Editor's Note Implementation of a novel program by researchers from Emory University, Atlanta, for patients with newly created ileostomies reduced 30-day readmissions by 58% and cost of readmissions per patient by more than 80%. Typically, nearly 30% of patients with newly-formed ileostomies require readmission from severe dehydration or associated complications.…

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Editor's Note The American College of Surgeons (ACS) in collaboration with Johns Hopkins has launched a new multimillion dollar surgical quality improvement initiative funded and guided by the Agency for Healthcare Research and Quality. The new program will enable hospitals to implement Enhanced Recovery after Surgery (ERAS) protocols, which have…

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When leaders at Memorial Healthcare, a 154-bed community hospital in Owosso, Michigan, wanted to get a jump on preparing for bundled payments, they chose to focus on total hip and knee surgery. Creating a perioperative surgical home (PSH) for this patient population paid off in enhanced patient satisfaction and reductions…

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Editor's Note Early discharge of patients after total joint replacement did not increase readmission rates in this study. Of 174 patients discharged after 1 day and 285 discharged after 2 days, the readmission rates for both groups were similar−2.3% vs 2.5% at 30 days and 1.1% for both groups at…

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Editor's Note Chicacgo-area hospitals are using apps to help patients prepare for and recover from surgery and communicate their symptoms, the November 30 Chicago Tribune reports. Amita Health is now using the TapCloud app with good results−of 309 orthopedic patients who have used the app, none have had to be…

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Editor's Note Patients who were readmitted to a nonindex hospital after having emergency general surgery were significantly more likely to have had their index surgery at a large, teaching, safety-net hospital, this study from Brigham and Women’s Hospital, Boston, finds. Readmission to a nonindex hospital was independently associated with mortality…

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Editor's Note Total hip outcomes such as pain, function, range of motion, and strength are different for men and women, which could lead to gender-specific rehabilitation programs, finds this study presented November 9 at the 2016 ACR/ARHP [American College of Rheumatology/Association of Rheumatology Health Professionals] Annual Meeting. Researchers from the…

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Comprehensive surgical patient care models are associated with better outcomes, according to studies presented at Anesthesiology 2016 in October. In a study of 1,356 patients undergoing total knee, hip, or shoulder joint replacement surgery, pain management and communication between patients and physicians improved when care was based on the perioperative…

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Editor's Note For older hip fracture patients, the care they received at a postacute care facility had a three to eight times greater impact on their long-term recovery than the care they received at the hospital, this study finds. Nursing home factors explained three times more variation in the odds…

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Editor's Note Use of the Perioperative Surgical Home (PSH) model in patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion improved surgical outcomes, this study finds. A multidisciplinary group created evidence-based protocols for preoperative, postoperative, and postdischarge patient care. Anesthesiologist comanagement of patients also allowed a new pathway for patients…

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