- Perioperative services overhaul proves effort is worth the time
- Conference takes OR leaders and business managers to the next level
- Editorial
- Keynoter Tim Porter-O’Grady sees new roles for perioperative nurses
- Restructuring and revamping workflow help a small hospital make big strides
- Formula for successful cost control includes hard data plus surgeon champion
- Firm policies and the right procedures tip the cost-benefit balance toward flip rooms
- Learning from Leaning: Case cart readiness improves after barriers are removed
- Multiple OR multidisciplinary team huddles promote ownership of process improvements
- Competency matrix modeled on ski trail difficulty validates staff skills at Vail center
- Figure out future needs and goals before breaking ground on your new facility
- ASCs part of the new face of healthcare
Perioperative services overhaul proves effort is worth the time
Getting a zero deficiency rating on a recent Joint Commission survey and bringing sterile processing in house are 2 of many improvements made at MedStar Georgetown University Hospital over the past decade. When Frances Baldwin, MBA, RN, assistant vice president of perioperative services, joined the hospital 11 years ago, Georgetown…
Conference takes OR leaders and business managers to the next level
High-quality presentations, a high level of enthusiasm, and the highest-ever attendance were the hallmarks of the OR Business Management Conference that took place February 11-13 in New Orleans. Nearly 300 attendees—more than triple the number who attended the workshop in 2013—gathered to learn from experts in the healthcare industry. Tips…
Editorial
Among the many changes occurring in healthcare delivery, clinically integrated networks and care coordination to improve patient outcomes and satisfaction are increasingly important. Although 30-day readmissions generally have declined in recent years, the Centers for Medicare & Medicaid Services has upped the ante by adding elective total hip arthroplasty, total…
Keynoter Tim Porter-O'Grady sees new roles for perioperative nurses
Tim Porter-O’Grady, DM, EdD, ScD(h), APRN, FAAN, will be the keynote speaker at this year’s OR Manager Conference, which takes place September 17-19 at the Long Beach Convention Center in Long Beach, California. The conference features 4 tracks—ambulatory surgery centers, business management, a masters series, and new manager—designed to address…
Restructuring and revamping workflow help a small hospital make big strides
Working for a small facility after spending many years at a large one can present a host of leadership challenges, but meeting those challenges with process changes and improved efficiencies can be highly satisfying. After serving more than 23 years at the Cedar Crest campus of Lehigh Valley Health Network…
Formula for successful cost control includes hard data plus surgeon champion
With decreasing Medicare reimbursements and increasing pressure to reduce costs, OR leaders everywhere are looking for creative solutions to balance their budgets. At Thomas Jefferson University Hospital (TJUH) in Philadelphia, standardizing surgical mesh looked like a way to save a bundle, and indeed a $1.5 million savings over a 3-year…
Firm policies and the right procedures tip the cost-benefit balance toward flip rooms
We spoke recently with surgery department leaders at an academic medical center in the Midwest. One of their biggest concerns was a challenge faced by many ORs today: “Flip rooms are just killing us.” Most surgeons prefer the efficiency and revenue potential of a flip room schedule. But for hospitals,…
Learning from Leaning: Case cart readiness improves after barriers are removed
Bristol Hospital had a supply problem. Instruments were often missing from case carts, so nurses had to scramble to find the items on the morning of a scheduled procedure. Staff wondered whether the problem was caused by shortages, but a Lean process revealed an entirely different scenario and forged a…
Multiple OR multidisciplinary team huddles promote ownership of process improvements
Huddles are hot. Experts cite them as effective patient safety tools, and many hospitals have implemented them on nursing units at the start of the shift. The perioperative services team at Vanderbilt University Medical Center in Nashville, Tennessee, broadened the huddle concept to include several disciplines and a structured format,…
Competency matrix modeled on ski trail difficulty validates staff skills at Vail center
Surgeon concerns about staff competency and high turnover of surgical technologists at Vail Valley Medical Center (VVMC), Vail, Colorado, prompted the development of a staffing skills competency matrix. VVMC is a community hospital with 4 rooms in its main OR, 4 rooms in its adjoining surgery center, and 4 rooms…
Figure out future needs and goals before breaking ground on your new facility
Less than 2 years after the New England Baptist Outpatient Care Center was imagined, its doors opened in September 2013. The sparkling new ambulatory surgery center (ASC) in the Boston suburb of Dedham, Massachusetts, isn’t far from the country’s oldest timber-framed house, the Fairbanks House, built in 1637—long before building…
ASCs part of the new face of healthcare
With fewer new ambulatory surgery centers (ASCs) forming each year and more merging back into hospitals, it has become popular to describe the industry as “mature.” It’s not yet time for an obituary, however. Improved technology, bolstered by healthcare reform, is driving a transition to outpatient treatment, and, when it…
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