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February 2019
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Effect of prehabilitation program on abdominal surgery patients

Editor's Note Colectomy patients participating in a preoperative prehabilitation program had positive physiologic effects and experienced fewer complications, this study finds. The prehabilitation program−Michigan Surgical and Health Optimization Program (MSHOP)−engages patients in four activities before surgery: Physical activity, pulmonary rehabilitation, nutritional optimization, and stress reduction. For the study, patients were…

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By: Judy Mathias
October 30, 2018
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CMS gives states more Medicaid waiver power, and flexibility to lower premiums

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 22 issued guidance that gives state governors more power and flexibility in overhauling the rules and regulations of their Medicaid programs imposed by the Affordable Care Act and changes the way waivers are evaluated. Under the new policy,…

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By: Judy Mathias
October 22, 2018
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Surgeons to monitor hip, knee patients using Apple Watches

Editor's Note Zimmer Biomet and Apple Inc have begun a multiyear study that will allow surgeons to use Apple Watches to monitor activities, including heart rate, steps taken, and standing hours of up to 100,000 patients before and after hip and knee replacement surgery, the October 15 Reuters reports. Providers…

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By: Judy Mathias
October 18, 2018
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Value stream redesign: The cornerstone of excellent patient care

Many healthcare organizations have adopted Lean processes to save money, improve workflow, and reduce waste. But it’s not just process change that drives success. It’s the individuals—especially those on the front lines—who work together to identify problems and solutions. It’s also ongoing efforts to sustain changes once they have been…

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By: Elizabeth Wood
October 18, 2018
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Early action advised to achieve better OAS CAHPS responses

Mandatory implementation of the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) originally scheduled for 2018 has been delayed, but that does not mean it should be ignored, say ambulatory surgery center (ASC) leaders. The earliest projected date when the survey could become mandatory…

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By: Janet M. Boivin, BSN, BSJ, RN
October 18, 2018
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CMS: 1,299 providers join new bundled payment initiative

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 9 announced that 1,299 healthcare providers are participating in its new Bundled Payments for Care Improvement−Advanced model, which began October 1 and will continue until December 31, 2023. The program includes 32 bundled clinical episodes (29 inpatient, 3…

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By: Judy Mathias
October 11, 2018
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UMB to create Maryland Nursing Workforce Center

Editor's Note Rebecca Wiseman, PhD, RN, associate professor and chair of the University of Maryland School of Nursing at the Universities at Shady Grove, has been awarded a grant to establish the Maryland Nursing Workforce Center at the University of Maryland, Baltimore (UMB), according to an October 8 news release.…

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By: Judy Mathias
October 9, 2018
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Nurse-to-patient ratios could result in high costs

Editor's Note Massachusetts voters in November will determine whether mandated nurse-to-patient staffing ratios will go into effect January 1, 2019, the October 3 SFGate reports. Implementing the ratios could cost providers $676 million to $949 million per year, according to an analysis by an independent state agency. A union representing…

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By: Judy Mathias
October 5, 2018
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Hospital employment continues to increase in September

Editor's Note US hospitals added 12,000 jobs in September to a seasonally adjusted 5,202,900, the Bureau of Labor Statistics reported on October 5. That is up 102,700 more employees than a year ago. Overall, healthcare employment has increased 301,500 in the past year. The overall unemployment rate is 3.7% (down…

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By: Judy Mathias
October 5, 2018
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Trends, characteristics of health data breaches

Editor's Note Despite ethical and legal obligations to protect patient privacy and efforts to establish best practices for healthcare information security, breach rates have increased since 2010, this study finds. Of 2,149 breaches that involved 176.4 million records, the most common entities breached were healthcare providers, with 1,503 breaches that…

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By: Judy Mathias
October 2, 2018
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