Editor's Note The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which is set to take effect in 2025, will set up a separate Centers for Medicare and Medicaid Services (CMS) payment for certain nonopioid pain management techniques in outpatient and ambulatory surgery center (ASC) settings, the September 12 Becker’s…

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Editor's Note This study from Trinity Health, Ann Arbor, Michigan, compares prepandemic surgical site infection (SSI) rates before reusing personal protective equipment (PPE), to pandemic SSI rates after reusing PPE in trauma surgical patients. A total of 48,987 patients were included in the analysis, with half in the postpandemic group.…

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ASC leaders continue to see increased surgical volumes but are finding it difficult to staff their centers, according to the 2023 OR Manager Salary/Career Survey. More than half (56%) of respondents reported increased volume in the past 12 months, the same as last year. Yet the ability to recruit new…

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Ambulatory is the term the industry is “stuck with” because that is the name the founders came up with in 1970, says David Shapiro, MD, CASC, CPHRM, LHR, an anesthesiologist with extensive experience in ambulatory surgery management and a member of the Accreditation Association for Ambulatory Health Care (AAAHC) board.…

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Editor's Note This study from the Ohio State University Wexner Medical Center, Columbus, examines the association between long-standing poverty and postoperative outcomes. The analysis included 335, 595 patients who underwent lung resection, colectomy, coronary artery bypass grafting, or lower extremity joint replacement, and who were categorized according to the duration…

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Editor's Note This study led by researchers at the Massachusetts General Hospital and Harvard Medical School, Boston, examines the association between intraoperative opioid administration and postoperative pain and opioid use. A total of 61, 249 surgical patients were included in the analysis. The researchers found that increased intraoperative: fentanyl and…

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Editor's Note This study from researchers at Carolina Neurosurgery and Spine Associates and SpineFirst, Atrium Health, Charlotte, North Carolina, examines the cost-utility of anterior cervical discectomy and fusion (ACDF) performed in an ASC vs an inpatient hospital setting at 1-year follow-up.  A total of 6,504 patients having 1-to 2-level ACDF…

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Editor's Note ECRI, on August 2, announced the 12 winners of its 2023 Healthcare Supply Chain Excellence Award. The annual award recognizes healthcare organizations that achieve excellence in overall spend management and adoption of best practice solutions into their supply chain processes. The winners in alphabetical order are: Adventist Health…

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Editor's Note This study led by researchers at Good Samaritan Medical Center, Brockton, Massachusetts, and Tufts University School of Medicine, Boston, examines the clinical outcomes and costs of robotic and open ventral hernia repairs. A total of 675 open and 609 robotic ventral hernia repairs were included in the analysis.…

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Editor's Note This Canadian study finds a 1.5-fold increase in costs in the year after major, elective noncardiac surgery for patients with preoperative frailty. A total of 171,576 patients (23,219 with preoperative frailty) were included in the analysis. Unadjusted costs were higher for frail patients. After adjusting for confounders, an…

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