Penalties based on number of VTEs unfairly imposed
Editor's Note After a review of 128 case histories, Johns Hopkins researchers find that financial penalties imposed by federal and state agencies on Maryland hospitals based solely on the total number of patients who suffer venous thromboemboli (VTEs) fail to account for those that occur despite the consistent and proper…
Healthcare spending to grow 5.8% annually
Editor's Note The Centers for Medicare & Medicaid Services Office of the Actuary estimates that healthcare spending will grow an average of 5.8% each year from 2014 to 2024. The estimate is higher than the projection of 5.7% made a year ago. Prior to the Affordable Care Act in 2014,…
Perioperative surgical home optimizes patient care, Part 1
The medical home, consisting of a patient-centered team focusing on the coordinated delivery of care, is now embedded in the healthcare lexicon, but the perioperative surgical home (PSH) is a more recent concept that is only starting to spread across the country. “The number of hospitals in the US with…
Affordable Care Act prompts OR leaders to push the efficiency envelope
As implementation of the Affordable Care Act (ACA) continues, OR leaders are looking ahead and finding the view murky. “I think every organization is struggling because our crystal ball is not very clear as to what is coming,” says Donna Doyle, MS, RN, NE-BC, CNOR, administrative director for surgery and…
Cost control leads list of strategies related to healthcare reform
When the Affordable Care Act (ACA) was signed into law, many ambulatory surgery center (ASC) leaders viewed it with optimism because it requires everyone to have health insurance unless they choose to pay a penalty. “We thought this would be a very positive thing because we would see an increase…
To change the culture, connect the dots between all caregivers
Finding ways to meet Affordable Care Act (ACA) requirements is a challenge all healthcare leaders are facing, regardless of the type of facility they manage. That challenge includes shifting to a value-based payment system and helping staff and physicians adapt to the sometimes bewildering array of new rules. Kent Bottles,…
CMS issues proposed hospital inpatient payment rule
The Centers for Medicare & Medicaid Services (CMS) on April 30 issued its proposed rule that would update FY 2015 Medicare payment polices and rates for inpatient stays at general acute care and long-term care hospitals. The proposed rule will increase the payment rate to general acute care hospitals by…
Anticipate & educate to navigate murky healthcare reform waters
Anxiety over changes in healthcare delivery and payment systems has permeated hospitals and ambulatory surgery centers (ASCs). Administrators are concerned about how the Affordable Care Act (ACA) and other initiatives will hit the organization’s bottom line. Increasingly, perioperative services leaders are being drawn into discussions in these areas. “The OR…
Editorial
Among the many changes occurring in healthcare delivery, clinically integrated networks and care coordination to improve patient outcomes and satisfaction are increasingly important. Although 30-day readmissions generally have declined in recent years, the Centers for Medicare & Medicaid Services has upped the ante by adding elective total hip arthroplasty, total…
Keynoter Tim Porter-O'Grady sees new roles for perioperative nurses
Tim Porter-O’Grady, DM, EdD, ScD(h), APRN, FAAN, will be the keynote speaker at this year’s OR Manager Conference, which takes place September 17-19 at the Long Beach Convention Center in Long Beach, California. The conference features 4 tracks—ambulatory surgery centers, business management, a masters series, and new manager—designed to address…
Free Daily News
- Hospitals boost cybersecurity budgets, staff
- Kentucky passes first-ever state law decriminalizing medical mistakes
- Kaiser Permanente data breach affects 13.4 million
- Study explores link between diverticulitis and colorectal cancer
- State lawmakers target rising healthcare costs via legislation on hospital facility fees
- FDA medical device Class 1 recalls trend upward
- Data cast doubt on recommendation to delay weight-loss meds prior to surgery
- AAMI guidance covers sterile processing of dilators, ultrasound probes
- Surgical site infections often caused by preexisting bacteria
- The Joint Commission launches new telehealth accreditation program