The Business of Surgery

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November 2025
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Robots reshape surgical services, part 2: Building, sustaining success

Takeaways • Determining the return on investment (ROI) for a robot-assisted surgery (RAS) program should include anticipated surgeon volume and past cases where RAS could have been used. • Some organizations dedicate staff to RAS cases, while others orient all to these procedures. • Offering ROI after hours require careful…

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By: Cynthia Saver
October 28, 2025
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Building trust in AI, making it work for perioperative nurses

Artificial intelligence (AI) has made inroads into nearly every area of healthcare. With nursing shortages continuing—marked by the loss of some 100,000 nurses following the COVID-19 pandemic and projected deficits of 20% or more in some states—AI-based tools that improve access to information, streamline efficiency, monitor patients, track procedures, and…

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By: Brita Belli
October 27, 2025
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Integrating robotics for outpatient surgery: What ASC leaders need to know

Robotic surgery has moved from cutting-edge to commonplace. The question is no longer whether to use robotics but when to introduce it and how to ensure adoption is efficient, affordable, and seamless for surgical teams. Ambulatory surgery centers (ASCs) are increasingly adding robotics to their service lines, driven by the…

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By: Julia Cameron
October 16, 2025
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How digital tools help nurse leaders retain expertise, stabilize staffing, sustain efficiency

Perioperative leaders face a workforce transition unlike any in recent memory. By 2030, all baby boomers will have reached retirement age, and many veteran perioperative nurses are already exiting, taking with them decades of institutional knowledge. At the same time, the expectations of today’s workforce have shifted, placing greater value…

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By: Thomas Needs
October 14, 2025
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Considerations for external transportation of processed medical devices

The centralization of medical device processing to one facility is becoming more prevalent. Centralizing sterile processing activities reduces expenses while concentrating expertise. However, this also introduces new concerns. When sterile processing is located within the same building where instrumentation is used, transport occurs over smooth floors in a controlled environment…

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By: Susan Klacik
October 10, 2025
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Optimizing vendor partnerships for cost containment, growth in ASCs: OR Manager Conference Session Preview

Growth is the goal in any ASC—growth in volume, growth in profits, and often growth to new locations. For DISC Surgery Centers, which just opened its sixth ambulatory surgery center (ASC) through parent company TriasMD, that growth has been the result of many factors. A key driver, according to Frank…

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By: Carina Stanton
September 24, 2025
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Survey: 2025 business manager profile

Data and surveys

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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By: Cynthia Saver
September 1, 2025
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Robots reshape surgical services, part 1: Emerging tech, rising risks

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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By: Cynthia Saver
August 27, 2025
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Expert lessons on building successful total joints programs in ASCs

By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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By: Tarsilla Moura
August 26, 2025
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Mind the gap: Why Medicare pays ASCs less than HOPDs—and what that means

For decades, ambulatory surgery centers (ASCs) have shown their ability to deliver high-quality surgical care at substantially lower cost than hospital outpatient departments (HOPDs). ASCs achieve these savings through leaner operations, streamlined staffing models, and specialty-focused efficiencies, not by compromising safety or outcomes. Studies consistently highlight procedures performed in ASCs…

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By: Tarsilla Moura
August 19, 2025
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