Use of telehealth by surgical specialties before, during COVID-19
Editor's Note This study led by the University of Michigan, Ann Arbor, finds that early in the COVID-19 pandemic, there was a substantial increase in telehealth use across all surgical specialties, with a slow decline after June 2020. Of 4,405 surgeons included in the study, 2,588 (58.8%) used telehealth in…
Sexist, racial/ethnic microaggressions against surgeons, anesthesiologists
Editor's Note The findings of this study from the Southern California Permanente Medical Group, Irvine, suggest that there is a high prevalence of microaggressions that stigmatize female and racial/ethnic-minority surgeons and anesthesiologists and contribute to unhealthy surgical workplaces and physician burnout. Of 588 (259 female, 329 male) respondents to a…
Breathe easier with the right respiratory protection
The COVID-19 pandemic has underscored the importance of respiratory protection in healthcare settings and in the community. Healthcare workers at high risk of infection need the most effective respiratory protection, and not all surgical masks and respirators are alike. Checking for proper fit, donning and doffing correctly, and following manufacturers’…
Capture the right case data to maximize OR utilization
To rebound from the industry-wide disruption caused by COVID-19, many healthcare organizations are focused on optimizing OR processes to clear the backlog of elective surgical procedures and improve financial performance. However, traditional OR block management methods for surgical schedules provide limited foresight into what block time will ultimately go unused,…
Hospitals ramp up outpatient TJA in the COVID-19 era
Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…
Bundled payments with copay waivers reduce surgery costs for patients, payers
Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…
Strong new tactics to support COVID-19 financial recovery
The end of the COVID-19 pandemic is in sight, but hospital surgery departments will not likely see a rapid return to normal. Since the start of the pandemic, perioperative leaders have had to stay flexible and act quickly. Over the next 12 months, OR leaders will need to reassess the…
Effect of COVID-19 on stress levels, experience of academic surgeons
Editor's Note In this study led by the University of Pennsylvania, Philadelphia, researchers find that during the early months of COVID-19, the personal and professional experiences of housestaff and faculty differed. Of 335 surgeons from five academic medical centers who completed a survey, 49.3% were housestaff and 50.7% were faculty.…
Study shows increased telemedicine use early in the COVID-19 pandemic
Editor's Note This study by researchers from Harvard Medical School, Boston, on data from 16.7 million insured individuals, shows that 30.1% of total outpatient visits early in the COVID-19 pandemic (March 18-June 16, 2020) were conducted via telemedicine, and weekly telemedicine visits were 23 times higher, compared with the pre-COVID-19…
Effects of COVID-19 pandemic on pediatric anesthesiologists
Editor's Note This survey of members of the Society for Pediatric Anesthesia finds that COVID-19 has affected the personal and professional lives of pediatric anesthesiologists, with women and non-whites disproportionately affected. Of 561 respondents: 21.7% planned to change their clinical responsibilities, and 10.6% planned to decrease their professional working time…
