Rules and Regulations

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May 2025
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Assistance program leads to major drop in ER visits, costs for immigrants

Editor's Note A study from economists and public health officials in the September 2023 issue of the journal American Economic Review: Insights found that when undocumented immigrants were provided assistance to visit primary care doctors via a pilot program, it resulted in a 21% drop in emergency room (ER) use.…

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By: Brita Belli
September 22, 2023
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ASC luncheon: Quality Measure Reporting Updates for ASCs

Editor’s Note  In this luncheon presentation, OR Manager Conference attendees delved into the Centers for Medicare & Medicaid Services Quality Measure Reporting Program for ambulatory surgery centers (ASCs).  Gina Throneberry, MBA, RN, CASC, CNOR, director of education and clinical affairs at the Ambulatory Surgery Center Association (ASCA), shared which quality…

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By: Bridget Brown
September 20, 2023
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New CMS rule focuses on postop opioids in outpatient settings

Editor's Note The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which is set to take effect in 2025, will set up a separate Centers for Medicare and Medicaid Services (CMS) payment for certain nonopioid pain management techniques in outpatient and ambulatory surgery center (ASC) settings, the September 12 Becker’s…

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By: Judy Mathias
September 12, 2023
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SHEA updates CAUTI prevention recommendations

Editor's Note An update of the 2014 “Strategies to Prevent Catheter-Associated Urinary Tract Infections [CAUTIs] in Acute-Care Hospitals” was published August 25 by the Society for Healthcare Epidemiology of America (SHEA). The update, which is a collaborative effort led by SHEA, the Infectious Diseases Society of America, the Association for…

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By: Judy Mathias
August 30, 2023
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The Joint Commission: Updated Accelerate PI Dashboard Reports available

Editor's Note The Joint Commission, on August 23, announced that updated Accelerate PI Dashboard Reports are available for hospitals, critical access hospitals, and nursing centers. The reports provide performance measurement data from the Centers for Medicare and Medicaid Services on a select subset of quality measures through the second quarter…

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By: Judy Mathias
August 24, 2023
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The Joint Commission’s revised medication compounding requirements include perioperative settings

Editor's Note The Joint Commission announced, on August 22, that it had revised its requirements related to medication compounding for accredited hospitals and critical access hospitals, effective January 1, 2024. The revisions include Element of Performance (EP) 3 for National Patient Safety Goal (NPSG) NPSG.03.04.01: "Label all medications, medication containers,…

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By: Judy Mathias
August 22, 2023
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Two NY Upstate Medical hospitals reimpose mask mandates

Editor's Note Two New York (NY) Upstate Medical hospitals, University and Community General, reimposed their mask mandates on August 17 after an increase in COVID-19 cases was announced, and testing is also now required for all patients admitted to the hospitals, The Daily News reports. According to a memo sent…

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By: Judy Mathias
August 21, 2023
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Market forces affecting the ambulatory surgery industry

Ambulatory is the term the industry is “stuck with” because that is the name the founders came up with in 1970, says David Shapiro, MD, CASC, CPHRM, LHR, an anesthesiologist with extensive experience in ambulatory surgery management and a member of the Accreditation Association for Ambulatory Health Care (AAAHC) board.…

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By: Judith M. Mathias, MA, BS, RN
August 21, 2023
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NQF joins The Joint Commission as an affiliate

Editor's Note The Joint Commission, on August 16, announced a strategic affiliation with the National Quality Forum (NQF) in an effort to accelerate improvements across the continuum of patient care and change the focus from competing measures to advancing key outcomes. The NQF will maintain its independence in developing consensus-based…

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By: Judy Mathias
August 17, 2023
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The Joint Commission revises THKR performance measure

Editor's Note The Joint Commission, on August 9, announced that it is revising a performance measure for the advanced Total Hip and Total Knee Replacement (THKR) Certification Program—THKR-5: Postoperative Functional/Health Status Assessment—to align with a similar Centers for Medicare and Medicaid Services (CMS) measure. The recently adopted CMS performance measure—Hospital-Level,…

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By: Judy Mathias
August 10, 2023
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