Costs & Cost Controls

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July 2025
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Coffee lets colorectal surgery patients recover, go home faster

Editor's Note Postoperative coffee intake after elective laparoscopic colorectal resection leads to a faster recovery of bowel function and decreases hospital length of stay, this study from Switzerland finds. A total of 115 patients were randomly assigned to the intervention group (56) receiving coffee or the control group (59) receiving…

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By: Judy Mathias
July 30, 2019
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Changes in hospital referral patterns to skilled nursing facilities under HRRP

Editor's Note The Hospital Readmission Reduction Program (HRRP), which penalizes hospitals for higher-than-expected readmission rates, did not prompt substantial changes in hospital referral patterns to skilled nursing facilities (SNFs), this study finds. However, readmissions for patients referred to SNFs decreased more than for other patients. In this analysis of nearly…

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By: Judy Mathias
July 24, 2019
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Are you prepared for the OR of the Future?

Innovative technology and surgical procedures, including artificial intelligence, will be explored in depth during the OR Manager Conference, September 18-20 in New Orleans. The new OR of the Future gives attendees a unique opportunity to learn through interactive experiences, educational sessions, and discussions with leading experts: product manufacturers as well…

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By: Cynthia Saver, MS, RN
July 24, 2019
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Facilitate and innovate: Ensuring speedy but safe product reviews

Surgeons are the biggest factor in any effort to streamline and standardize the purchase of new surgical devices—and thereby lower costs. But surgeons often balk at getting involved in product review and selection because of the additional demands on their time. Two leading healthcare organizations have moved past this stumbling…

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By: Elizabeth Wood
July 24, 2019
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Harvard, ACS to develop value measurement program

Editor's Note The Harvard Business School’s Institute for Strategy and Competitiveness has teamed up with the American College of Surgeons (ACS) to develop a value-based measurement program for hospitals and surgical practices. The program, “Transforming Healthcare Resources to Increase Value and Efficiency [ACS THRIVE],” will be tested at 10 to…

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By: Judy Mathias
July 23, 2019
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Improving OR efficiency with machine learning prediction of case-time duration

Editor's Note In this study, researchers developed service- and surgeon-specific statistical models using linear regression and machine learning to predict case-time duration at a large academic medical center. Results showed: The machine-learning algorithm had the highest predictive capability. The surgeon-specific was superior to the service-specific model, with higher accuracies and…

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By: Judy Mathias
July 22, 2019
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Hospital network participation not linked with improved outcomes, lower costs

Editor's Note Hospital network participation was not associated with improvements in surgical outcomes or Medicare expenditures, compared with hospitals not in a network, this study finds. In this analysis of nearly 2 million Medicare beneficiaries having general, vascular, cardiac, or orthopedic surgery between 2007 and 2014 at network (1,868) or…

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By: Judy Mathias
July 16, 2019
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Sleep disorders linked to more healthcare visits, higher costs for back pain

Editor's Note Many patients with low back pain also have sleep disorders, which are linked to more healthcare visits and higher costs for back pain treatment, this study finds. In this analysis of 757 patients with low back pain attending self-management classes at a US military hospital, 195 had a…

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By: Judy Mathias
July 10, 2019
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Staff input enriches labor benchmarking data

Labor is the most important resource in an OR and must be used effectively to maintain the financial health of an organization and the well-being of patients. “OR leaders need data tools to manage their labor dollars. How do you know if you are doing it well?” asks Sharon Ulep,…

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By: Cynthia Saver, MS, RN
June 18, 2019
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Effect of regional anesthesia on readmission rates, costs after TKA

Editor's Note Regional anesthesia was not associated with decreased readmission rates and costs after total knee arthroplasty (TKA) in this study. In this analysis of 138,362 privately insured TKA patients 18-64 years of age, the adjusted 90-day readmission rate was 1.8% for those who did not receive regional anesthesia compared…

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By: Judy Mathias
May 21, 2019
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