Editor's Note The American College of Surgeons (ACS), on September 12, announced a new quality improvement (QI) project that will evaluate the most effective ways to help patients safely manage postoperative pain and reduce the risk of opioid dependence. The project will be conducted in collaboration with Health Care Service…

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Editor's Note This study from researchers at Carolina Neurosurgery and Spine Associates and SpineFirst, Atrium Health, Charlotte, North Carolina, examines the cost-utility of anterior cervical discectomy and fusion (ACDF) performed in an ASC vs an inpatient hospital setting at 1-year follow-up.  A total of 6,504 patients having 1-to 2-level ACDF…

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Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC), on April 10, announced the release of updated standards for its 3-year Advanced Orthopaedic Certification program, which will take effect July 1, 2023. The updated Certification Handbook for Advanced Orthopaedics, v42, introduces new terminology and standards architecture plus a revised…

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Editor's Note In this British Medical Journal editorial, experts say that female healthcare workers (HCWs) need better protection of their breast tissue from routine ionizing radiation, and they urge implementation of more rigorous radiation protection standards. The experts make the following recommendations: reducing the duration of exposure increasing the distance…

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Editor's Note This Swiss study finds that better OR ventilation properties, as assessed with a new ventilation index, are associated with lower rates of surgical site infections (SSIs) in orthopedic, spine, and cardiac procedures. Researchers calculated a ventilation index with higher values reflecting less turbulent air displacement instead of comparing…

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Editor's Note According to the February 2 Becker’s ASC Review, two ambulatory surgery centers (ASCs) recently filed lawsuits against insurance payers over reimbursement, or lack thereof, for spinal procedures. Surgery Center of Viera, based in Melbourne, Florida, filed its lawsuit January 20 against Cigna and consulting services Strategic Enterprise Solutions…

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Looking toward 2022, spine procedures are expected to drive growth and optimize performance in ambulatory surgery centers (ASCs). Michael Ast, MD, chief medical innovation officer for HSS, Hospital for Special Surgery in New York, can attest to this personally. A year ago, his father could not even walk up a…

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Editor's Note The Centers for Medicare and Medicaid Services (CMS), on November 2, released its 2022 final payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). The final rule increases Medicare prospective payment system rates by a net 2.0%—a combination of a 2.7% inflation update based on…

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Editor's Note The Joint Commission announced on August 25 that data collection for four new performance measures in the Advanced Certification in Spine Surgery (ACSS) program and one new performance measure in the Advanced Certification for Total Hip and Total Knee Replacement (THKR-5) program began on July 1. Programs are…

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Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…

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