New CMS guidelines suggest changes in advance directive policies
Ambulatory surgery patients who become incapacitated should have their wishes for care honored, the Centers for Medicare and Medicaid Services (CMS) stresses in its new guidelines. Previously, the guidelines permitted an ambulatory surgery center (ASC), for reasons of conscience or policy, to refuse to honor advance directives calling for cessation…
ASCs must prepare to meet latest CMS infection control expectations
A perennial concern associated with surgery is avoidance of infection. As science reveals new risks and remedies, protocols change and so do regulations. To monitor infection control at ambulatory surgery centers (ASCs), surveyors use a 15-page worksheet from the Centers for Medicare and Medicaid Services (CMS). The ASC Infection Control…
Boston hospitals supporting patients and staff in bombing aftermath
Just before 2:50 pm on April 15, 2 postanesthesia care nurses from Beth Israel Deaconess Medical Center (BIDMC) crossed the Boston Marathon finish line. Their elation at finishing the race soon turned to fear when they heard the first of 2 explosions. They began searching for friends and family who…
Pain and patient experience: A business partnership
Managing patients’ pain is no longer just a clinical goal—it’s a business necessity. The Centers for Medicare and Medicaid Services (CMS) has started incorporating value-based purchasing (VBP) scores, which include customer satisfaction, into hospital reimbursement payments. Of the total VBP score, 30% comes from results from the Hospital Consumer Assessment…
Editorial
Last month we shared a positive view of the impact of health care reform on nursing. Kathleen Sanford, DBA, RN, CENP, FACHE, who will speak at the OR Manager Conference in September, said more emphasis on keeping people well will offer “an opportunity for clinical staff to make a difference”…
Building cohesion, community, and commitment across multiple generations working in the OR
Managing today’s multigenerational perioperative workforce can seem daunting, but understanding the strengths of each group and knowing how best to communicate with them can turn challenges into opportunities. The first step toward promoting generational interrelationships—and to better manage perioperative services for the future—is to “create a generational profile of your…
Implementing a daily huddle protects patients, avoids delays
Sixth in a series on ten elements of safer surgery. Could you and your team find 30 minutes a day to prepare for the next day’s surgical schedule? The effort can be worthwhile. A Chicago-area hospital has found that a half-hour daily huddle not only heads off delays and…
Diverse communication styles are most effective for managing multigenerational staff
Because people are living and working longer, 4 generations of employees are now toiling side by side—and not always in harmony. Creating a workplace where all generations can thrive is both challenging and crucial to a manager’s success. “The biggest challenge and opportunity for growth is to recognize that you…
Free Daily News
- Five orthopods establish Hand, Wrist & Elbow Institute at Midwest Orthopaedics at Rush
- Allegheny Valley Hospital opens expanded inpatient rehabilitation unit
- TV station reports instrument concerns at St. Louis hospital
- Medical assistant’s personal experience helps anxious heart failure patients process their situations
- Georgia surgeon arrested for assaulting recovering patient at hospital
- ACS highlights three aspects of CMS’ 2026 coding and reimbursement changes
- Workers describe ‘disruptive’ ICE presence inside Minneapolis’ Hennepin County Medical Center
- ASA study says changes needed for pain management of surgical patients on MOUD treatments
- A closer look at how AI is changing surgery
- New study links higher postoperative mortality to income level
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