Editor's Note Hospitals, physicians, and private equity are accelerating their push into lower-cost outpatient care. According to Colliers US Healthcare Services Research Report Q3 2025, published on September 22, ambulatory surgery center (ASCs) procedure volumes are projected to grow 9% between 2023 and 2028—outpacing hospital outpatient department growth at 7%—and…

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Editor's Note The US continues to outspend every other wealthy nation on healthcare, not because Americans use more services but because the prices of those services are far higher, Peterson-KFF Health System Tracker September 4 reports. The analysis compares US healthcare prices and utilization with 11 similarly wealthy countries and…

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Editor's Note The Perioperative Nutrition Screen (PONS) identifies patients at greater risk of complications following pancreatic cancer surgery, according to a retrospective analysis published August 27 by Research Square. The study found that patients flagged for nutrition risk by PONS experienced longer hospital stays, higher complication rates, and were more…

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What happens when a veteran perioperative leader walks away from the 24/7 responsibility of hospital operations, but not from the work she loves? For Stephanie Davis, MSHA, RN, CNOR, CSSM, former vice president of surgical services at HCA Healthcare, it meant reshaping her role from full-time healthcare executive to expert…

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Editor's Note Perioperative leaders are reshaping how surgical care is delivered, making pragmatic adjustments in the face of supply shortages, staffing constraints, and shifting surgical volume toward ambulatory surgery centers (ASCs). Together, the latest three OR Manager pulse polls reveal a profession managing high stakes with a mix of caution,…

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Editor's Note: This page is a companion page to the main article, "Survey: Staffing problems increase as surgical volume continues to rise."   Most OR leaders (81%) report having a business manager. Historically, fewer than half had this position (42% in 2024, 37% in 2023, and 43% in 2022). The…

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Takeaways • Robot-assisted surgery (RAS) is now an option in many specialties and for adult and pediatric patients; RAS-related ethical issues include access and patient privacy. • Intuitive Surgical continues to dominate the marketplace, but many companies are working on expanding their range of options. • Some current trends and…

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Editor's Note Surgical episodes for Medicare Advantage (MA) patients cost less and used fewer resources than those for traditional Medicare (TM) beneficiaries, according to a JAMA Health Forum study published August 1. Researchers analyzed 1.18 million procedures performed on 1.11 million beneficiaries and found 30-day episode costs were 3.1% lower…

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As we celebrate National ASC Month, it is worth recognizing how central ambulatory surgery centers (ASCs) have become to modern healthcare. Today, there are more than 12,000 ASCs across the US, including over 6,500 Medicare-certified facilities operating some 18,800 surgical suites. With over 80% of all surgical procedures being performed…

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Although hospital performance from January to April 2025 outpaced the first 4 months of 2024, according to Kaufman Hall’s June 2025 “National Hospital Flash Report,” many surgical departments remain under intense financial pressure. Labor and supply costs continue to rise, while surgical services are especially vulnerable to inefficiencies like labor…

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