Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 13 issued the CY 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule. CMS is proposing an update of 1.9% for ASCs, which is a combination of a 2.3% inflation update…

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Editor's Note The Centers for Medicare & Medicaid Services on July 13 issued a proposed rule that updates payment rates and policy changes in the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System. Among the proposals are that Medicare pay for knee replacement procedures performed in outpatient…

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Editor's Note Researchers from Zurich, Switzerland, have created an artificial heart out of silicone using 3D printing. The artificial heart, which mimics the human heart in shape and function, presently has a lifespan of approximately 3,000 beats, or about 30 to 45 minutes. The researchers hope to develop a more…

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Editor's Note The LivaNova factory in Munich, Germany, a manufacturer of heater-cooler units used in cardiothoracic surgery, appears to be the source of a global outbreak of Mycobacterium chimaera, this study finds. Researchers matched the DNA of samples taken from 21 infected cardiothoracic surgical patients to samples from heater-cooler units…

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Editor's Note Children’s Hospital Los Angeles (CHLA) announced July 11 that it has been designated a Health Care’s Most Wired 2017 by the American Hospital Association’s (AHA) Health Forum. Hospitals & Health Networks, an AHA publication, annually assesses the level of health information technology adoption in US hospitals and health…

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Editor's Note A new report from the Agency for Healthcare Research and Quality (AHRQ) compares the effectiveness of strategies to prevent venous thromboembolism (VTE) in patients having total hip replacement (THR), total knee replacement (TKR), or hip fracture surgery. The study directly compares different types of blood thinners and mechanical…

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Editor's Note Reporting of surgical site infections (SSIs) after pancreatic surgery should distinguish between superficial and organ-space infections, which will require different preventative strategies, this study finds. Results showed that risk factors for superficial and organ-space SSIs after pancreatic surgery differed. Preoperative biliary stenting was an independent risk factor for superficial…

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Editor's Note The Joint Commission on July 12 announced revisions to its Medication Management standards that will become effective January 1, 2018. Among the revisions: Implementing a policy to provide emergency backup of medication dispensing equipment. Adding “wasting” of medication to required written policies. Implementing a policy for medication overrides…

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Editor's Note Concepts from motor racing pit stops, including role definition, task allocation, task sequencing, and a visual cue for ease-of-use, created efficient and sustainable approaches for decreasing robotic OR turnover times in this study. Average turnover time was 99.2 minutes before introducing the pit stop model and 53.2 minutes…

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Editor's Note The Food and Drug Administration (FDA) on July 11 announced a list of 1,003 Class II devices that the Agency says no longer require premarket notification to provide reasonable assurance of safety and effectiveness. The exemptions were made in an effort to decrease regulatory burdens on the medical…

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