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August 2017 See the full issue

Diverse workforce a boon, not a burden

Generational diversity issues in the workplace have never been more present or more complex. As many as six generations are now working side by side, and a great generational shift is underway. At one end of the spectrum, the workforce is aging, while at the other end, it is getting…

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By: Judith M. Mathias, MA, RN
July 13, 2017
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Hybrid OR experts plus exhibit equal exceptional education

Each year, the OR Manager Conference showcases the latest hybrid OR technology along with expert advice from clinicians and manufacturers. The 2017 conference (October 2-4 in Orlando, Florida) will feature an extensive exhibit and opportunities to interact with the Hybrid OR Steering Committee members (sidebar, p 15): • Monday, 2…

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By: Elizabeth Wood
July 13, 2017
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Editorial

The inaugural Bundled Payment Bootcamp on June 20 in Nashville, Tennessee, was a timely opportunity for healthcare providers to learn how reimbursement is changing the way they do business. Though the uncertain direction of US healthcare legislation continues to cause consternation, this workshop—which will be presented again in fall 2017—clarifies…

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By: Elizabeth Wood
July 13, 2017
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Conference closer reveals keys to engaging staff

Anyone who heard Vicki Hess, MS, RN, CSP, speak at the annual OR Manager Conference in 2013 probably remembers her lively, compelling message in the closing keynote presentation. Her interactive “Time Out!” talk left attendees with renewed energy and a take-home tool—a simple five-step “SHIFT” checklist to help OR managers…

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By: Elizabeth Wood
July 13, 2017
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Orthopedic PSH a prime model for value-based care—Part 1

Uncertainties pepper the healthcare landscape, but the shift to value-based care is expected to continue, even though momentum may slow under the current administration. That means perioperative services leaders must continue to explore new care delivery options such as the perioperative surgical home (sidebar, p 17). “The demand for value…

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By: Cynthia Saver, MS, RN
July 13, 2017
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Novice OR nurses fill pipeline through effective education programs

Leaders seeking competent staff for the OR are increasingly training their own. These internal programs, typically targeted toward both new graduates and nurses without previous OR experience, require planning, organization, and follow-through. “You need to integrate the didactic with the clinical setting,” says Ellen Lord, MS, RN, CNOR, a perioperative…

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By: Cynthia Saver, MS, RN
July 13, 2017
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Electronic scheduling system radically improves OR workflow

Between the expanding population and the increasing number of surgical procedures being performed, demand for surgical services is climbing. One study has predicted a 14% to 47% increase in surgical demand across all surgical fields by 2020. Given the high cost of operations, an efficient workflow is paramount, and there…

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By: Weston Shertzer, DO, Abdel Ragab, MD, Timothy Frymoyer, Matt Fitzpatrick, Courtney Gorgone, MBA, SSBB and Kelly Baylor, CCRC
July 13, 2017
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Do Medicare’s latest code changes help or hurt ASCs?

Medicare is increasing approval of higher-acuity procedures performed in the ambulatory surgery center (ASC) setting, creating meaningful opportunities for ASCs. At the same time, however, a number of outpatient procedure codes have been deleted, reduced, or are packaged and considered all-inclusive in a case, without additional payment. “Key changes occurred…

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By: Leslie A. Flowers
July 13, 2017
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