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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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Early action advised to achieve better OAS CAHPS responses

Mandatory implementation of the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) originally scheduled for 2018 has been delayed, but that does not mean it should be ignored, say ambulatory surgery center (ASC) leaders. The earliest projected date when the survey could become mandatory…

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By: Janet M. Boivin, BSN, BSJ, RN
October 18, 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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Top 10 Patient Safety Concerns for 2018

As healthcare strives to become an industry of high-reliability organizations, identifying problems proactively is key. ECRI Institute’s annual Top 10 Patient Safety Concerns for Healthcare Organizations list highlights looming patient safety challenges and offers resources for addressing them. In selecting this year’s list, ECRI Institute relied on data regarding events…

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By: ECRI
August 21, 2018
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Intraoperative positioning education fills knowledge void in care unit nurses

Can experience in the OR improve patient care in the postsurgical inpatient setting? Beginning last year, the OR at Temple University Hospital, Philadelphia, started its first Periop 101 program and trained six nurses from postsurgical care units to be perioperative nurses. During the program, the former care unit nurses found…

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By: Judith M. Mathias, MA, RN
October 18, 2018
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Managing patient and family disruption in the perioperative setting--Part 2

Disruption in the healthcare setting occurs all too often and can be dangerous for patients and staff like. Part 1 of this series discussed some of the reasons behind the volatile behavior of patients or their families and provided a list of organizations with resources for managing the problem (OR…

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By: Cynthia Saver, MS, RN
June 20, 2018
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Editorial

Attendees of the 2018 OR Manager Conference likely went home feeling inspired and recharged, but it can be hard to hold onto that enthusiasm over time. Our conference highlights article (cover) may jog their memories and, we hope, will reinvigorate their passion to excel as leaders. Every OR Manager Conference…

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By: OR Manager
October 18, 2018
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How do you handle social determinants?

Social and demographic factors play a huge role in any patient’s overall health and recovery from surgery. When treating patients who lack health insurance, family support, or language/literacy skills—among many other possible disadvantages—providing safe patient care can extend well beyond clinical aspects. OR managers and their staffs may take on…

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By: Elizabeth Wood
July 23, 2018
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What do ‘patient first’ care models look like?

Creating a positive patient experience creates patient satisfaction, which can affect reimbursement. But it’s not just business that calls many OR leaders to focus on patient experience. Having been a patient who has had surgery, it’s near and dear to my heart,” says Carol Pehotsky, DNP, RN, NEA-BC, ACNS-BC, CPAN,…

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By: OR Manager
April 18, 2018
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PAT makeover enhances patient and provider satisfaction

Not all hospitals have a preadmission testing (PAT) process, and even when they do, communication breakdowns and inefficiencies can make the process ineffective. Recognizing that the PAT process at Yale New Haven Hospital, New Haven, Connecticut, needed a makeover was the first step in launching an improvement project that led…

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By: Cynthia Saver, MS, RN
July 23, 2018
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