Ambulatory Surgery

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

HFAP announces Joint Replacement Certification program

Editor's Note The Healthcare Facilities Accreditation Program (HFAP) recently announced its Joint Replacement Certification program with options for outpatient and inpatient settings that demonstrate excellence in specialty orthopedic care, the July 23 Becker’s ASC Review reports. Hospitals and ambulatory surgery centers seeking Joint Replacement Certification must meet the following requirements:…

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By: Judy Mathias
July 25, 2018
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Vigilance and diligence needed to enforce hand hygiene

Hungarian obstetrician Ingvar Semmelweis recognized the link between hand washing and childbirth fever in the mid-1800s. During his lifetime, this theory was often ignored or mocked, but ultimately hand washing was scientifically proven to prevent infections. Almost two centuries later, hand washing still reigns as the queen of infection prevention,…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 2018
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Can technology boost hand hygiene compliance?

Janet Haas, PhD, RN, CIC, FSHEA, FAPIC, hopes technology will one day achieve what no other strategy has thus far: Increase the rate of hand hygiene compliance. Haas, president of the Association of Professionals in Infection Control and Epidemiology, says it will need to be a small device that does…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 2018
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Effect of price transparency on ASCs

Editor's Note In this survey of six ambulatory surgery centers (ASCs), Johns Hopkins researchers led by Martin Makary, MD, MPH, found that the majority increased patient satisfaction, volume, and revenue after publicly listing the prices of common surgical procedures. Five centers reported an increase in patient volume by a median…

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By: Judy Mathias
June 14, 2018
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Study finds high rates of infection after colonoscopy, OGD performed in ASCs

Editor's Note Rates of infection after colonoscopies and osophagogastroduodenoscopies (OGDs) performed in ambulatory surgery centers (ASCs) are higher than previously thought and vary widely by facility, this study from Johns Hopkins finds. Rates of postendoscopic infection per 1,000 procedures within 7 days were: 1.1 for screening colonoscopy 1.6 for nonscreening…

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By: Judy Mathias
June 4, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

2019 Regulatory and Quality Measure Reporting Update for ASCs

After this session you'll be able to: Discuss the most current updates to federal regulations and what to expect in 2020. Identify quality reporting for ambulatory surgery centers (ASCs) required by the Centers for Medicaid & Medicare Services (CMS). State the recent changes to the ASC quality reporting program. Why…

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Prevalence of regional anesthesia use in outpatient surgery

Editor's Note Though the overall frequency of peripheral nerve block use in outpatient surgery is low, regional anesthesia offers significant positive effects for postoperative outcomes and hospital efficiency metrics, this study finds. Of 12,911,056 outpatient surgical procedures in the National Anesthesia Clinical Outcomes Registry, 3,297,372 (25.5%) were amenable to a…

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By: Judy Mathias
May 22, 2018
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Planning eases compliance with CMS emergency preparedness rules

As of November of 2017, healthcare providers—including ambulatory surgery centers (ASCs)—receiving reimbursement from the Centers for Medicare & Medicaid Services (CMS) were expected to comply with the 2016 Emergency Preparedness Requirements. And as with most government regulations, there are multiple pages of instructions to dissect and understand to satisfy the…

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By: Janet M. Boivin, BSN, BSJ, RN
May 18, 2018
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Joint Commission reduces requirements applicable to telehealth services in ambulatory care

Editor's Note The Joint Commission on May 16 announced that approximately 25% of applicable elements of performance (EPs) in its ambulatory care program will no longer apply to organizations that primarily provide surgical and nonsurgical services via a telehealth platform. Among the reductions: 12 EPs in the Environment of Care…

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By: Judy Mathias
May 17, 2018
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Study finds fewer postop adverse events in ASCs vs HOPDs

Editor's Note Patients having outpatient surgery in ambulatory surgery centers (ASCs) versus hospital outpatient departments (HOPDs) are less likely to be admitted to a hospital or visit an emergency department a short time after surgery, this study finds. The study is the first to provide causal evidence on ASC quality,…

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By: Judy Mathias
May 8, 2018
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Health literacy linked to postop recovery in outpatients

Editor's Note Inadequate functional health literacy (FHL) in ambulatory surgery patients was associated with poorer postoperative recovery and a lower quality of life in this study. Of 704 patients undergoing ambulatory surgery who were surveyed, 427 (60.7%) reported sufficient FHL, 223 (31.7%) said problematic FHL, and 54 (7.7%) had inadequate…

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By: Judy Mathias
May 1, 2018
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