Tag: Management

Preoperative protocols enhance outpatient total joint outcomes

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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By: Catherine Spader, RN
July 22, 2020
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Joint Commission revises position statement on preventing nosocomial COVID-19 infections

Editor's Note The Joint Commission announced June 24 that it has revised its position statement on preventing nosocomial COVID-19 infections as healthcare organizations resume regular care delivery. The Joint Commission supports the following positions: Continuing to follow Centers for Disease Control and Prevention’s recommendations for universal masking of staff, patients,…

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By: Judy Mathias
June 25, 2020
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Different timetables, similar challenges seen in elective surgical caseloads

Resuming elective surgical procedures is critical for recovering revenue lost during the early phase of the COVID-19 pandemic and treating patients whose health may have been compromised while awaiting surgery. Timetables and protocols for resuming those procedures tend to differ by facility, but OR leaders nationwide feel that “we’re all…

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By: Elizabeth Wood
June 17, 2020
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Defining 'wants' vs 'needs' drives success of instrument standardization

Hospitals nationwide have thousands of unique instrument trays that take up valuable space on their shelves. Many trays are cluttered with rarely used instruments that are there “just in case.” The problem can be particularly acute in large health systems. Across Cleveland Clinic’s multiple locations in northeast Ohio, for example,…

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By: Judith M. Mathias, MA, RN
June 17, 2020
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Editorial

Editor’s note: This editorial is by Judy Mathias, OR Manager’s clinical editor. It is adapted from remarks made in a webinar presented by DLA Piper in partnership with the Cohen Group, titled, “Looking forward: COVID-19 and its implications for global business and international cooperation.” The speakers were General James Mattis,…

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By: Judith M. Mathias, MA, RN
June 17, 2020
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Pre-COVID initiatives pave way for successful crisis management

Proactive leadership, early preparation, and ongoing planning and communication have helped mitigate COVID-19 threats at Tampa General Hospital in Tampa, Florida. As a result, resuming elective surgical cases in early May was a relatively seamless process thanks to process improvements made before the pandemic hit. “We started working on COVID-19…

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By: Elizabeth Wood
June 17, 2020
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ASC offsets some revenue loss through 'Hospital Without Walls' waiver

Far fewer cases of COVID-19 have been seen in rural areas of the US than in large urban populations. But even healthcare facilities not inundated with COVID-19 patients have sustained revenue losses and disruptions in standard procedures. One major advantage for Heartland Surgery Center in Kearney, Nebraska, was seeing the…

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By: Elizabeth Wood
June 17, 2020
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Self-awareness fosters higher emotional intelligence

Everyone has had bad days at work when they may have felt frustrated, sad, angry, stressed, afraid, nauseated, sick, or overwhelmed. Why do some move from experiencing a terrible day at work to leaving the organization, whereas others pull themselves together? How do we rally from burnout, disappointment, frustration, and…

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By: Jamie Ridout, MSN, MBA, RN, NEA-BC, CNOR, CASC
June 17, 2020
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CMS releases reopening guide for non-emergent care

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on June 9 released a guide for healthcare facilities to resume in-person, non-emergent, non-COVID-19 services in states and regions with no evidence of COVID-19 resurgence. Recommendations include: designating separate areas for COVID-19 care establishing non-COVID-19 care zones where patients can…

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By: Judy Mathias
June 10, 2020
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CMS unveils enhanced enforcement actions for nursing homes based on COVID-19 data, inspections

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on June 1 unveiled enhanced enforcement actions for nursing homes with violations of infection control practices. The enhanced and targeted accountability actions are based on trends in recent data regarding the incidence of COVID-19 in nursing homes and infection control…

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By: Judy Mathias
June 2, 2020
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