OR Business

Latest Issue of OR Manager
January 2019
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What are the top challenges for today's ASC leaders?

We asked some top ambulatory surgery center (ASC) leaders, including members of OR Manager’s Editorial Advisory Board, to identify the top challenges ASC leaders are facing. Here are their responses. We believe you will see some of your own challenges reflected in their comments.   Mary Stewart, MSN, BSN, RN…

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By: Jan Allison, RN, CHSP
September 20, 2018
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Researchers create database of 70 years of RN effectiveness

Editor's Note Appropriate nursing staff mix is important for quality care,  and understanding how staffing skill mix affects outcomes allows policymakers and clinicians to make good staffing decisions, finds this study. Researchers from the Registered Nurses’ Association of Ontario analyzed 626 studies on the effectiveness of RNs on clinical, patient,…

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By: Judy Mathias
September 13, 2018
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Value-based payment models moving forward

Editor's Note Accountable care organizations (ACOs) and other value-based payment (VBP) models are increasing in the US, and there is no longer any question of whether private payers and the Centers for Medicare and Medicaid Services (CMS) will continue to support value-based payments, according to the August 14 Health Affairs…

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By: Judy Mathias
September 13, 2018
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Is nursing ready for competition from for-profit, nonhealthcare companies?

Editor's Note With the announcement by Amazon, Berkshire-Hathaway, and JP Morgan to form a nonprofit consortium to manage costs and quality of healthcare for their employees, nursing leaders are looking at its implications and asking questions: Is nursing care affordable if it is not linked to improved outcomes? What price…

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By: Judy Mathias
September 12, 2018
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Hospital employment continues its rise in August

Editor's Note US hospitals added 8,200 jobs in August to a seasonally adjusted 5,189,300, the Bureau of Labor Statistics reported on September 7. That is up 94,600 more employees than a year ago. Overall, healthcare employment has increased by 301,100 in the past year. The overall unemployment rate is 3.9%.

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By: Judy Mathias
September 10, 2018
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Effectiveness, safety of bariatric procedures in Medicare patients

Editor's Note Limited evidence exists about the comparative effectiveness and safety of bariatric surgical procedures in Medicare patients, this review study finds. Of 16 studies analyzed, researchers found that bariatric surgery overall, and in particular Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and adjustable gastric banding (AGB) appeared to be…

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By: Judy Mathias
September 7, 2018
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Healthcare systems form own generic drug company

Editor's Note Seven healthcare systems representing 500 US hospitals are forming Civica Rx, a nonprofit company that will manufacturer generic drugs, in an effort to combat shortages and skyrocketing prices, cnbc.com reported September 6. The company, which is teaming up Intermountain Healthcare, the Mayo Clinic, HCA Healthcare, and four others,…

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By: Judy Mathias
September 7, 2018
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Effect of Medicare’s bundled payment program on volume, case mix

Editor's Note Hospital participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program for lower extremity joint replacement (LEJR) was not associated with changes in overall procedural volume or the majority of patient case-mix factors, this study finds. The analysis of 1,717,243 Medicare patients found hospital participation in the BPCI…

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By: Judy Mathias
September 6, 2018
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First year analysis of CJR bundled payment model

Editor's Note This interim analysis of the first year of the Comprehensive Care for Joint Replacement (CJR) bundled payment model finds that CJR may reduce institutional postacute care. Of  75 metropolitan statistical areas (MSAs) that were assigned the bundled payment model and 121 control MSAs, the mean percentage of discharges…

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By: Judy Mathias
September 4, 2018
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Hospital execs facing shortage of physicians, nurses

Editor's Note A Navigant analysis of survey data from the Healthcare Financial Management Association finds that hospital executives are facing continued shortages of physicians, nurses, and mental health providers in the coming years, and they will be focusing on labor and supply chain productivity to reduce hospital operating expenses, the…

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By: Judy Mathias
August 24, 2018
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