Surgery/Specialties
CJR program reduced some racial differences in outcomes
Editor's Note This study from the Icahn School of Medicine at Mount Sinai, New York City, finds that Medicare’s Comprehensive Care for Joint Replacement (CJR) program led to a reduction of racial differences in hospital readmission rates for patients having hip or knee replacement surgery. The retrospective cohort study included…
New machine learning models predict adverse postop abdominal hernia surgery outcomes
Editor's Note Machine learning (ML) models designed by surgeons at the University of Texas MD Anderson Cancer Center in Houston show a high level of accuracy in predicting which types of patients are most likely to have a hernia recurrence or other complications after surgery in this study. Of 725…
Mayo Clinic gives postop patients comforts of home
Editor's Note The Mayo Clinic, Rochester, Minnesota, is giving surgical patients an option to recover outside the hospital with comforts of home and with immediate access to a care team if needed. The Mayo Clinic program, called “Monitoring at Charter House,” allows physicians to arrange for US and international patients…
Tracking HCW turnover during COVID-19 pandemic
Editor's Note In this study, researchers from the University of Washington, Seattle, and University of Minnesota, Minneapolis, find that turnover among nearly all segments of the healthcare workforce has not yet fully recovered from the COVID-19 pandemic, with turnover rates among long-term care workers and physicians worsening over time. Of…
Impact of supply chain crisis on surgical services
What happens when global supply chains—which are already typically operated lean across the board—are hit with a once-in-a-century pandemic? An ongoing, collective lesson in economics. The problem is not hard to understand: COVID-19 shutdowns brought manufacturing to a near standstill, during which time the demand for goods increased, and now there…
Establishing service lines in ambulatory surgery centers
The effects of the COVID-19 pandemic on the healthcare industry could fill an entire academic curriculum at this point, let alone a single article. But one potential silver lining among the storms of bad news is the increasing migration of elective procedures from hospitals to ambulatory surgery centers (ASCs). Although…
Key items for cardiovascular, peripheral vascular service lines
Ambulatory surgery centers (ASCs) are ramping up cardiovascular and peripheral vascular service lines, as Medicare offers payment for a growing number of cardiac procedures and accrediting bodies offer support for this methodology. In 2021, the Medicare Payment Advisory Commission reported that the number of ASCs billing Medicare for cardiology procedures…
A systemic approach to cardiac service line safety
Among Surgical Care Affiliates’ (SCA) 260-plus facilities in the US, at least 10% have added cardiovascular/peripheral vascular service capabilities. SCA experts anticipate more growth in this area. However, any successful launch starts with an organizational focus on patient safety, says Ezra Erb, vice president for clinical quality at SCA, which…
Research shows orthopedic procedures cost less in ASCs
Editor's Note According to ASC Focus, the Ambulatory Surgery Center Association journal, new research was recently published that supports older data pointing to the cost savings of orthopedic procedures being done in ambulatory surgery centers (ASCs) compared to hospital outpatient departments (HOPDs). Past research cited by ASC Focus included an…
ASA: Best practices to manage acute pain in surgical patients developed at pain summit
Editor's Note The American Society of Anesthesiologists (ASA) announced on March 8 that it had joined with 14 leading medical specialty organizations to establish seven guiding principles to address the treatment of acute perioperative pain in complex surgical patients. The new principles were developed during a second landmark pain summit…
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