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June 2019
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How will artificial intelligence impact surgical patient care? Part 1

Artificial intelligence (AI) may be coming to your OR sooner than you think. AI is already being used to identify areas needing quality improvement by analyzing surgical workflow, communication patterns, and errors that went unnoticed during a procedure. OR leaders need to understand AI and participate in its development and…

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By: Cynthia Saver, MS, RN
April 22, 2019
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Editorial

Artificial intelligence (AI) seems to pop up in headlines nearly every day. With applications ranging from individual nutritional guidance to prediction of premature death, ever-evolving computer-based algorithms present intriguing possibilities for the future of healthcare. Depending on how proactive your facility is and how rich in resources, you may already…

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By: Elizabeth Wood
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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New technology and workflow lead to surgical volume growth

Sarasota Memorial Health Care System (SMH) in Sarasota, Florida, is a Level 2 trauma center with 839 beds and more than 900 physicians. The 430 members of the surgical staff perform more than 24,300 inpatient and outpatient surgical procedures in the 34 operating suites each year. With this level of…

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By: OR Manager
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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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Not Just Another Fairy Tale! Getting Surgeon Participation in Value Analysis Committees

After this session you'll be able to: Develop a Value Analysis Committee structure to increase physician participation in developing savings opportunities for the OR. Implement use of ?surgeon-friendly? reports to facilitate surgeon participation. Discuss with surgeons the ?why? of value analysis and how they can be a part of the…

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Hospital employment up 13,600 jobs in March

Editor's Note US hospitals added 13,600 jobs in March to a seasonally adjusted 5,223,400, the Bureau of Labor Statistics reported on April 5. That’s up 108,500 more employees than a year ago. Overall, healthcare employment has increased 397,500 in the past year. The overall unemployment rate was unchanged at 3.8%.

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By: Judy Mathias
April 11, 2019
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Using machine learning for preop prediction of postop mortality, ICU admission

Editor's Note Machine learning can be used to improve surgical risk prediction compared to traditional risk calculators, this study from Singapore finds. The traditional Combined Assessment of Risk Encountered in Surgery and the American Society of Anesthesiologists Physical Status models were compared with machine learning models in the prediction of…

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By: Judy Mathias
April 11, 2019
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ECRI Institute announces Healthcare Supply Chain Achievement Award winners

Editor's Note The ECRI Institute on April 1 announced the 11 US healthcare organizations that received its 2019 Healthcare Supply Chain Achievement Award. The winners demonstrated excellence in overall spend management in their supply chain processes, and include: Albany Medical Center, Albany, NY Cambridge Health Alliance, Cambridge, MA Cooperative Services…

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By: Judy Mathias
April 3, 2019
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FDA issues statement on review framework for AI-based devices

Editor's Note The Food & Drug Administration (FDA) on April 2 issued a statement announcing steps toward a new, tailored review framework for artificial intelligence (AI)-based medical devices. AI and machine learning have the potential to transform the delivery of healthcare, with earlier disease detection, more accurate diagnoses, more targeted…

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By: Judy Mathias
April 3, 2019
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Low-value procedures associated with hospital-acquired complications

Editor's Note Patients admitted to the hospital for procedures that would not be expected to require admission (ie, low-value procedures) are being harmed, consuming additional hospital resources, and delaying care for patients for whom the services would be appropriate, this Australian study finds. In this analysis of 9,330 episodes of…

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By: Judy Mathias
April 2, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Going for Gold with the Cost Saving Olympics

Abstract – The financial pressures of healthcare weigh on the mind of most Perioperative leaders. Doing more with less resources require both business services and operations to seek creative ways to manage their new norm. A healthcare system utilized a creative approach to identify and implement cost saving through a…

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