Ambulatory Surgery

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April 2019
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Joint Commission, CDC release new infection prevention resources

Editor's Note The Joint Commission and Centers for Disease Control and Prevention on September 11 released new infection prevention resources for podiatry and orthopedic and pain management settings. Free resources include: Guide to Infection Prevention for Outpatient Podiatry Settings (available now). Guide to Infection Prevention in Orthopedic and Pain Management…

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By: Judy Mathias
September 12, 2018
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CMS releases outpatient prospective payment rule

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 25 released its 2019 outpatient prospective payment rule, which includes cutting payments for hospital outpatient clinic visits as part of a site neutral payment policy. CMS estimated this would save patients about $150 in lower copayments for clinic…

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By: Judy Mathias
July 26, 2018
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HFAP announces Joint Replacement Certification program

Editor's Note The Healthcare Facilities Accreditation Program (HFAP) recently announced its Joint Replacement Certification program with options for outpatient and inpatient settings that demonstrate excellence in specialty orthopedic care, the July 23 Becker’s ASC Review reports. Hospitals and ambulatory surgery centers seeking Joint Replacement Certification must meet the following requirements:…

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By: Judy Mathias
July 25, 2018
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Vigilance and diligence needed to enforce hand hygiene

Hungarian obstetrician Ingvar Semmelweis recognized the link between hand washing and childbirth fever in the mid-1800s. During his lifetime, this theory was often ignored or mocked, but ultimately hand washing was scientifically proven to prevent infections. Almost two centuries later, hand washing still reigns as the queen of infection prevention,…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 2018
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Can technology boost hand hygiene compliance?

Janet Haas, PhD, RN, CIC, FSHEA, FAPIC, hopes technology will one day achieve what no other strategy has thus far: Increase the rate of hand hygiene compliance. Haas, president of the Association of Professionals in Infection Control and Epidemiology, says it will need to be a small device that does…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

How Do You Develop and Support Your ASC’s Patient Safety Officer?

After this session you'll be able to: Explain the role of the safety officer in an ambulatory surgical setting. Discuss different strategies in managing a safety program. Describe methods for meeting the regulatory requirements of a safety program. Why this is important: Ambulatory surgery centers lack some of the resources…

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Effect of price transparency on ASCs

Editor's Note In this survey of six ambulatory surgery centers (ASCs), Johns Hopkins researchers led by Martin Makary, MD, MPH, found that the majority increased patient satisfaction, volume, and revenue after publicly listing the prices of common surgical procedures. Five centers reported an increase in patient volume by a median…

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By: Judy Mathias
June 14, 2018
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Study finds high rates of infection after colonoscopy, OGD performed in ASCs

Editor's Note Rates of infection after colonoscopies and osophagogastroduodenoscopies (OGDs) performed in ambulatory surgery centers (ASCs) are higher than previously thought and vary widely by facility, this study from Johns Hopkins finds. Rates of postendoscopic infection per 1,000 procedures within 7 days were: 1.1 for screening colonoscopy 1.6 for nonscreening…

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By: Judy Mathias
June 4, 2018
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Prevalence of regional anesthesia use in outpatient surgery

Editor's Note Though the overall frequency of peripheral nerve block use in outpatient surgery is low, regional anesthesia offers significant positive effects for postoperative outcomes and hospital efficiency metrics, this study finds. Of 12,911,056 outpatient surgical procedures in the National Anesthesia Clinical Outcomes Registry, 3,297,372 (25.5%) were amenable to a…

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By: Judy Mathias
May 22, 2018
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Planning eases compliance with CMS emergency preparedness rules

As of November of 2017, healthcare providers—including ambulatory surgery centers (ASCs)—receiving reimbursement from the Centers for Medicare & Medicaid Services (CMS) were expected to comply with the 2016 Emergency Preparedness Requirements. And as with most government regulations, there are multiple pages of instructions to dissect and understand to satisfy the…

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By: Janet M. Boivin, BSN, BSJ, RN
May 18, 2018
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Joint Commission reduces requirements applicable to telehealth services in ambulatory care

Editor's Note The Joint Commission on May 16 announced that approximately 25% of applicable elements of performance (EPs) in its ambulatory care program will no longer apply to organizations that primarily provide surgical and nonsurgical services via a telehealth platform. Among the reductions: 12 EPs in the Environment of Care…

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By: Judy Mathias
May 17, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Pre-Conference Workshop: Volume Versus Value: ASCs Transition to Value-Based Care

After this session you'll be able to: Discuss the elements of value-based care/value-based purchasing. Review techniques for how to engage physicians, your team, and your patients in the ASC. Explain potential changes to be made in the Quality Assessment Performance Improvement (QAPI) program to address value-based care as it relates…

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