Ambulatory Surgery

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November 2018
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Outpatient vs inpatient anterior cervical discectomy, fusion

Editor's Note Anterior cervical discectomy and fusion (ACDF) can be performed on an outpatient basis with comparable morbidity, readmission rates, and lower costs as on an inpatient basis, finds this study. In this analysis of 3,135 outpatient and 46,966 inpatient ACDFs, the mean Charlson comorbidity index, length of stay, and…

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By: Judy Mathias
April 4, 2018
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Complications after outpatient tonsillectomy linked to age

Editor's Note Children younger than 3 years of age may benefit from 23-hour observation after tonsillectomy, this study finds. In this multicenter study of 1,817 healthy children having outpatient tonsillectomy, those younger than 3 years were at an increased risk for complications within the first 24 hours, and the complications…

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By: Judy Mathias
March 19, 2018
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Web-based education raises patient satisfaction scores for outpatient orthopedic procedures

Editor's Note Enhanced patient satisfaction scores were seen in patients who received supplemental web-based education before having outpatient orthopedic surgical procedures in this study presented March 7 at the American Academy of Orthopaedic Surgeons Annual Meeting. A total of 177 patients were randomized to receive either routine education from the…

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By: Judy Mathias
March 16, 2018
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Management pearls position ASCs for successful growth

The rapid growth in outpatient procedures presents exciting opportunities for leaders at ambulatory surgery centers (ASCs), but also the challenge of accommodating a higher volume and more specialties without sacrificing efficiency and patient safety. That’s why it’s important not to lose sight of the fundamentals in managing an ASC, whether…

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By: Cynthia Saver, MS, RN
March 16, 2018
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Joint Commission updates outpatient THKR implementation guide

Editor's Note The Joint Commission on March 7 announced that an updated THKR Outpatient Performance Measurement Implementation Guide is now available for its Total Hip and Total Knee Replacement (THKR) Certification program. The update includes the 2018 CPT codes. Joint Commission Online Weekly Newsletter Read More >>

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By: Judy Mathias
March 9, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

PLAN-DO-STUDY-ACT: Improving Your ASC’s Staffing Model in a Lean Environment

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Study provides first standardized estimates of OR costs

Editor's Note Using financial data from California’s short-term and specialty hospitals from FY 2005 to FY 2014, researchers from the UCLA School of Medicine provide the first standardized estimates of OR costs. The analysis, which focused on two revenue centers--surgery/recovery and ambulatory surgery--found that the mean cost of OR time…

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By: Judy Mathias
February 28, 2018
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Patient frailty linked to increased morbidity after ambulatory surgery procedures

Editor's Note Frailty was independently associated with postoperative morbidity in patients having common ambulatory general surgery procedures (ie, hernia, breast, thyroid, or parathyroid), this study finds. In this analysis of 140,828 patients in the American College of Surgeons National Surgical Quality Improvement Program, the relative risk of complications was increased…

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By: Judy Mathias
February 22, 2018
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Joint Commission improves access to revised EM standards for ambulatory care customers

Editor's Note The Joint Commission on February 21 announced that it has created specific versions of 19 elements of performance (EPs) for deemed ambulatory surgical centers and specific versions for federally qualified health centers and rural health clinics to improve access in the E-dition. The EPs were added for the Centers…

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By: Judy Mathias
February 22, 2018
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How many different procedures are right for your ASC?

When launching a new ambulatory surgery center (ASC), owners must consider a myriad of issues—financing, design, building construction or purchase, regulatory compliance, certification, staffing, and marketing. Underlying all of these considerations are which procedures the center will provide and whether the ASC will be single specialty, like gastrointestinal (GI) or…

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By: Leslie Flowers
February 22, 2018
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CMS grants exceptions to ASCs in areas affected by natural disasters

Editor's Note Because of the impact of several recent natural disasters, the Centers for Medicare & Medicaid Services (CMS) is granting exceptions for Medicare quality reporting requirements to ASCs in affected areas, the February 12 ASCA News reports. Exceptions include: ASCs in two California counties affected by wildfires ASCs located…

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By: Judy Mathias
February 16, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

What You Need to Know for 2018: Regulatory and Quality Measure Reporting Update for ASCs

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