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Latest Issue of OR Manager
June 2019

How will artificial intelligence impact surgical patient care? Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. Part 1 of this introduction to the series (OR Manager, May 2019, 1, 7-11) defined several different types of…

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By: Cynthia Saver, MS, RN
May 17, 2019
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From NASA to the OR: How to launch on-time starts

Northwestern Medicine Lake Forest Hospital, located in Lake Forest, Illinois, has taken a giant leap in curtailing late starts in the OR. In December 2016, the facility’s on-time start percentage was only 37%. Perioperative team members dug in their heels and, by August 2017, increased their on-time starts to 77%.…

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By: Catherine Spader, RN
May 17, 2019
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Cardiology services: The next wave in ASCs?

Many experts see cardiovascular (CV) care as the next wave in ambulatory surgery centers (ASCs), and a hybrid office-based lab (OBL)/ASC model is gaining momentum across the country. Robert J. Zasa, MSHHA, FACMPE, president and CEO of Ambulatory Systems Development, LLC, in Incline Village, Nevada, sees the hybrid arrangement as…

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By: Jennifer Lubell
May 17, 2019
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Performance on patient safety measures linked to hospital financial performance

Editor's Note Hospitals that perform better on measures to prevent postoperative complications also have better performance on measures of profitability, this study finds. Improved patient safety performance was associated with higher net patient revenue for five of seven Surgical Care Improvement Project (SCIP) measures, including starting and stopping preventive antibiotics…

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By: Judy Mathias
May 16, 2019
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Intervention to reduce low-value preop tests before cataract surgery

Editor's Note Reducing low-value testing before cataract surgery was associated with cost savings for financially capitated healthcare systems, but it was also associated with losses for fee-for-service healthcare systems, which could be a barrier to eliminating low-value care, this study finds. Of 1,054 patients (469 intervention, 585 controls) included in…

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By: Judy Mathias
May 7, 2019
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Effect of ACA on ED visits, hospital discharges

Editor's Note Though emergency department (ED) visits and hospital discharges by uninsured patients decreased after implementation of the Affordable Care Act, 1 in 10 ED visits and 1 in 20 hospital discharges were still made by uninsured patients from 2014 to 2016, this study finds.   There were 1.4 million…

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By: Judy Mathias
May 6, 2019
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Hospital employment up 8,300 jobs in April

Editor's Note US hospitals added 8,300 jobs in April to a seasonally adjusted 5,229,200, the Bureau of Labor Statistics reported on May 3. That’s up 105,700 more employees than a year ago. Overall, healthcare employment has increased 403,500 in the past year. The overall unemployment rate fell to 3.6% in April…

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By: Judy Mathias
May 6, 2019
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Study: CMS policy changes cut readmission fines

Editor's Note The Centers for Medicare & Medicaid Services (CMS) recent changes to its Hospital Readmission Reduction Program resulted in a drop in readmission fines for academic, safety-net, and rural hospitals, this study finds. This analysis of 3,049 hospitals found that because of policy changes that now separate hospitals into…

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By: Judy Mathias
April 22, 2019
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Cross-training staff solves competency and engagement puzzle

High labor costs, surgeon dissatisfaction, high staff turnover, and low staff competency are problems that dog many OR leaders at some point in their careers. When managers at the Stanford University Medical Center Main OR in Stanford, California, found themselves facing all of these problems at once, they knew something…

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By: Judith M. Mathias, MA, RN
April 22, 2019
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Accuracy of surgical procedure valuations in Medicare’s Fee Schedule

Editor's Note The Center’s for Medicare and Medicaid Services (CMS) is legally responsible for setting and updating the work element of its relative value units (RVUs), which form the Medicare Physician Fee Schedule used to determine physician payments. In practice, however, updating what is known as the “work RVU” is…

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By: Judy Mathias
April 18, 2019
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