Perioperative Leadership

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September 2025
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Hospital-affiliated doctors drive highest costs by avoiding lower-cost sites

Editor's Note Patients treated by hospital-affiliated physicians are far less likely to receive specialty procedures in lower-cost settings, while private-equity–affiliated doctors are the most likely to steer patients toward these options, Ambulatory Surgery Center News August 12 reports. The findings come from a Mount Sinai study that examined physician affiliation,…

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By: Tarsilla Moura
August 20, 2025
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Imposter syndrome widespread among surgical trainees, disproportionately affects women

Editor's Note Nearly three-quarters of orthopedic surgery residents experience significant or intense imposter syndrome, with female trainees facing markedly higher risk, according to a study published April 7 in the Journal of Bone and Joint Surgery Open Access. As detailed in the study, researchers surveyed 100 residents across seven US…

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By: Tarsilla Moura
August 19, 2025
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Global nursing workforce grows but inequities jeopardize health progress

Editor's Note The global nursing workforce has expanded to 29.8 million, up from 27.9 million in 2018, but stark disparities in nurse distribution threaten progress toward universal health coverage and global health security, according to a May 12 World Health Organization (WHO) news release announcing the State of the World’s…

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By: Tarsilla Moura
August 19, 2025
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Mind the gap: Why Medicare pays ASCs less than HOPDs—and what that means

For decades, ambulatory surgery centers (ASCs) have shown their ability to deliver high-quality surgical care at substantially lower cost than hospital outpatient departments (HOPDs). ASCs achieve these savings through leaner operations, streamlined staffing models, and specialty-focused efficiencies, not by compromising safety or outcomes. Studies consistently highlight procedures performed in ASCs…

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By: Tarsilla Moura
August 19, 2025
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ASCs face growing pressure to centralize implant management as specialty volumes surge

Ambulatory surgery centers (ASCs) are taking on more high-acuity, same-day procedures than ever before. This growth is driven by evolving clinical protocols, cost-conscious reimbursement strategies, and expanded capabilities in outpatient care. Specialties like orthopedics, spine, ophthalmology, and cardiovascular care are moving more complex cases—and the implants that come with them—out…

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By: Tracey Berkowitz
August 19, 2025
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Leveraging technology to streamline ASC operations, optimize patient care

As we celebrate National ASC Month, it is worth recognizing how central ambulatory surgery centers (ASCs) have become to modern healthcare. Today, there are more than 12,000 ASCs across the US, including over 6,500 Medicare-certified facilities operating some 18,800 surgical suites. With over 80% of all surgical procedures being performed…

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By: Emily Spooner
August 19, 2025
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Exercise programs ease stress and burnout for nurses, review finds

Editor's Note Exercise-based interventions can help nurses reduce stress, lessen burnout, and improve overall psychological well-being, according to a systematic review published in the Journal of Continuing Education in Nursing on August 1. The researchers reviewed 33 studies that examined the effects of exercise-focused programs on nurses. The interventions varied…

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By: Tarsilla Moura
August 18, 2025
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Health systems lean toward established partners for AI adoption

Editor's Note Most US health systems are choosing artificial intelligence (AI) tools from vendors already connected to their electronic health record (EHR) systems rather than from new, standalone AI startups, Modern Healthcare August 14 reports. The findings come from a July survey of 233 health systems conducted by the Healthcare…

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By: Tarsilla Moura
August 16, 2025
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Immigration raids are driving patients back to telehealth and ERs

Editor's Note Providers are reviving pandemic-era telehealth strategies as stepped-up federal immigration raids deter some patients from visiting clinics, KFF Health News reports via HealthLeaders August 14. With families fearful of arrest following the Trump administration’s rollback of protections for “sensitive” areas such as hospitals and schools, physicians report sharp…

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By: Tarsilla Moura
August 16, 2025
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OR Business Management Summit chair outlines data-driven strategies for financial, operational success

Although hospital performance from January to April 2025 outpaced the first 4 months of 2024, according to Kaufman Hall’s June 2025 “National Hospital Flash Report,” many surgical departments remain under intense financial pressure. Labor and supply costs continue to rise, while surgical services are especially vulnerable to inefficiencies like labor…

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By: Tarsilla Moura
August 16, 2025
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