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Where are you on the value-based care continuum?

Healthcare providers are straddling a variety of payment models while many regulatory changes remain in flux under the Trump Administration. Although the shift from fee-for-service to value-based payment began some years ago, not everyone is on board. Opinions about bundled payments also remain mixed, despite reports of improved outcomes and…

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By: Elizabeth Wood
December 14, 2017
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ECRI Institute PSO sheds light on opioid use in acute care

OR Manager, Inc., and ECRI Institute have joined in a collaboration to bring OR Manager readers periodic articles on topics such as medical technology management and procurement, risk management, and patient safety. ECRI Institute is an independent nonprofit that researches the best approaches to improving patient care. Opioids are the…

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By: OR Manager
April 18, 2018
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Robotics: Building a winning business case

Robotic-assisted surgery offers many potential advantages, including shorter operative time, less morbidity, and faster patient recovery. But rigorous comparisons with traditional surgical methods and cost-effectiveness analyses are still limited, and the price tag of the robot (in the neighborhood of $1 million) and annual maintenance contract (roughly $150,000) may give…

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By: Susan London
December 14, 2017
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How many different procedures are right for your ASC?

When launching a new ambulatory surgery center (ASC), owners must consider a myriad of issues—financing, design, building construction or purchase, regulatory compliance, certification, staffing, and marketing. Underlying all of these considerations are which procedures the center will provide and whether the ASC will be single specialty, like gastrointestinal (GI) or…

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By: Leslie Flowers
February 22, 2018
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Remote video auditing: A path to compliance and safety

Perioperative services leaders seeking to improve safety and efficiency without sacrificing quality may want to turn to remote video auditing (RVA), which is being successfully used in hospital ORs and ambulatory surgery centers (ASCs). “We’ve seen improved patient safety, efficiency, and cleaning processes,” says Sheldon Newman, MD, executive vice chairman…

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By: Cynthia Saver, MS, RN
November 15, 2017
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Just culture creates a safe, positive environment

Just culture has become a bit of a buzzword, so it’s worth revisiting what the term truly means and how it can be implemented and sustained. Although it’s a powerful tool for improving patient safety, just culture is effective only when leaders set expectations for processes and behavior, and address…

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By: Cynthia Saver, MS, RN
November 15, 2017
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Improved communication tools put PACU visitors at ease

About 8 years ago, Maine Medical Center (MMC) in Portland had a policy that required visitors to wait in the surgery waiting room at least 3 hours before being allowed to visit their loved ones. The postanesthesia care unit (PACU) nurse was not expected to communicate with the family while…

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By: OR Manager
October 19, 2017
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Peer review inspires high performance from providers

Peer review is a hot topic in the quality arena as many ambulatory surgery centers (ASCs) strive to create meaningful and sustainable evaluation of their providers. “As a surveyor, I can tell you peer review trips everybody up,” says Ann Geier, MS, RN, CNOR, CASC, chief nursing officer of Surgical…

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By: Leslie Flowers
November 15, 2017
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New OR nurses excel as champions and preceptors

Tapping incoming or newly graduated OR nurses as champions and preceptors for initiatives works quite well, say some OR leaders. Though less experienced than their peers, these nurses bring to the table up-to-date knowledge, energy, a fresh set of eyes, and comfort with new technology. In turn, making them experts…

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By: Susan London
January 19, 2018
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Your ASC is for sale--what's next?

Mergers and acquisitions of ambulatory surgery centers (ASCs) have increased recently, as organizations perceive the opportunities provided by growth markets, and ASCs realize the benefits of having access to a larger provider network, such as a pipeline of patients and more power in negotiating with insurers. Those transactions can have…

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