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Full-scale mockup clears path to efficient new ORs

Anyone who has been involved in an OR design and construction project knows it is a labor-intensive, time-consuming effort—and usually far from seamless. There’s almost always something no one thinks of until it is too late, and the staff must learn to live with the flaws. But a multidisciplinary team…

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By: Judith M. Mathias, MA, RN
July 23, 2018
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Editorial

Value-based payment (VBP) models of patient care have not been shown to effectively reduce healthcare costs, according to a recent report from the Healthcare Financial Management Association (HFMA). But that conclusion comes with several caveats, such as: • It’s too soon to have data on programs like the Medicare Shared…

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By: Elizabeth Wood
July 23, 2018
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Preventability of early vs late readmissions

Editor's Note Preventability of readmissions changes with time, this study finds. Readmissions within the first week after discharge were more likely to be preventable by hospital-based interventions, whereas later readmissions were less likely to be preventable and more amenable to ambulatory and home-based interventions. This analysis of 822 patients readmitted…

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By: Judy Mathias
July 13, 2018
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CMS extends deadline for new alternative bundled payment model

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced that it is extending the deadline for its new alternative bundled payment model from August 1 to August 8, the July 5 Modern Healthcare reports. CMS extended the deadline after receiving complaints from providers and hospitals that they weren’t…

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By: Judy Mathias
July 9, 2018
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Freestanding EDs lower admission rates

Editor's Note Patients assessed in hospital-based emergency departments (EDs) were 20% more likely to be admitted than patients at freestanding EDs, this study finds. Data for the 3,230 patient study, were collected from 2015 Cleveland Clinic statistics of its tertiary hospital-based ED and two of its freestanding EDs. Of 1,708…

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By: Judy Mathias
June 28, 2018
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Report predicts growth for spinal fusion market

Editor's Note An Acquire Market Research report predicts the global spinal fusion market will grow at a 4.54% compound annual growth rate through 2023, according to the June 21 Becker’s Spine Review. Reasons for the predicted growth are the: growing incidence of spinal deformity cases rising healthcare awareness increase in…

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By: Judy Mathias
June 25, 2018
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Atul Gawande named CEO of new Amazon led healthcare company

Editor's Note Surgeon and Harvard Medical School professor Atul Gawande, MD, has been named CEO of the Boston-based Amazon, JP Morgan Chase, and Berkshire Hathaway healthcare venture, the June 20 Modern Healthcare reports. The companies, which are focused on lowering the cost of care primarily for their nearly 1.2 million…

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By: Judy Mathias
June 20, 2018
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Effects of quality improvement in bariatric surgery patients

Editor's Note This retrospective study of patients undergoing bariatric surgery found that hospitals with the largest reductions in serious postoperative complications had the greatest decrease in Medicare payments. Researchers ranked 562 hospitals (37,329 patients) into quintiles. The top 20% of hospitals had a decrease in average serious complication rate of…

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By: Judy Mathias
June 18, 2018
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CMS delays release of Hospital Quality Star Ratings

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced on June 12 that it would postpone the planned July update to its overall Hospital Quality Star Ratings. CMS says the delay will allow time for more analysis of the effects of changes made to some of the measures…

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By: Judy Mathias
June 18, 2018
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Effect of price transparency on ASCs

Editor's Note In this survey of six ambulatory surgery centers (ASCs), Johns Hopkins researchers led by Martin Makary, MD, MPH, found that the majority increased patient satisfaction, volume, and revenue after publicly listing the prices of common surgical procedures. Five centers reported an increase in patient volume by a median…

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By: Judy Mathias
June 14, 2018
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