New OR Managers

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September 2025
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Expert lessons on building successful total joints programs in ASCs

By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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By: Tarsilla Moura
August 26, 2025
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Cryo nerve ablation cuts pain, narcotic use after heart surgery

Editor's Note A freezing technique applied during heart surgery is reducing pain, shortening recovery times, and minimizing the need for narcotics, News 9/CBS News August 13 reports. The procedure, called cryo nerve ablation, involves freezing nerves around the ribs to block pain signals for about 60 days. The nerves eventually…

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By: Tarsilla Moura
August 25, 2025
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Study finds no link between long-standing preprocedural fasting and aspiration pneumonia risk

Editor's Note Loosening fasting policies before surgery does not increase the risk of post-surgical aspiration, also known as aspiration pneumonia, according to a systematic review and meta-analysis published in the journal Surgery in August 2025. The researchers analyzed 17 studies published between 2016 and 2023, including randomized clinical trials and…

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By: Tarsilla Moura
August 25, 2025
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Comfort, targeted nursing speed recovery in colorectal surgery patients

Editor's Note Pairing comfort nursing with targeted surgical care improves recovery, reduces pain, and enhances satisfaction for colorectal cancer patients undergoing laparoscopic surgery, according to an American Journal of Managed Care August 18 article covering a study published in Annali Italiani di Chirurgia. As detailed in the article, the researchers…

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By: Tarsilla Moura
August 21, 2025
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2026 ICD-10 updates bring hundreds of new codes, new complexity

Editor's Note Healthcare providers, payers, and analytics teams face sweeping ICD-10 changes this fall, with the 2026 code updates taking effect October 1, 2025, Wolters Kluwer July 14 reports. The release includes 614 new codes, 12 invalidations, 642 billability changes, 88 terminology revisions, and the creation of an entirely new…

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By: Tarsilla Moura
August 21, 2025
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Standardized pathways cut costs, hospital days in pediatric surgery without raising complication rates

Editor's Note Standardized perioperative protocols can reduce hospital stays and costs for children undergoing surgery without affecting complication rates, JAMA Surgery August 20 reports. As detailed in this original investigation, the researchers evaluated the Minimizing Variance in Pediatric Surgery (MViPS) program, a fellow-led initiative launched in 2013 across two academic…

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By: Tarsilla Moura
August 20, 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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