Costs & Cost Controls

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July 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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Study: Negative pressure wound therapy lowers SSI risk

Editor's Note In this study, the use of negative pressure wound therapy resulted in a significantly lower risk of surgical site infections (SSIs) than standard surgical incision closure. A total of 123 patients undergoing pancreaticoduodenectomy were randomized to receive either negative pressure wound therapy or a standard closure of the…

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By: Judy Mathias
May 16, 2019
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Intervention to reduce low-value preop tests before cataract surgery

Editor's Note Reducing low-value testing before cataract surgery was associated with cost savings for financially capitated healthcare systems, but it was also associated with losses for fee-for-service healthcare systems, which could be a barrier to eliminating low-value care, this study finds. Of 1,054 patients (469 intervention, 585 controls) included in…

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By: Judy Mathias
May 7, 2019
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Diabetics have higher risks for readmissions, mortality

Editor's Note Patients with diabetes who had low blood glucose values during the last day of hospitalization had higher rates of 30-day readmission and post discharge mortality, this study finds. Examining 843,978 admissions to the VA health care system over a 14-year period, researchers found that  patients with diabetes who…

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By: Judy Mathias
May 1, 2019
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ECRI Institute announces Healthcare Supply Chain Achievement Award winners

Editor's Note The ECRI Institute on April 1 announced the 11 US healthcare organizations that received its 2019 Healthcare Supply Chain Achievement Award. The winners demonstrated excellence in overall spend management in their supply chain processes, and include: Albany Medical Center, Albany, NY Cambridge Health Alliance, Cambridge, MA Cooperative Services…

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By: Judy Mathias
April 3, 2019
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Low-value procedures associated with hospital-acquired complications

Editor's Note Patients admitted to the hospital for procedures that would not be expected to require admission (ie, low-value procedures) are being harmed, consuming additional hospital resources, and delaying care for patients for whom the services would be appropriate, this Australian study finds. In this analysis of 9,330 episodes of…

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By: Judy Mathias
April 2, 2019
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