Ambulatory Surgery

Latest Issue of OR Manager
August 2020
Home Surgical/Anesthesia > Ambulatory Surgery

Preoperative protocols enhance outpatient total joint outcomes

On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began reimbursing healthcare providers for total hip arthroplasty performed in outpatient hospital settings and total knee arthroplasty in ambulatory surgery centers (ASCs), thereby opening the floodgates for explosive growth in outpatient total joint arthroplasty (TJA). About a million…

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By: Cynthia Saver, MS, RN
July 22, 2020
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Panel issues guidelines for safe resumption of elective orthopedic surgery

Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…

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By: Judy Mathias
July 20, 2020
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CDC: Absenteeism increased in essential workers during March, April of COVID-19 pandemic

Editor's Note The Centers for Disease Control & Prevention (CDC) on July 10 reported that health-related workplace absenteeism rates were significantly higher than expected in March and April for some occupational groups in essential critical infrastructure categories. The following significantly exceeded their epidemic thresholds: personal care and services, including childcare…

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By: Judy Mathias
July 13, 2020
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Joint Commission revises position statement on preventing nosocomial COVID-19 infections

Editor's Note The Joint Commission announced June 24 that it has revised its position statement on preventing nosocomial COVID-19 infections as healthcare organizations resume regular care delivery. The Joint Commission supports the following positions: Continuing to follow Centers for Disease Control and Prevention’s recommendations for universal masking of staff, patients,…

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By: Judy Mathias
June 25, 2020
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Agile, data-driven strategy for managing the OR after COVID-19

As state authorities begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge: resuming elective surgical procedures that have been postponed for several weeks or months. How will they accommodate the looming glut of elective surgery demand with limited infrastructure and staff who are…

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By: Derrick Bransby, MBA
June 17, 2020
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ASC offsets some revenue loss through 'Hospital Without Walls' waiver

Far fewer cases of COVID-19 have been seen in rural areas of the US than in large urban populations. But even healthcare facilities not inundated with COVID-19 patients have sustained revenue losses and disruptions in standard procedures. One major advantage for Heartland Surgery Center in Kearney, Nebraska, was seeing the…

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By: Elizabeth Wood
June 17, 2020
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Proactive payment collection reduces bad debt risk

Establishing policies to collect payment before surgery has grown in importance as high-deductible health plans impose larger out-of-pocket costs on patients. To help manage patients’ expectations about costs and increase the likelihood of collecting payment, some experts believe a culture shift is in order. They say healthcare facilities should be…

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By: Jennifer Lubell
June 17, 2020
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Self-awareness fosters higher emotional intelligence

Everyone has had bad days at work when they may have felt frustrated, sad, angry, stressed, afraid, nauseated, sick, or overwhelmed. Why do some move from experiencing a terrible day at work to leaving the organization, whereas others pull themselves together? How do we rally from burnout, disappointment, frustration, and…

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By: Jamie Ridout, MSN, MBA, RN, NEA-BC, CNOR, CASC
June 17, 2020
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Joint Commission: Preventing nosocomial COVID-19 infections as healthcare organizations resume routine care

Editor's Note The Joint Commission on June 3 announced that it supports the following positions for healthcare organizations to prevent nosocomial COVID-19 infections as they resume routine patient care. Organizations should continue to follow CDC recommendations for universal masking of staff, patients, and visitors. Personnel should wear filtering facepiece (N95)…

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By: Judy Mathias
June 4, 2020
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CDC releases reopening guidelines

Editor's Note The Centers for Disease Control and Prevention (CDC) on May 20 posted two new resources to help states reopen. The first is a 60-page document that includes information on general and healthcare surveillance and continuing guidance on infection control, contact tracing, and testing. It also includes a standardized…

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By: Judy Mathias
May 21, 2020
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