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Joint Commission targets fatigue from clinicians' extended hours
In a new alert, the Joint Commission adds its voice to calls to curb fatigue from extended work days and work hours. The alert highlights evidence linking fatigue to adverse events and outlines actions organizations can take to mitigate fatigue, especially among nurses and physicians. The commission says the alert…
What trends are driving hospital-MD alignment?
Hospitals have aggressive cost reduction goals coupled with more quality incentives. “In the past, we would hear of goals in the millions of dollars,” says Lani Berman, MPH, MBA, senior vice president, performance services for VHA Inc. Today, she says goals are often in the hundreds of millions, especially for…
Shared savings don't jeopardize patient outcomes
A 4-year study shows patient outcomes didn’t change significantly when hospitals and physicians joined in a pay-for-performance (P4P) program for 8 types of surgery. The researchers say this is one of the first studies of P4P to look at patient outcomes. The project used a gainsharing model in which 3…
Blood management: Reducing blood use reduces risks and lowers costs
It’s common for physicians to order 2 units of blood. But with growing awareness of the hazards of transfusions, hospitals are adopting stricter measures to manage their blood supplies, including developing guidelines for transfusions and making sure physicians are compliant. Over the past 5 years, research has shown that transfusions…
CMS overturns its rule on advance patient notice
OR Manager; Vol. 27 No. 12; December 2011 In a sudden and welcome move, the Centers for Medicare and Medicaid Service (CMS) has not merely relaxed its rule on informing patients of their rights in advance of surgery; it has overturned it. On October 7, 2011, Health and Human Services…
Cost management for ORs moves from minor to the major leagues
OR Manager; Vol. 27 No. 12; December 2011 If your household had to cut expenses by 7% to 8% and then hold the line for 10 years, how would you adjust? That’s the situation hospitals face as they cope with cuts in Medicare and Medicaid payments and rising numbers of…
Hospitals prepare for SSI reporting as part of trend toward transparency
OR Manager; Vol. 27 No. 12; December 2011 Do you know your hospital’s surgical site infection (SSI) rate for colon surgery and abdominal hysterectomy? Hospitals must start reporting their SSI rates for these 2 procedures on January 1, 2012, to receive their full Medicare payment update in 2014. The list…
Medicare 2012 outpatient rule adds surgical quality measures
OR Manager; Vol. 27 No. 12; December 2011 Hospital outpatient departments will have to use a surgical safety checklist during 2012 to receive their full Medicare payment update in 2014—even though they don’t have to report the checklist’s use until 2013. Related article, p 20. That’s one of 2 new…
OR business managers to participate in workshop
OR Manager; Vol. 27 No. 12; December 2011 As surgical suites face decreasing reimbursement, OR business managers are looking to increase their knowledge of OR processes and to improve their critical financial skills. OR business managers are invited to participate in the first workshop designed specifically for their professional interests.…
OR Manager Subject Index 2011, volume 27
OR Manager; Vol. 27 No. 12; December 2011 ACCREDITATION Accreditation accountability, Mar: 6 CMS anesthesia guidelines, Apr: 23 Reprocessing laryngoscope blades,Dec: 15 Top performers listed, Nov: 24 ALLOGRAFTS Bone allografts, part 5, Feb: 20 Bone allografts: part 4, Jan: 15 Practical guide, Mar: Supplement Questions for suppliers, Jan: 16 AMBULATORY…
Free Daily News
- New studies highlight opportunities to improve pediatric anesthesia safety, comfort
- Social and behavioral factors emerging as key predictors of recovery quality after surgery
- Hospitals being squeezed: Anesthesia workforce gaps, payer cuts threaten surgery access
- CDC layoffs cripple national injury and overdose tracking, leaving prevention efforts in doubt
- The Joint Commission makes nurse staffing a national performance goal for 2026
- Telehealth in limbo: Providers split on continuing Medicare services during shutdown
- States take aim at outpatient facility fees driving higher commercial health costs
- Slower acquisitions, mounting debt reshape Surgery Partners growth outlook
- ASCs surge as hospitals and investors chase outpatient growth
- Nearly half of US physicians now work for large systems: GAO links consolidation to higher costs