Everything from washers to cars comes with a warranty, so why not health care? Geisinger Health System in Danville, Pennsylvania, introduced health care warranties with an innovative program called ProvenCare. Under the 90-day warranty, one cost covers the surgery and 90 days of follow-up treatment. Geisinger absorbs any additional costs…

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Millions of Americans struggling with severe obesity may in the future have an incision-free option for weight loss. Surgeons are evaluating a procedure called TOGA—for transoral gastroplasty—as part of a multicenter clinical study. The procedure, which involves passing a stapler down a patient's throat and stapling the stomach from the…

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What does it take for an OR to get to the top of the chart in physician satisfaction? Baptist Medical Center Beaches, a 146-bed hospital serving the coastal communities of Jacksonville, Florida, scored in the 99th percentile for physician measures in a Press Ganey survey, one of the highest scores…

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Will there be enough general surgeons to meet the needs of an aging population? How will the supply affect hospital ORs? Findings from a new study suggest the nation could be facing a shortage. The number of general surgeons per 100,000 Americans has fallen by more than 25% over the…

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After 5 years of planning, Saint Joseph Mercy Hospital in Ann Arbor, Michigan, opened its 18 new ORs in November 2006. A year later, physicians, staff, and the project team are happy with the outcome—a sign of success in the planning and design process. The new ORs and postanesthesia care…

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Like a car's global positioning system (GPS), computer-assisted surgical navigation helps orthopedic surgeons get their bearings. A navigation system receives and transmits data about joint surfaces and placement of implants, displaying the information on a computer screen where the surgeon can view it. An image from the BrainLab VectorVision navigation…

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Lumbar fusion has grown rapidly, skyrocketing by more than 250% in the past 20 years. Costs have risen even faster, by more than 500% in Medicare patients alone, according to a recent study from Dartmouth. Lumbar fusion accounts for almost 50% of all back surgery performed in the US. Now…

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Patients having hip replacement surgery can in rare cases develop bone cement implantation syndrome (BCIS). In 5 out of 6 reports of the syndrome received by the Pennsylvania Patient Safety Authority the patient died from cardiac arrest associated with the implantation of the new prosthesis. Though use of cement for…

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Asimultaneous quintuple kidney transplant took place at Baltimore's Johns Hopkins Hospital on Nov 14, 2006. The historic event was made possible by a kidney swap involving 4 transplant candidates who each had a relative willing to donate a kidney and a fifth candidate who matched a donor who had offered…

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