editorial

Since July, when repeal and replacement of the Affordable Care Act (ACA) stalled, healthcare reform has been somewhat overshadowed by events such as natural disasters and concerns about national security. Now, with insurers due to announce rates for the coming year, Congress is working on a bill to stabilize the…

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By: Elizabeth Wood
September 20, 2017
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From the Front Lines – The Power of the Regulatory and Quality Measure Reporting Update

Ambulatory Surgery Center (ASC) Track: In the rapidly evolving ambulatory surgery center (ASC) landscape, ambulatory surgery perioperative leaders are best equipped to thrive amidst the changing market with their knowledge of the latest regulatory mandates. The Ambulatory Surgery Center Association (ASCA) remains on the front lines of the changes coming…

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CMS granting exemptions for providers affected by Hurricane Irma

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is granting exemptions under Medicare quality reporting and value-based purchasing programs for certified providers (eg, acute care hospitals, long-term care hospitals, ambulatory surgical centers) affected by storms and flooding from Hurricane Irma. Providers will be granted exemptions without having to…

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By: Judy Mathias
September 19, 2017
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Safety of transoral endoscopic thyroidectomy

Editor's Note The transoral endoscopic thyroidectomy vestibular approach can be safe for select patients, with outcomes similar to those of the open approach, this study finds. Of 425 patients analyzed, the operative time for the transoral approach was longer than the open approach (100.8 vs 79.4 minutes) but transoral patients…

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By: Judy Mathias
September 11, 2017
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No consensus on what defines a high-performing system

Editor's Note In this study, researchers reviewed literature from a 10-year period and found no consensus on what defines a high-performing healthcare delivery system or healthcare organization. High performance was variably defined across different dimensions, including: quality (93% of articles) cost (67%) access (35%) equity (26%) patient experience (21%) patient…

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By: Judy Mathias
September 7, 2017
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CMS grants exceptions for quality reporting to ASCs in Harvey’s path

Editor's Notes The Centers for Medicare & Medicaid Services (CMS) will grant exceptions for quality reporting requirements for ambulatory surgery centers (ASCs) located in the path of Hurricane Harvey, the September 1 ASCA News reports. ASCs in affected counties and parishes in Texas and Louisiana will get exceptions without having…

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By: Judy Mathias
September 6, 2017
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Perception of OR safety of surgical practice linked to postop mortality

Editor's Note The perception of safety of surgical practice among OR personnel was associated with hospital level 30-day postoperative patient mortality rates in this study. As part of the Safe Surgery 2015: South Carolina initiative, a baseline survey measuring perception of safety of surgical practice among OR personnel was completed.…

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By: Judy Mathias
August 25, 2017
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OR/SPD: Dynamic Partners for Patient Safety and Quality Webinar - On Demand

Time: 2:00 p.m. – 3:00 p.m. ESTCEs: 1 Contact Hour *Please note that this event is held in Eastern Standard Time OR/SPD: Dynamic Partners for Patient Safety and Quality The relationship between perioperative services and sterile processing staff is the foundation for the safety of patients undergoing surgical procedures. Along with…

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