Ambulatory Surgery

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February 2020
Home Surgical/Anesthesia > Ambulatory Surgery

Can your hospital survive the growing dominance of ASCs?

Of the approximately 57 million surgical procedures performed annually in the US, it is estimated that hospital inpatient procedures (overnight admissions) account for less than 20% of cases. Many procedures once performed in hospital outpatient surgery departments (HOPDs) have moved to ambulatory surgery centers (ASCs) over the past 15 years,…

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By: Thomas A. Blasco, MD, MS
January 13, 2020
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To avoid penalties, know the rules for quality reporting

Keeping up with Medicare’s regulatory and reporting requirements for ambulatory surgery centers (ASCs) can be as difficult as ensuring physicians arrive to start their cases on time. “Regulations can change frequently,” says Gina Throneberry, MBA, RN, CASC, CNOR, director of education and clinical affairs for the Ambulatory Surgery Center Association…

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By: OR Manager
December 17, 2019
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FDA approves first system for insertion of ear tubes with local anesthesia

Editor's Note The Food & Drug Administration (FDA) on November 25 approved a new system for the delivery of tympanostomy tubes into the eardrums of young children without using general anesthesia. The Tubes Under Local Anesthesia (Tula) System (Tusker Medical, Menlo Park, California) is the first ear tube delivery system…

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By: Judy Mathias
December 2, 2019
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A primer for starting a total joint replacement program

Ambulatory surgery centers (ASCs) have increasing incentives to offer total joint replacements (TJR) as Medicare expands the list of covered procedures. However, there’s a lot to consider in this particular service line. “There are many things to arrange that aren’t required with other service lines, particularly as home care of…

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By: OR Manager
November 18, 2019
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Analysis of OR efficiency in ASCs vs hospital outpatient departments

Editor's Note Ambulatory surgery center (ASC) outpatient procedures were more efficiently performed than those performed at a hospital outpatient department (HOP) in this study. Of 220 procedures included in the study (114 ASC, 106 HOP): mean turnover time was 29.8 minutes for HOP vs 24.5 for ASC ancillary time was…

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By: Judy Mathias
November 12, 2019
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CMS releases 2020 final payment rule for ASCs, HOPDs

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 1 released its final payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). CMS added eight codes to the ASC-payable list, including total knee arthroplasty. CMS also removed total hip arthroplasty and seven spine codes from…

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By: Judy Mathias
November 4, 2019
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Are obese patients good candidates for the outpatient setting?

Obesity rates and, consequently, obstructive sleep apnea (OSA) are on the rise in the US, and an increasing number of obese patients are undergoing surgical procedures at ambulatory surgery centers (ASCs). Healthcare providers at such facilities are adding procedures and taking steps to ensure the safety of patients whose body…

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By: Jennifer Lubell
October 21, 2019
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Association between heart failure and postop mortality in ambulatory surgery patients

Editor's Note In this study, heart failure with or without symptoms was associated with an increased risk of postoperative mortality at 90-days and complications at 30-days in ambulatory surgery patients. In this analysis of 355,121 patients having noncardiac ambulatory surgical procedures, 90-day mortality was 2% in patients with heart failure…

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By: Judy Mathias
October 17, 2019
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Joint Commission: Revisions to Office-Based Surgery Accreditation program

Editor's Note The Joint Commission announced October 16 that several elements of performance for the Office-Based Surgery Accreditation program have been revised, effective January 1, 2020. The revisions, which are in the Environment of Care chapter, were made to align with 2012 Life Safety Code requirements and updated National Fire…

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By: Judy Mathias
October 17, 2019
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CMS proposes to revise physician anti-kickback rules

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 9 announced proposed changes to how it enforces the Physician Self-Referral Law (ie, Stark Law), which penalizes physicians and other healthcare providers for referring patients to outside services they could stand to benefit from financially. The proposed rule…

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By: Judy Mathias
October 10, 2019
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