Ambulatory Surgery

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

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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As ASC leaders' salaries dip, so does satisfaction

Salaries for ambulatory surgery center (ASC) leaders are down slightly, according to the OR Manager 2019 Salary/Career Survey, with slightly more than half of respondents (52%) earning $100,000 or more—a decline from 60% in 2018, 54% in 2017, and 53% in 2016. That dip may be contributing to corresponding lower…

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By: Cynthia Saver, MS, RN
September 23, 2019
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Superior patient-centered care crucial for complex outpatient procedures

About 2 years ago I was diagnosed with prostate cancer. As I researched the treatment alternatives, I became very concerned about the complications associated with traditional surgical prostatectomy or radiation. Then I learned that I might be eligible for an outpatient procedure: high-intensity focused ultrasound (HIFU). Although HIFU is relatively…

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By: OR Manager
September 23, 2019
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ASC Manager Issue 2

Healthcare providers have seen a steady stream of inpatient-only procedures migrate to ambulatory surgery centers (ASCs) over the past few years. Medicare is reimbursing an increasing number of procedures performed in the outpatient setting, many of them cardiovascular in nature. This issue of ASC Manager explores the development of a…

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By: Judy Mathias
August 23, 2019
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Survey finds staffing gap has widened at ASCs since 2018

Staffing remains a significant challenge for many leaders of ambulatory surgery centers (ASCs), according to the 2019 annual OR Manager Salary/Career Survey. Nearly a third (32%) of respondents reported more open RN positions, significantly higher than the 26% in 2018; over the past 5 years, only 2016 had a higher…

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By: Cynthia Saver, MS, RN
August 23, 2019
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Proactive policies help protect staff from bloodborne pathogen exposure

Healthcare workers are at risk for bloodborne pathogen exposures in areas ranging from the clinic to the OR—both inpatient and outpatient settings. Such exposures not only cause anxiety, they cost an estimated $3,000 to $5,000 per exposure for things such as baseline and follow-up laboratory testing, treatment of exposed personnel,…

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By: Amy L. Bethel, MPA, RN, NE-BC
August 23, 2019
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Effect of state legislation in Florida on opioid prescriptions after outpatient surgery

Editor's Note Opioid prescriptions for patients having common outpatient surgical procedures at a large university hospital in Florida were substantially reduced within 6 months after implementation of state legislation limiting the duration of opioid prescriptions, this study finds. Of 1,467 surgical patients included in the study: The proportion receiving opioid…

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By: Judy Mathias
August 22, 2019
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