The Business of Surgery 
The OR department is often what keeps most hospitals afloat. Surgical services account for roughly 50% of a hospital’s revenue, but they also contribute approximately 60% to overall costs. ORs must be efficient. Successes and failures in the surgical suite affect the entire system. Healthcare systems have found that highly…
Float teams have been a staple of nurse-staffing plans for many years, but they have not been widely used in the operating room. Utah Valley Hospital, a Level II trauma center in Provo, Utah, and part of the Intermountain Healthcare system, has been developing float teams for nearly 2 decades.…
For healthcare, and for hospitals and health systems especially, 2022 was one of the years with the worst financial performance seen in decades. Monthly reports throughout last year depicted rising costs, mostly exacerbated by the crippling staff shortages and a reliance on more expensive contract staff, and diminished profit margins.…
Nationwide staffing shortages are causing significant strain on healthcare systems. Hospital leaders have to be creative with how to mitigate this challenge while still prioritizing patient care. Healthcare workers are essential, but labor costs are often the largest expenses for hospitals. Even before the pandemic, labor costs, including recruitment, retention,…
When making decisions about technology and equipment, there is a tendency to focus on immediate productivity increases—or perhaps, practical aspects such as carrying out an implementation or training staff. But here is another major issue: how to maintain OR equipment once the warranty runs out. This is more complex than…
Over my 40-year career—after starting at the bedside in surgical intensive care, moving to emergency medicine, and then to perioperative services—I have been fortunate to progress into executive leadership positions in academic medical center health systems and community hospitals, consult with a top global advisory firm, and now work in…
The use of electrosurgical instrumentation is common in minimally invasive surgery (MIS). However, while these instruments are common, processing them is complex and time-consuming. Insulated electrosurgical instrumentation can cause patient harm, including an electrical burn, if there is a breach in the insulation. These instruments are designed to have an…
Takeaways Many OR managers said they were overdue for a survey by The Joint Commission because of the pandemic. The Joint Commission is said to be 3,000 surveys behind. More checklists are being used by surveyors, which are available in The Joint Commission’s Perspectives and EC News newsletters. New in…
Takeaways Natural language processing (NLP) may be helpful for predicting surgical outcomes and can facilitate more robust research. NLP comes with challenges that include potential for bias, costs, technology and terminology barriers, and the need to adapt to new ways of thinking. Before purchasing products that use NLP, OR leaders…
Recent analysis provided by the Association of Medical Device Reprocessors (AMDR) indicates that US hospitals could save up to $2.28 billion a year by maximizing the use of reprocessed single-use medical devices. According to the report, in 2020, US hospitals saved $372 million just by reprocessing single-use medical devices, as…
