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October 2019
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Hospital employment up in August

Editor's Note Employment in US hospitals was up 8,800 jobs in August to a seasonally adjusted 5,253,200, the Bureau of Labor Statistics reported on September 6. That’s up 97,400 more employees than a year ago. Overall, healthcare employment has increased 392,100 in the past year. The overall unemployment rate remains…

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By: Judy Mathias
September 9, 2019
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Effect of ‘regression to the mean’ on excess readmissions

Editor's Note Strong evidence suggests that most declines in excess readmissions--after implementation of Medicare’s Hospital Readmission Reduction Program (HRRP)--at poorly performing hospitals can be explained by a statistical phenomenon called “regression to the mean [RTM],” this study finds. In RTM, entities farther away from the mean in one period are…

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By: Judy Mathias
September 4, 2019
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EHR efficiency, usability, stress differ by physician gender

Editor's Note There are gender differences in how physicians perceive EHR-related stress, satisfaction, and usability, finds this study. Of 25 ICU physicians who participated in the study, 48% were men and 52% were women. Overall task performance scores were similar, but men reported significantly higher perceived EHR workload stress and…

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By: Judy Mathias
September 3, 2019
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Joint Commission announces new Comprehensive Cardiac Center Certification performance measures

Editor's Note The Joint Commission on August 28 announced five new inpatient performance measures for the Comprehensive Cardiac Center Certification program, which will be effective January 1, 2020. Data collection for the measures will be mandatory for currently certified programs and organizations seeking initial certification. In addition to the mandatory…

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By: Judy Mathias
August 29, 2019
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Staffing and surgical volume vie for 'top challenge' facing OR leaders

Staffing headaches for OR managers continue, according to the 2019 annual OR Manager Salary/Career Survey, with more than a third of respondents reporting that the percentage of open positions compared with 12 months ago has increased for both RNs and surgical technologists (STs). The clock has to be turned back…

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By: Cynthia Saver, MS, RN
August 23, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

The Power of Innovative Block Scheduling and Management

After this session you’ll be able to: Explain the pitfalls of most block programs in use today., Identify the relationship between block allocation, surgeon demand, and staffing., Implement new techniques that result in higher utilization., Why this is important: Blocks are one of the most difficult and controversial tasks in…

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Inspections reveal need to overhaul bronchoscope reprocessing methods

Extensive research by Cori L. Ofstead, MSPH, and her colleagues at Ofstead & Associates (St Paul, Minnesota) has raised concerns about insufficient reprocessing of gastrointestinal endoscopes and ureteroscopes—even when recommended practices are followed—and their new study makes a compelling case for more stringent reprocessing of bronchoscopes as well. In their…

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By: Judith M. Mathias, MA, RN
August 23, 2019
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Joint Commission: Reminder for CY 2019 hospital data submission

Editor's Note The Joint Commission on August 21 posted a reminder for accredited hospitals with electronic clinical quality measure (eCQM) requirements that they must submit CY 2019 eCQM data via the Direct Data Submission (DDS) Platform. The deadline to onboard to the DDS Platform is December 20, 2019, and the…

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By: Judy Mathias
August 22, 2019
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Machine learning identifies preop risks linked to postop Medicare super-users

Editor's Note In this study of more than 1 million Medicare patients, 4.8% were super-users of healthcare and incurred 31.7% of Medicare expenditures after surgery. A machine learning approach identified the following as the most significant risk factors linked to super-utilization of healthcare in the year following surgery: hemiplegia/paraplegia weight…

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By: Judy Mathias
August 20, 2019
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Family healthcare costs outpacing wages, inflation

Editor's Note Enrollees in large employer insurance plans are facing higher healthcare spending through rising premium contributions and increased cost-sharing, according to an August 14 report from the Kaiser Family Foundation. Healthcare costs outpaced wage growth from 2008 to 2018, with employees spending $4,706 for premiums and $3,020 on out-of-pocket…

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By: Judy Mathias
August 20, 2019
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Effect of hospital move to all private rooms on healthcare-associated infections

Editor's Note The move to a new hospital with all single-patient rooms was associated with an immediate and durable reduction in the rates of nosocomial vancomycin-resistant Enterococcus (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) colonization as well as VRE infections, but not in  the rates of nosocomial Clostridioides difficile (CDI) or…

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By: Judy Mathias
August 19, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

The Apex of Procedure Documentation: Revolutionizing Via Intelligent Features and the Cloud presented by Provation®

After this session you’ll be able to: Describe functionalities and benefits of cloud-based procedure documentation. , Explain how intelligent features can positively impact operations in your surgical suite., Implement peer-to-peer discussion about the future of intelligent multispecialty procedure documentation. , Why this is important: How can you use intelligent features…

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