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Surgical VAC mines new software for deeper look at products

After transitioning from a paper-based data and operations management system to one that uses relational database software, Lahey Hospital and Medical Center (LHMC) in Burlington, Massachusetts, saved more than $1 million in product purchases in 2017. The surgical value analysis committee (VAC) evaluated 150 product requests and managed the conversion…

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By: Robert Dolan, MD,, Kristen Murphy, MBA, and Edward Aiello
January 14, 2019
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New structure puts SPD staff on firmer footing

Perioperative leaders, including those in the sterile processing department (SPD), need to know when to make sweeping—not just incremental—changes to improve workflow and optimize the talents of their staff. Sometimes gains in productivity and staff satisfaction depend not only on identifying process improvements but also on placing staff in areas…

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By: Cynthia Saver, MS, RN
December 13, 2018
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Orthopedic experts urge caution when starting total knee service lines

Total joint replacements contribute hefty profits to hospitals and healthcare systems. Once the Centers for Medicare & Medicaid Services (CMS) starts reimbursing surgery centers—as is done for hospital outpatient surgery departments (HOPDs)—the competition between hospitals, HOPDs, and ambulatory surgery centers (ASCs) will intensify. “Total joints are the hot ticket in…

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By: Janet M. Boivin, BSN, BSJ, RN
December 13, 2018
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2018 OR Manager Conference hit all the right notes in Nashville

Music City welcomed 1,400 perioperative nurse leaders who attended the annual OR Manager Conference in September. A wealth of educational opportunities and a cultural extravaganza—including regional cuisine and the OR Manager’s Night Out at Nashville’s Musicians Hall of Fame—made the 31st conference a particularly memorable one.   Volume and value…

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By: Elizabeth Wood
October 18, 2018
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2019 Medicare final payment rule brings big wins for ASCs

The holiday spirit got off to a good start at ambulatory surgery centers (ASCs) across the country with the November 2, 2018, announcement of the Centers for Medicare & Medicaid Services’ (CMS) 2019 Ambulatory Surgical Center Payment System and Quality Reporting (ASCQR) Program Final Rule. Several significant changes ASCs had…

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By: Janet M. Boivin, BSN, BSJ, RN
January 14, 2019
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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
October 18, 2018
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How should you manage patients using marijuana?

What is the current state of marijuana research? Russell: Marijuana research is unlike any other drug research. Researchers have to jump through a lot of hoops with the federal government to study it. As a result, people are using marijuana before there is enough science to prove safety and efficacy.…

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By: Catherine Spader, RN
December 13, 2018
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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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Numbers aren’t always the answer: What can you learn from your frontline staff?

We have all heard the safety instructions prior to takeoff: Put on your own oxygen mask first, before helping others around you. However, as nurses and caregivers, we are often so busy helping those around us that we don’t even think about applying our own “oxygen mask,” or what the…

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By: Jennifer Dickman, DNP, RN, CPN, Director, UPMC Children’s North Surgery Center
October 10, 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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