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Planning can relieve 'growing pains' of hospital mergers

Healthcare mergers and acquisitions are becoming as common as add-on cases in the OR, with hospitals struggling to stay profitable in a financially challenging environment. Between 2008 and 2014, the United States had nearly 400 hospital mergers and acquisitions (M&A), with more than 750 hospitals being acquired or merged. “It’s…

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By: Cynthia Saver, MS, RN
January 19, 2018
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Editorial

By 2024, the demand for registered nurses in the US will top 1 million, according to the Bureau of Labor Statistics (BLS), with the largest gaps seen in hospitals in the South and West. The RN workforce is expected to grow 16%, from 2.7 million in 2014 to 3.2 million…

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By: Elizabeth Wood
June 20, 2018
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Joint Commission cites ‘continuous improvement’ as 2018 survey goal

When Medicare and Medicaid legislation was passed and signed into law in 1965, the US Congress formed the precursor federal agency to the Centers for Medicare & Medicaid Services (CMS) to write the rules and regulations spelling out the “Conditions of Participation” (CoPs) required to obtain federal funding under these…

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By: Judith M. Mathias, MA, RN
December 14, 2017
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Storytelling can make or break staff morale

Disengagement costs organizations money through lost productivity, not to mention the risk of errors that a disengaged workforce brings. Yet in August 2017, Gallup reported that only 32% of people are engaged at work. Much of disengagement can be traced to what Cy Wakeman, president and founder of Reality-Based Leadership,…

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By: Cynthia Saver, MS, RN
February 22, 2018
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‘Reality-based rules’ diffuse drama in the OR

All of the keynote presentations at the 2017 OR Manager Conference offered much food for thought, but probably the most memorable one was Cy Wakeman’s riveting talk on the impact of “drama” in the workplace. That resonated with OR leaders who struggle against the tide of negative attitudes among their…

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By: OR Manager
April 18, 2018
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Editorial

Value-based payment (VBP) models of patient care have not been shown to effectively reduce healthcare costs, according to a recent report from the Healthcare Financial Management Association (HFMA). But that conclusion comes with several caveats, such as: • It’s too soon to have data on programs like the Medicare Shared…

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By: Elizabeth Wood
July 23, 2018
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Endoscope fluid, contaminants linger after faulty drying

What does it take to get endoscopes dry? That is the question that prompted a new study on endoscope drying effectiveness by Ofstead & Associates (St Paul, Minnesota). “We asked that question after a study we did 2 years ago found that increasing the automated endoscope reprocessor [AER] drying cycle…

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By: Judith M. Mathias, MA, RN
June 20, 2018
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AAMI releases new standard on sterilization quality management

The Association for the Advancement of Medical Instrumentation (AAMI) has released a sterilization standard on quality management for central service (CS) sterile processing. The new standard, ANSI/AAMI ST90: 2017 Processing of Health Care Products: Quality Management Systems for Processing in Health Care Facilities, provides guidelines to support quality management systems…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
May 18, 2018
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Bullying: From conflict to confrontation to civility in the OR—Part 1

Nurse bullying is a hot issue, even in the lay press—consider the 2015 Marie Claire article, “Mean Girls of the ER: The Alarming Nurse Culture of Bullying and Hazing.” Numbers vary, but the American Nurses Association reports that between 18% and 31% of nurses have experienced bullying at work. The…

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By: Cynthia Saver
December 14, 2017
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Total joints present increasingly attractive option for ASCs

The migration of total joint replacements for knees and hips from inpatient hospital ORs to hospital outpatient departments and ambulatory surgery centers (ASCs) is spreading. On November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) bolstered the trend when it approved the removal of total knee arthroplasty (TKA)…

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By: Leslie Flowers
January 19, 2018
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