The Business of Surgery 
Navigating contracts with anesthesia when anesthesiology services are suffering from workforce shortages and high costs is often tricky and complex. The biggest mistake ambulatory surgery centers (ASCs) make is that they do not know what they want when entering a contract negotiation with an anesthesia provider. As a result, ASCs…
I met Jim at one of our first West Coast OR Manager Conferences in San Francisco in the early 90s. He was a speaker that year, and we were seated at the same table at the Speaker’s Dinner. Jim was still in the Navy and was wearing his white uniform.…
COVID-19 was a catalyst that helped accelerate innovation in healthcare by a decade, says Jay Banerjee, chief operating officer and cofounder of ImmersiveTouch, a virtual reality (VR) surgery company in Chicago. “Many things that would have taken 20 to 30 years happened sooner,” Banerjee says. “Telemedicine; electronic health records; remote…
After writing my latest article on surgical robots (Operationalizing a robotics program for evenings, weekends, pp 13–15, 19) for this issue of OR Manager, I reminisced on how the surgical robot has evolved and how my interest in surgical robots began. Reminiscing about robots It all began with the…
The St Elizabeth Healthcare organization in northern Kentucky has eight facilities, including two surgery centers. The flagship hospital on the Edgewood campus has 534 beds and 22 ORs and typically performs some 14,000 surgical procedures per year. Robots help manage the volume. The Edgewood, Florence, and Ft Thomas hospitals have…
Imagine this: As a nurse in the OR talks with a patient, a computer listens in, recording the nurse’s notes so that data are added automatically to be retrieved later. The surgeon and anesthesiologist also interact with the patient without the burden of manual data entry, and the insurance company…
Consider the following requests posed to OR scheduling staff by surgeons: • “I need two blocks in different rooms to accommodate my daily case volume.” • “Can’t I just use that empty room to start my next case while the first case is wrapping up?” Surgeon requests like these are…
On September 15, 2022, AORN released its updated Guideline for Processing Flexible Endoscopes. Over the past several years, there has been significant research on flexible endoscope processing—research that met the stringent requirements and has been included in this revised guideline by AORN’s lead author and team. Endoscope processing begins with…
David Shapiro, MD, who is a risk manager/medical director at several ambulatory surgery centers (ASCs) near Tallahassee, Florida, has seen his fair share of contracts with anesthesia services. Navigating these types of contracts at a time when anesthesiology is suffering from a workforce shortage and high costs for services is…
Today’s chat is with Casey Orth-Nebitt, MSN, RN, CNOR, Director of Surgery, Buena Vista Regional Medical Center, Storm Lake, Iowa. Q: What is something that went right at your facility and/or that you are thankful for this year? I'm always thankful for my staff, who have remained loyal, hardworking, and…
