Editor's Note On October 30, the Centers for Medicare & Medicaid Services (CMS) released the final 2016 payment rule for ambulatory surgery centers (ASCs). ASC payment rates will increase by 0.3%, which is based on a projected inflation rate of 0.8% minus a 0.5% productivity adjustment required by the Affordable…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) has issued its final rules detailing how it will pay for services provided by physicians and other healthcare professionals in 2016. Key policies finalized in the rules include: Updates to the “Two-Midnight” rule, which clarifies when inpatient admissions are appropriate…

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Editor's Note Almost 200 healthcare organizations sent letters to Congress urging members to restore funding for the Agency for Healthcare Research and Quality (AHRQ). The House Appropriations Committee in June voted to eliminate the research agency, and the Senate Appropriations Committee proposed a 35% cut to AHRQ’s budget. The letters…

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Editor's Note The amount of propofol required for general anesthesia varies widely among patients, and some may be able to receive a lower dose than usually administered, according to a study presented at the Anesthesiology 2015 annual meeting in San Diego. The amount of propofol required to produce unconsciousness was…

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Editor's Note Compared to married patients, those who were divorced, separated, or widowed had a 40% greater chance of dying or developing a functional disability in the first 2 years after cardiac surgery, in this study. Characterizing the association between marital status and postoperative function may be useful for counseling…

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Editor's Note Resident involvement in surgery is associated with comparable patient morbidity and lower mortality outcomes than procedures without residents, this study finds. The analysis used data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). The findings provide a reassuring answer to patients, attending surgeons,…

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Editor's Note The American Nurses Association (ANA) is urging all RNs to get the seasonal influenza (flu) vaccination and to advise their patients to get vaccinated also. Vaccination is the safest way to protect patients and the public from flu transmission while providing care, the ANA says. The ANA’s position…

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Editor's Note The 2014 Institute of Medicine report calls for restructuring of Medicare funding for graduate medical education to incorporate pay-for-performance methods. However, to evaluate and financially reward residency programs based on performance, performance must be defined and measurable. This study assesses general surgery residency program performance using outcomes, including…

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Editor's Note Elderly cardiac surgery patients are at increased risk of developing delirium and other changes in cognitive function postoperatively. However, research presented at the Anesthesiology 2015 annual meeting, found using monitors to track depth of anesthesia and oxygenation levels significantly reduced the incidence of postoperative delirium and associated cognitive…

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Editor's Note New guidelines from the National Council of State Boards of Nursing emphasize the use of simulation in nursing training and recommend certification to demonstrate that faculty and simulation lab personnel are qualified. The guidelines cite a study demonstrating that high-quality simulation experiences could be substituted for up to…

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