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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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ASCs react to 2019 regulatory changes

Each year, ambulatory surgery centers (ASCs) adapt to numerous federal regulatory policy reforms. As an example, since 2012, when the Centers for Medicare & Medicaid Services (CMS) launched the Ambulatory Surgery Center Quality Reporting (ASCQR) Program ASCs had been asking for, ASCs have reported data for a changing set of…

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By: Judith M. Mathias, MA, RN
February 20, 2019
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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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Editorial

Nearly 40 “awareness” or prevention and education wellness initiatives are listed for the month of May—among them, National Nurses Week, World Hand Hygiene Day, and Mental Health Month. Mental health caught my eye because it was a featured topic at the World Healthcare Congress in Washington, DC, where a panel…

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By: Elizabeth Wood
May 17, 2019
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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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Editorial

Attendees at the annual OR Manager Conference have enjoyed the opportunity to ask experienced OR leaders questions about difficult managerial and clinical issues. The popularity of these “Ask Me Anything” sessions reflects the hunger for knowledge about how things are handled in ORs around the country, and they will be…

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By: Elizabeth Wood
March 15, 2019
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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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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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Block schedule best practices: Calculate, allocate, and regulate

A common strategy for managing OR utilization is block scheduling: Assigning surgical time to individual surgeons or surgeon groups based on their volume. But what sounds like a simple process is often complicated by the potential for dissatisfaction and reduced utilization. Yet done effectively, block scheduling can significantly boost the…

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By: Cynthia Saver, MS, RN
November 14, 2018
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