Ambulatory Surgery

Latest Issue of OR Manager
June 2019
Home Surgical/Anesthesia > Ambulatory Surgery

ASCs react to 2019 regulatory changes

Each year, ambulatory surgery centers (ASCs) adapt to numerous federal regulatory policy reforms. As an example, since 2012, when the Centers for Medicare & Medicaid Services (CMS) launched the Ambulatory Surgery Center Quality Reporting (ASCQR) Program ASCs had been asking for, ASCs have reported data for a changing set of…

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By: Judith M. Mathias, MA, RN
February 20, 2019
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Use of regional anesthesia in ambulatory arthroscopic knee surgery and ACL reconstruction

Editor's Note Adductor canal nerve block (ACB) provides modest analgesic benefits after ambulatory arthroscopic knee surgery, including improved relief for rest pain for 8 hours and reduced opioid consumption for 24 hours, this meta-analysis finds. However, ACB did not provide any analgesic benefits and did not improve any outcomes, compared…

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By: Judy Mathias
January 24, 2019
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Joint Commission seeks comments on new antimicrobial stewardship requirements

Editor's Note The Joint Commission on January 9 announced that it is seeking feedback on its newly proposed requirements for antimicrobial stewardship at Medication Management (MM) standard MM.09.01.03. The requirements apply to ambulatory healthcare organizations and office-based surgery practices. The proposed requirements align with current recommendations from scientific and professional…

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By: Judy Mathias
January 14, 2019
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2019 Medicare final payment rule brings big wins for ASCs

The holiday spirit got off to a good start at ambulatory surgery centers (ASCs) across the country with the November 2, 2018, announcement of the Centers for Medicare & Medicaid Services’ (CMS) 2019 Ambulatory Surgical Center Payment System and Quality Reporting (ASCQR) Program Final Rule. Several significant changes ASCs had…

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By: Janet M. Boivin, BSN, BSJ, RN
January 14, 2019
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Orthopedic experts urge caution when starting total knee service lines

Total joint replacements contribute hefty profits to hospitals and healthcare systems. Once the Centers for Medicare & Medicaid Services (CMS) starts reimbursing surgery centers—as is done for hospital outpatient surgery departments (HOPDs)—the competition between hospitals, HOPDs, and ambulatory surgery centers (ASCs) will intensify. “Total joints are the hot ticket in…

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By: Janet M. Boivin, BSN, BSJ, RN
December 13, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Episode of Care: Managing the Unique Supply Chain Needs of the ASC

After this session you'll be able to: 1. Compare and contrast the traditional ambulatory surgery center with a multi-licensed facility. 2. Describe the unique supply chain needs of a multi-licensed ASC. 3. Identify supply chain models that can be implemented in both a multi-licensed ASC and a traditional ASC. Why…

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CMS: New online tool compares cost differences for outpatient procedures

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 27 launched a new online tool that compares Medicare payments and co-payments for certain outpatient surgical procedures performed in hospitals and ambulatory surgery centers. The “Procedure Price Lookup” tool will help Medicare patients consider potential cost differences when…

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By: Judy Mathias
November 29, 2018
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Advise and collect: Helping patients pay for surgery

Long gone are the days when employer-based health insurance covered most, if not all, of patients’ healthcare bills. Insurance companies and employers expect individuals to pay a larger chunk of healthcare costs themselves. The 2018 benchmark Kaiser Family Foundation (KFF) Employer Health Benefits Survey found that “a quarter (26%) of…

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By: Janet M. Boivin, BSN, BSJ, RN
November 14, 2018
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AAAHC launches 3-year Advanced Orthopaedic Certification program

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) announced on October 25 that it has launched an Advanced Orthopaedic Certification program for ambulatory surgery centers (ASCs) performing total joints and spine procedures. The 3-year certification program was designed by an expert panel of practicing orthopaedic and spine professionals…

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By: Judy Mathias
October 30, 2018
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Joint Commission Resources offers new survey readiness guide for surgical settings

Editor's Note  Joint Commission Resources on October 24 announced the availability of a new accreditation prep guide specific for surgical settings. “Survey Readiness Guide for Surgical Settings: Standards, Tracers, and Tools” is a self-assessment tool that includes all relevant Joint Commission accreditation standards and provides an overview of the survey…

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By: Judy Mathias
October 25, 2018
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Leapfrog Group expands ratings to outpatient surgery settings

Editor's Note The Leapfrog Group announced October 16 that it would expand its public reporting to outpatient settings. For the first time, Leapfrog will collect quality and safety data on ambulatory surgery centers through a new voluntary survey, and hospital outpatient surgery departments will report data through a new section…

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By: Judy Mathias
October 23, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

ASC Safety Begins With Preadmission and Patient Selection

After this session you'll be able to: Define the role of the preadmission department ? what it is and what it is not. Develop criteria for patient selection based on available resources to mitigate your organizational risk. Describe how a solid preadmission and patient selection process can provide an essential…

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