As hospital administrators face shrinking operating margins, OR leaders are being called upon to create innovative approaches for boosting revenue. Adding a new service line is one option, but it carries both risks and rewards. Only by careful analysis and follow-through can OR leaders hope to tip the balance to…

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Social and demographic factors play a huge role in any patient’s overall health and recovery from surgery. When treating patients who lack health insurance, family support, or language/literacy skills—among many other possible disadvantages—providing safe patient care can extend well beyond clinical aspects. OR managers and their staffs may take on…

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Anyone who has been involved in an OR design and construction project knows it is a labor-intensive, time-consuming effort—and usually far from seamless. There’s almost always something no one thinks of until it is too late, and the staff must learn to live with the flaws. But a multidisciplinary team…

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Value-based payment (VBP) models of patient care have not been shown to effectively reduce healthcare costs, according to a recent report from the Healthcare Financial Management Association (HFMA). But that conclusion comes with several caveats, such as: • It’s too soon to have data on programs like the Medicare Shared…

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The old adage, “Laughter is the best medicine,” is worth adopting as a daily mantra to offset the pressures of the OR environment. Each year, the OR Manager Conference ends on an upbeat note with an inspirational and often humorous closing session. This year’s presentation, on Wednesday, September 19, is…

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Preadmission testing (PAT) has been shown to reduce day-of-surgery delays and unnecessary testing that drive up the cost of healthcare. But it takes time and patience to put an effective PAT process in place. Sharon Ulep, MBB, CMCA, CPHQ, principal for healthcare strategy and consulting, Plante Moran, Southfield, Michigan, who…

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Not all hospitals have a preadmission testing (PAT) process, and even when they do, communication breakdowns and inefficiencies can make the process ineffective. Recognizing that the PAT process at Yale New Haven Hospital, New Haven, Connecticut, needed a makeover was the first step in launching an improvement project that led…

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Injuries from needlesticks—whether from disposable syringes, IV catheters, or blood collection devices—accounted for more than 30% of all sharps injuries in 2016, especially among nurses. Injuries from skin injections alone accounted for 25.7% of all sharps injuries that year. And, for the first time, injuries occurring from suturing during procedures…

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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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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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