The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…

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Editor's Note Artificial intelligence (AI) will not replace perioperative leaders, but it will demand sharper decision-making, closer collaboration, and thoughtful staff engagement, OR Manager coverage reports. AI is poised to transform perioperative practice, yet its value depends on how leaders choose, evaluate, and integrate these technologies. Key insights the article…

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In perioperative care, high-performing teams are critical to patient safety and workflow efficiency. Diversity in hiring is not only a matter of compliance—it directly influences care quality, communication, and innovation. A diverse healthcare workforce reflects the varied backgrounds of patients, which builds trust and cultural competency. Research shows that when…

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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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About the survey Data for the Career/Salary Survey were collected from April 1 to June 27, 2025. The list comprised ASC administrators who were either OR Manager subscribers or part of an external list. The survey closed with 90 responses. The margin of error is ±5 percentage points at the…

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Know the law. It could save your patients’ lives and your staff members’ practices. This is the advice of several medical legal experts to OR leaders to prevent lapses in patient protections that risk injury or even death. Beyond ensuring safe surgery and preventing litigation, perioperative nursing experts who advance…

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When Phyllis Quinlan, PhD, RN, NPD‑BC, founded MFW Consultants in 1994, she was already on her third career pivot. The former social‑work intern turned emergency‑trauma nurse discovered that the high-stakes of the emergency department (ED), coupled with her human‑behavior insights from sociology and psychology degrees, gave her a rare vantage point on how…

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Editor's Note Healthcare hiring slowed in the second quarter of 2025, with nursing and technician roles experiencing steep declines even as physician and pharmacy jobs continued to grow. According to HealthLeaders August 19, the shift signals a potential rebalancing in workforce priorities as hospitals and health systems adapt to financial…

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Once limited to hospital inpatient settings, total joint surgery is increasingly common at ambulatory surgery centers (ASCs) across the US. What is not so common is performing these complex procedures without the benefit of an onsite sterile processing department (SPD). And yet, that is exactly what we have accomplished at…

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Editor’s Note: This page is a companion piece to the main article, Centralized sterile processing cuts costs, complexity for four ASCs.    Implementing offsite sterilization is a major project. At Total Joint Specialists, our journey began gradually, growing in scope over time as the team became comfortable with the process…

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