Editor's Note This study from the Massachusetts General Hospital and Harvard Medical School, Boston, finds that the transition to incorporate virtual care into ambulatory healthcare during COVID-19 was not associated with an increased overall number of visits. The researchers identified 10,559,857 ambulatory visits by 1,530,772 patients at their large New…

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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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Editor's Note This survey given via social media by researchers from Stanford University School of Medicine and others found that respondents’ top concerns were getting sick because of COVID-19 (70.1%) and not being able to get medical care (46.3%). Of 8,982 respondents, 95.7% reported making changes to their lifestyle, with…

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Professionalism may not be a concept OR leaders consciously think about, but they should. As role models for their staffs, they set the behavior standards for the OR, and failure to insist on professionalism can be damaging. Professionalism is not defined simply by dress or presentation, says David A. Wyatt,…

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Planning for volume growth and adopting best business practices for the perioperative environment were overarching themes at the 2020 OR Business Management Conference (ORBMC) in late January. Leading healthcare industry clinicians and experts offered fresh insights into competing in the burgeoning outpatient surgery market and persuading stakeholders to switch to…

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Though long fasting before a surgical procedure is tied to increased patient risks, the outdated guideline of NPO after midnight continues to be practiced by many healthcare organizations. In 1999, the American Society of Anesthesiologists (ASA) revised their fasting guidelines to clear liquids up to 2 hours before surgery and…

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Editor's Note The ECRI Institute on January 22 announced the released its annual “Top 10 Hospital C-suite Watch List." Among the new and emerging innovations to watch are: Acuity-adaptable rooms, where hospitals keep a patient in the same room from admission to discharge, regardless of acuity level. Insertable cardiac monitors…

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Healthcare mergers and acquisitions are becoming as common as add-on cases in the OR, with hospitals struggling to stay profitable in a financially challenging environment. Between 2008 and 2014, the United States had nearly 400 hospital mergers and acquisitions (M&A), with more than 750 hospitals being acquired or merged. “It’s…

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Change is uppermost in people’s minds as a new year begins, so the time seems right to anticipate changes we’ll see in healthcare in 2016. To imagine some of what the future holds, consider two recent changes in how providers are being reimbursed: ICD-10, the vastly expanded DRG codes that…

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Many organizations have reaped the benefits of adopting Lean concepts, such as greater workflow efficiency, staff engagement, and cost savings. After initial improvements are made, however, it can be hard to sustain the process changes over time. That was the case at Nemours A. I. duPont Hospital for Children in…

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