Staffing

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September 2025
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1,000 California surgeries cancelled amid CRNA credentialing confusion

Editor's Note A CMS citation for immediate jeopardy this past June allegedly resulted in the cancellation of nearly 1,000 surgeries at Doctors Medical Center in Modesto, California, according to a July 30 article in Becker’s ASC Review. Citing a July 26 letter from California Assemblymen Heath Flora and Juan Alanis…

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By: Matt Danford
August 2, 2024
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Study: Video-based assessment shows promise for assessing non-technical surgical skills

JAMA (healthcare publication) Network logo

Editor's Note Automated surgical video analysis could enhance evaluation of an OR team’s nontechnical skills, according to a study published July 31 in JAMA Network Open. Conducted between January 2021 and May 2022, the cross-sectional study involved 30 cardiovascular surgical teams at a teaching hospital in Boston, Massachusetts. Using OpenPose,…

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By: Matt Danford
August 1, 2024
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Survey: ASC volume rising amid limited staffing improvement

Data and surveys

Takeaways • Compared to 2023, the percentage of respondents reporting an increase in open positions for RNs and STs, as well as increased turnover for RNs, remained stable, but fewer reported a drop in ST turnover. • The percentage of respondents reporting hiring more managers set a 9-year record. •…

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By: Cynthia Saver
August 1, 2024
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The toll of excess inventory and the role of ecommerce

I still recall being handed roughly 10 boxes of suture anchors to practice with years ago at New York University (NYU) medical school. “Aren’t these needed here?” I asked incredulously. “Not at all,” came the answer, despite a hefty price tag of $1,000 per box. In fact, getting the suture…

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By: Andrew Dold, MD
July 31, 2024
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ASC management is a skill: A day in the administrator role

The administrator of an ambulatory surgery center (ASC) wears many hats, doing every odd job in the book to keep their free-standing center safe, compliant, and operational. But what does “wearing many hats” mean exactly? OR Manager spoke with Nyleen Flores, CPMSM, CPCS, CPCO, CASC, chief administrative officer at Lake…

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By: Tarsilla Moura
July 31, 2024
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The US News journey to introduce a new ‘best’ ASCs ranking

Some 800,000 knee replacements and 550,000 hip replacements are performed in the US each year. Factoring in the ever-expanding aging population, projections show the figure for knee replacements alone will explode to 3.5 million procedures being done annually by 2030—and that is just one type of procedure within a single…

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By: Tarsilla Moura
July 31, 2024
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Collaborative leaders share strategies for gaining influence, building relationships

Takeaways Successful collaboration requires prioritizing teamwork and aligning new projects and ideas with the overarching goals of the organization. Strategies for making the case for a new project or initiative include establishing subject matter expertise, tailoring the message, and having a win-win mindset. The most influential leaders understand others’ perspectives…

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By: Cynthia Saver, MS, RN
July 31, 2024
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‘Best Medical School’ methodology updated for release of latest annual rankings

Editor's Note US News & World Report released its "Best Medical Schools" rankings with significant changes after a 2-year delay, MedPage Today reported July 23. Medical schools are now grouped into tiers instead of ordinal rankings for both research and primary care. This change follows several top schools, led by…

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By: Matt Danford
July 25, 2024
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Rural hospitals shutter labor, delivery units

Editor's Note Rural hospitals throughout the country are struggling to maintain labor and delivery units amid dwindling numbers of births, KFF Health News reported July 15, noting that more than half lack these services entirely. Nationwide, annual births have fallen from 4.3 million in 1957 to below 3.7 million by…

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By: Matt Danford
July 25, 2024
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Physician survey illuminates negative impact of prior authorization

Editor's Note The American Medical Association (AMA) annual, nationwide prior authorization survey reveals that over 90% of physicians believe prior authorization negatively impacts patient clinical outcomes. “More telling,” AMA reported July 17, is the fact that 78% of physicians report that this process “sometimes or often” leads to patients abandoning…

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By: Matt Danford
July 24, 2024
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