Ambulatory Surgery

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May 2019
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Standardized ambulatory surgery protocol reduces postop pain, ED visits

Editor's Note Standardizing clinical processes for outpatient hernia repairs reduced postoperative pain and unplanned returns to the emergency department (ED), finds this study presented October 23 at the American College of Surgeons 2017 Clinical Congress in San Diego. Researchers developed a standardized eight-step protocol that incorporated best practices and enhanced…

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By: Judy Mathias
October 25, 2017
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Track ASC metrics to produce a healthy bottom line

Each day seems to bring new tasks for leaders of ambulatory surgery centers (ASCs), adding to their already overflowing plate. One task that can easily fall off that plate is collecting and analyzing metrics, yet failing to do so can have serious financial consequences. OR Manager recently asked ASC leaders…

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By: Cynthia Saver, MS, RN
October 19, 2017
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Walk the talk: Words matter when it comes to patient safety

Every week Ann Shimek, MSN, BSN, RN, CASC, hits the road to communicate about communicating. Shimek is senior vice president of clinical operations at United Surgical Partners International (USPI) in Addison, Texas. She and her team of six clinical nurses travel among USPI’s 21 hospitals and 260 ambulatory surgery centers…

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By: Leslie Flowers
October 19, 2017
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Frailty linked to increased morbidity after ambulatory general surgery

Editor's Note Frailty was associated with postoperative morbidity in patients having ambulatory general surgery procedures, independent of age, type of anesthesia, and other comorbidities, this study finds. In this study of 140,828 patients older than 40 years of age, frailty was associated with increased adjusted odds of 30-day morbidity after…

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By: Judy Mathias
October 16, 2017
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Risk assessment system from private industry identifies SSI risks in ASCs

Editor's Note A risk-assessment system designed to avoid harm in private industry (ie, Socio-Technical Probabilistic Risk Assessment [ST-PRA]), was used by Agency for Healthcare Research and Quality (AHRQ)-funded researchers to identify practices likely to pose infection risks in ambulatory surgery centers (ASCs). The ST-PRA ranks failure points (events) according to…

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By: Judy Mathias
September 20, 2017
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ASC leaders like their jobs despite stagnant salaries

Despite the turmoil in healthcare, leaders of ambulatory surgery centers (ASCs) are a highly satisfied group, with 83% having a favorable view of their current position, according to the OR Manager 2017 Salary/Career Survey. But ASC leaders are markedly less satisfied when it comes to their compensation, with 60% viewing…

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By: Cynthia Saver, MS, RN
September 20, 2017
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CMS proposes delay for mandatory implementation of OAS CAHPS Survey

Responding to industry concerns, the Centers for Medicare & Medicaid Services (CMS) has proposed a delay in the mandatory implementation of the patient experience of care satisfaction survey requirement known as the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey® (OAS CAHPS). CMS announced the proposed…

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By: Leslie Flowers
September 20, 2017
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Lumbar spine fusion market set for growth

Editor's Note Analysis by 360 Market Updates estimates that the lumbar spine fusion market will see a compound annual growth rate of 4.9% through 2021, the September 15 Becker’s Spine Review reports. A key driver of growth is the increasing popularity of physician-owned ambulatory surgery centers. DePuy Synthes, Medtronic, Stryker,…

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By: Judy Mathias
September 18, 2017
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CMS grants exceptions for quality reporting to ASCs in Harvey’s path

Editor's Notes The Centers for Medicare & Medicaid Services (CMS) will grant exceptions for quality reporting requirements for ambulatory surgery centers (ASCs) located in the path of Hurricane Harvey, the September 1 ASCA News reports. ASCs in affected counties and parishes in Texas and Louisiana will get exceptions without having…

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By: Judy Mathias
September 6, 2017
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ASCs struggle to match staffing to demand

Hiring experienced staff remains a challenge for leaders in ambulatory surgery centers (ASCs) even as many organizations increase case volume and specialties, according to the 2017 annual OR Manager Salary/Career Survey. More than two-thirds (67%) of respondents said that recruiting experienced RNs had become more difficult in the past 12…

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By: Cynthia Saver, MS, RN
August 22, 2017
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