The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…

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About the survey Data for the Career/Salary Survey were collected from April 1 to June 27, 2025. The list comprised ASC administrators who were either OR Manager subscribers or part of an external list. The survey closed with 90 responses. The margin of error is ±5 percentage points at the…

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Editor's Note: This page is a companion page to the main article, "Survey: Staffing problems increase as surgical volume continues to rise."   Most OR leaders (81%) report having a business manager. Historically, fewer than half had this position (42% in 2024, 37% in 2023, and 43% in 2022). The…

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Takeaways • Most respondents reported an increase in the percentage of open positions for RNs and STs compared to 12 months ago. • Most respondents struggle to hire experienced RNs, yet time-to-fill positions has dropped, suggesting rapid but possibly unsustainable staffing shifts. • Leadership is getting younger (average age 38),…

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In perioperative care, high-performing teams are critical to patient safety and workflow efficiency. Diversity in hiring is not only a matter of compliance—it directly influences care quality, communication, and innovation. A diverse healthcare workforce reflects the varied backgrounds of patients, which builds trust and cultural competency. Research shows that when…

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Healthcare has never been static, but today’s perioperative leaders face a unique challenge: steering teams through volatility, complexity, and rapid disruption. In a recent OR Manager webinar, Phyllis Quinlan, PhD, RN, NPD-BC, executive coach, nurse entrepreneur, and longtime advocate for caregiver resilience, offered a candid roadmap for change management in…

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When Phyllis Quinlan, PhD, RN, NPD‑BC, founded MFW Consultants in 1994, she was already on her third career pivot. The former social‑work intern turned emergency‑trauma nurse discovered that the high-stakes of the emergency department (ED), coupled with her human‑behavior insights from sociology and psychology degrees, gave her a rare vantage point on how…

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Know the law. It could save your patients’ lives and your staff members’ practices. This is the advice of several medical legal experts to OR leaders to prevent lapses in patient protections that risk injury or even death. Beyond ensuring safe surgery and preventing litigation, perioperative nursing experts who advance…

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