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Disruptive innovation in supply chain: Impact of Amazon Business and technology, Part 1

Supply chain is the lifeblood of the OR, so any disruption in the flow of that lifeblood can lead to outcomes ranging from dissatisfaction with backorders to chaos if a new implant doesn’t arrive on time. But disruption also can be a positive force, especially if it supports flow. When…

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By: Cynthia Saver, MS, RN
January 14, 2019
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Follow pain management standards to ensure survey success

Postoperative pain management has always been a major focus of patient care. However, the opioid crisis is increasing the challenges healthcare leaders face because of the call for a national change in modalities of pain management. Regulatory bodies, specifically, are executing control to confront the opioid epidemic head on, making…

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By: Judith M. Mathias, MA, RN
January 14, 2019
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Editorial

Early in a new year, there’s a tendency to reflect on how past events might inform the future. The January issue of OR Manager looked at 2018 legislative changes and their potential impact on healthcare. In just the past few weeks, several legal and financial actions have already changed the…

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By: Elizabeth Wood
January 14, 2019
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Early 'victories' forecast bright future for business awardee

Each year at the OR Business Management Conference, an outstanding leader receives the Best in OR Business Award. The 2019 award will be presented to Tracy Raymond, MHA, BHA, CRCST, CHL, perioperative services business manager at Amita Health Saint Joseph Medical Center (formerly Presence Saint Joseph), a 480-bed hospital in…

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By: Elizabeth Wood
January 14, 2019
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Comprehensive ROI pitch helps to procure OR equipment

Multiple requests for new equipment and technology—usually from surgeons but also sometimes from staff—are not uncommon. As part of their due diligence, OR leaders must determine whether the return on investment (ROI) justifies the purchase. Doing ROI calculations systematically—and involving key stakeholders—can help ensure that the organization makes the best…

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By: Cynthia Saver, MS, RN
January 14, 2019
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Funds earmarked to enable nurse-led research

The United States is amid a conversion to a value-based system of healthcare. Although this new delivery model has contributed to the closure of some hospitals and the realignment of others into larger health systems, the primacy of the OR as a source of revenue for hospitals has remained constant.…

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By: James X Stobinski, PhD, RN, CSSM (E), CNOR
January 14, 2019
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An undercover hazard: Beware of 'clean' mattresses

A patient is lying on an apparently clean bed or stretcher when blood from a previous patient oozes out of the surface. Clearly, you don’t want to put your patients through that experience. But is your facility doing enough to prevent it? For the second consecutive year, ECRI Institute addresses…

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By: ECRI
January 14, 2019
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Surgical VAC mines new software for deeper look at products

After transitioning from a paper-based data and operations management system to one that uses relational database software, Lahey Hospital and Medical Center (LHMC) in Burlington, Massachusetts, saved more than $1 million in product purchases in 2017. The surgical value analysis committee (VAC) evaluated 150 product requests and managed the conversion…

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By: Robert Dolan, MD,, Kristen Murphy, MBA, and Edward Aiello
January 14, 2019
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2019 Medicare final payment rule brings big wins for ASCs

The holiday spirit got off to a good start at ambulatory surgery centers (ASCs) across the country with the November 2, 2018, announcement of the Centers for Medicare & Medicaid Services’ (CMS) 2019 Ambulatory Surgical Center Payment System and Quality Reporting (ASCQR) Program Final Rule. Several significant changes ASCs had…

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By: Janet M. Boivin, BSN, BSJ, RN
January 14, 2019
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