In this challenging healthcare environment, OR leaders have a fiscal responsibility to help hospitals meet financial goals that contribute to a healthy bottom line. There is no more expensive procedure you can have in the hospital than to spend time in the OR,” says Keith Siddel, PhDc, JD, MBA, CHC.…

Read More

The perioperative surgical home (PSH) has been gaining momentum, with early results linking it to lower costs, better quality, fewer emergency department (ED) visits and readmissions, and shorter stays in skilled nursing facilities or none at all. In February, the PSH Learning Collaborative, a partnership between the American Society of…

Read More

Affordable, reliable care for adult and pediatric patients alike is the hallmark of the perioperative surgical home (PSH), as demonstrated by two organizations that are using PSH programs: a community health system and a children’s hospital. Leaders from both organizations shared their PSH journeys with OR Manager. Lower costs, shorter…

Read More

Type 1 natural rubber latex allergic reactions are avoidable in the OR. Typically, surgical gloves are the last products remaining in the OR that contain natural rubber latex (NRL). Higher-cost, clinically acceptable synthetic latex surgical gloves are readily available. However, OR leaders can encounter significant resistance from hospital administrators when…

Read More

Editor's Note Common measures used to rate hospital safety, such as the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and the Centers for Medicare & Medicaid Services (CMS) Hospital-acquired Conditions, do not accurately capture the quality of care provided, this study finds. Only one measure out of…

Read More

Editor's Note This study from Johns Hopkins found a wide variation in hospital price markups for major cardiothroracic and gastrointestinal surgical procedures in the US. Nearly a quarter of the 3,498 hospitals analyzed charged four times more than the actual cost of hospitalization for the procedures. Perioperative morbidity was greater…

Read More

Editor's Note Hospital employment rose 0.45% in April to a seasonally adjusted total of 5,065,400, the Bureau of Labor Statistics reported on May 6. That is 22,900 more jobs than last month and 194,400 more than last year at the same time. Overall employment was unchanged at 5% in April.

Read More

Editor's Note Through its Value Based Purchasing (VBP) program, the  Centers for Medicare and Medicaid Services (CMS) paid bonuses to 231 hospitals with lower quality because their patients were less expensive, this study finds. CMS began measuring both spending and quality in FY 2015 to encourage hospitals to provide more…

Read More

Editor's Note The Centers for Medicare & Medicaid Services on April 18 issued its hospital inpatient prospective payment system (PPS) proposed rule for FY 2017. The proposed rule includes: an increase in rates by 0.85% from FY 2016, after accounting for inflation and other adjustments required by law adjustments to…

Read More

Editor's Note Nearly half of patient face-to-face contacts with health care providers, such as checkups, emergency department visits, and hospital admissions, were missing from electronic health records (EHRs) in this study. The problem is caused by the inability of software systems to talk to each other. Because of the 2009 Health…

Read More