Ambulatory Surgery

Latest Issue of OR Manager
July 2019
Home Surgical/Anesthesia > Ambulatory Surgery

Joint Commission moves THKR performance measures

Editor's Note The Joint Commission on March 6 announced that it is moving the inpatient and outpatient Total Hip and Total Knee Replacement (THKR) implementation guides from the performance measure webpage to the 2019 Specifications Manual for Joint Commission National Quality Measures. The Manual was published in February. The move will…

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By: Judy Mathias
March 11, 2019
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Preop frailty linked to surgical outcomes

Editor's Note In this study of adult surgical patients across all ages, frailty was associated with higher postoperative rates of major illness and readmissions as well as increased costs. Of 14,530 patients (31.9% inpatient, 68.1% outpatient) analyzed, 3.4% had high frailty (5.3% of inpatients and 2.5% of outpatients). Compared with…

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By: Judy Mathias
March 6, 2019
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ASCA: CMS makes minor changes to Emergency Preparedness requirements for ASCs

Editor's Note The Ambulatory Surgery Center Association (ASCA) on February 26 announced that the Centers for Medicare & Medicaid Services (CMS) released a Memorandum Summary with updates to Appendix Z of the State Operations Manual, which outlines the Emergency Preparedness requirements for CMS providers and suppliers. The primary change that affects…

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By: Judy Mathias
February 26, 2019
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Joint Commission seeking comments on proposed EP for office-based surgery practices using fluoroscopy

Editor's Note The Joint Commission on February 20 announced that it is seeking comments on a proposed element of performance (EP) for office-based surgery practices that provide fluoroscopy services. The new requirement−Environment of Care (EC) standard EC.02.02.01−addresses the monitoring of radiation exposure badges. The deadline for comments is March 29.

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By: Judy Mathias
February 21, 2019
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ASCs react to 2019 regulatory changes

Each year, ambulatory surgery centers (ASCs) adapt to numerous federal regulatory policy reforms. As an example, since 2012, when the Centers for Medicare & Medicaid Services (CMS) launched the Ambulatory Surgery Center Quality Reporting (ASCQR) Program ASCs had been asking for, ASCs have reported data for a changing set of…

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By: Judith M. Mathias, MA, RN
February 20, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Episode of Care: Managing the Unique Supply Chain Needs of the ASC

After this session you'll be able to: 1. Compare and contrast the traditional ambulatory surgery center with a multi-licensed facility. 2. Describe the unique supply chain needs of a multi-licensed ASC. 3. Identify supply chain models that can be implemented in both a multi-licensed ASC and a traditional ASC. Why…

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Use of regional anesthesia in ambulatory arthroscopic knee surgery and ACL reconstruction

Editor's Note Adductor canal nerve block (ACB) provides modest analgesic benefits after ambulatory arthroscopic knee surgery, including improved relief for rest pain for 8 hours and reduced opioid consumption for 24 hours, this meta-analysis finds. However, ACB did not provide any analgesic benefits and did not improve any outcomes, compared…

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By: Judy Mathias
January 24, 2019
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Joint Commission seeks comments on new antimicrobial stewardship requirements

Editor's Note The Joint Commission on January 9 announced that it is seeking feedback on its newly proposed requirements for antimicrobial stewardship at Medication Management (MM) standard MM.09.01.03. The requirements apply to ambulatory healthcare organizations and office-based surgery practices. The proposed requirements align with current recommendations from scientific and professional…

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By: Judy Mathias
January 14, 2019
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2019 Medicare final payment rule brings big wins for ASCs

The holiday spirit got off to a good start at ambulatory surgery centers (ASCs) across the country with the November 2, 2018, announcement of the Centers for Medicare & Medicaid Services’ (CMS) 2019 Ambulatory Surgical Center Payment System and Quality Reporting (ASCQR) Program Final Rule. Several significant changes ASCs had…

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By: Janet M. Boivin, BSN, BSJ, RN
January 14, 2019
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Orthopedic experts urge caution when starting total knee service lines

Total joint replacements contribute hefty profits to hospitals and healthcare systems. Once the Centers for Medicare & Medicaid Services (CMS) starts reimbursing surgery centers—as is done for hospital outpatient surgery departments (HOPDs)—the competition between hospitals, HOPDs, and ambulatory surgery centers (ASCs) will intensify. “Total joints are the hot ticket in…

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By: Janet M. Boivin, BSN, BSJ, RN
December 13, 2018
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CMS: New online tool compares cost differences for outpatient procedures

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 27 launched a new online tool that compares Medicare payments and co-payments for certain outpatient surgical procedures performed in hospitals and ambulatory surgery centers. The “Procedure Price Lookup” tool will help Medicare patients consider potential cost differences when…

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By: Judy Mathias
November 29, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

ASC Safety Begins With Preadmission and Patient Selection

After this session you'll be able to: Define the role of the preadmission department ? what it is and what it is not. Develop criteria for patient selection based on available resources to mitigate your organizational risk. Describe how a solid preadmission and patient selection process can provide an essential…

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