Quality

Latest Issue of OR Manager
December 2017

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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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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ECRI Institute releases free white paper on value analysis

Editor's Note The ECRI Institute on August 23 announced a new free white paper, “Value Analysis: Best Practices for Navigating the Evidence Maze,” to help value analysis committees bring an objective, systematic approach to the decision-making process for health technologies and interventions. The white paper includes three case studies that…

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By: Judy Mathias
August 23, 2017
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Orthopedic PSH a prime model for value-based care—Part 2

Organizations that have adopted the perioperative surgical home (PSH) model of patient care have reaped the benefits of improved outcomes and a healthier bottom line. In particular, the PSH has a proven track record for colorectal surgery and orthopedic surgery. In part 1 of this two-part series (OR Manager, August…

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By: Cynthia Saver, MS, RN
August 22, 2017
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Few outcome measures meet criteria for accuracy, validity assessment

Editor's Note This study from the Joint Commission finds that criteria for assessing whether outcome measures are accurate and valid enough to use for public reporting, payment, and accreditation are not well-defined. The authors propose four criteria to assess outcome measures: Strong evidence should exist that good medical care leads…

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By: Judy Mathias
August 17, 2017
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Cognitive assessment helps predict survival in frail surgical patients

Editor's Note Adding cognitive assessment to frailty assessment predicted poor postoperative outcomes and survival in frail patients better than either measurement alone, this study finds. The study included 330 patients having major surgery who were assessed with a four-level composite frailty scoring system, which was created by combining the Fried…

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By: Judy Mathias
August 10, 2017
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New national surgical safety program begins with colorectal surgery

Editor's Note Researchers have released a surgical technical evidence review for colorectal surgery (published online August 7 in the Journal of the American College of Surgeons) as the first step in the Agency for Healthcare Research and Quality’s Safety Program for Improving Surgical Care and Recovery, a nationwide program to…

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By: Judy Mathias
August 9, 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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