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New service lines can create opportunities for ORs

As hospital administrators face shrinking operating margins, OR leaders are being called upon to create innovative approaches for boosting revenue. Adding a new service line is one option, but it carries both risks and rewards. Only by careful analysis and follow-through can OR leaders hope to tip the balance to…

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By: Cynthia Saver, MS, RN
September 20, 2018
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Orthopedic bundled payment models on the fast track--Part 2

According to a 2016 McKesson report, payers expect value-based reimbursement, including bundled payments, to grow from a third of their business to a majority of it in 5 years. And as noted in Part 1 of this two-part series (OR Manager, September 2018, 1, 13-17), bundles are advancing on multiple…

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By: Cynthia Saver, MS, RN
September 20, 2018
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‘Managing up’ strengthens the bond with your boss

What kind of relationship do you have with your boss? Many managers feel they don’t have enough support from their supervisors, and still others believe the relationship could be better. In the 2018 OR Manager Salary/Career Survey, for example, about a third of respondents had a neutral or unfavorable view…

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By: Cynthia Saver, MS, RN
September 20, 2018
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California fires threaten safety of OR staff

On Monday, July 23, a trailer blew a tire at the intersection of Highway 299 and Carr Powerhouse Road in the Whiskeytown district of Whiskeytown-Shasta-Trinity National Recreation Area in Northern California. As the driver tried to stop, the wheel’s rim scraped against the asphalt and threw some sparks into very…

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By: Judith M. Mathias, MA, RN
September 20, 2018
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Value stream redesign: The cornerstone of excellent patient care

Many healthcare organizations have adopted Lean processes to save money, improve workflow, and reduce waste. But it’s not just process change that drives success. It’s the individuals—especially those on the front lines—who work together to identify problems and solutions. It’s also ongoing efforts to sustain changes once they have been…

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By: Elizabeth Wood
September 20, 2018
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Don’t let burnout get the best of you

Burnout and resiliency are addressed at nearly every major healthcare conference these days, and research on burnout ties it to adverse effects on healthcare providers as well as their patients. According to Bernadette Melnyk, PhD, RN, APRN-CNP, FNAAP, FNAP, FAAN, vice president for health promotion and university chief wellness officer,…

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By: Elizabeth Wood
September 20, 2018
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Cross-generational communication: A two-way street

Today’s perioperative services staff consist of multiple generations with different backgrounds and communication styles. Nurse leaders must consider such differences, not only for recruitment and retention purposes but also for developing bonds with bosses who are not from their own generation—because they will have their own unique leadership styles. “Each…

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By: Cynthia Saver, MS, RN
September 20, 2018
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Validate and verify medical devices to ensure safety

Sometimes surgeons ask to have nonmedical devices sterilized, such as spoons, hockey pucks, and fish hooks. Healthcare staff may want to accommodate their requests, but there are times when they cannot do so. A central service (CS) should only sterilize medical devices that have undergone validation testing, which demonstrates that…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
August 21, 2018
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Orthopedic bundled payment models on the fast track--Part 1

The Centers for Medicare & Medicaid Services (CMS) is poised to launch Bundled Payments for Care Improvement (BPCI) Advanced on October 1, 2018, and is continuing its Comprehensive Care for Joint Replacement (CJR) bundled payment model for total hip and knee arthroplasty (THA, TKA). “Orthopedics is the most important service…

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By: Cynthia Saver, MS, RN
August 21, 2018
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OR leader job satisfaction high despite volatile industry

A steady stream of changes and upheaval, ranging from increased use of bundled payments for reimbursement to the pressure of filling open positions with qualified staff, are affecting OR managers’ ability to be successful. Despite the challenges, more than two-thirds (67%) are satisfied with their jobs or positions, according to…

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By: Cynthia Saver, MS, RN
September 20, 2018
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