The Business of Surgery 
Is there really a nursing shortage? “Is this a question or a statement?” asks Ruth P. Shumaker, BSN, RN, CNOR, executive director perioperative services, Regional One Health, Germantown, Tennessee. “It’s a little bit of both,” she answers. “Some of it has been self-made, and some of it is because we…
Electronic health records (EHRs) have been decried as a drag on an organization’s efficiency and a source of frustration for clinicians and managers. Complaints related to documentation time, compatibility with other systems, and report generation are common. These shortcomings were reflected in the 2022 OR Manager Salary/Career Survey. More than…
As organizations adapt to COVID-19 and the number of severe cases eases in many areas of the country, leaders in ambulatory surgery centers (ASCs) are seeing a significant uptick in volume of surgical procedures, according to the 2022 OR Manager Salary/Career Survey. More than half (56%) reported increased volume in…
Healthcare costs in the US have increased exponentially in recent years. Surgical procedures are especially costly. Cost control without sacrificing high quality care is the ultimate goal for many surgical practices and payers. Alternative practices and payment models have been explored to meet this goal. Episode-based payments, more commonly known…
ORs rebounding from the financial impact of COVID-19 are looking for ways to reduce expenses. With rising costs coming from all angles of the economy, some have adopted systemwide processes to reduce, streamline, and improve surgical instrumentation sets. Two major health systems, the Cleveland Clinic and Thomas Jefferson University Hospital…
With inflation hitting yet another record-breaking high—9.1% at the time of publication—hospitals and health systems continue to contend with challenging supply chain disruptions that force leaders into a constant state of putting out fires. Supply chain issues are not new. But instead of having time to plan ahead and implement…
Lynn Webb, PhD, assistant dean of the Vanderbilt School of Medicine, Nashville, Tennessee, shared an anecdote about unprofessional behavior with attendees of the recent OR Business Management Conference in San Antonio, Texas. A nurse reported that a surgeon was performing a transverse colon resection, and at the appropriate point, they…
The passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009 brought electronic health records (EHR) to the forefront, but the concept existed long before that. Larry Weed and Jan Schultz at the University of Vermont developed a preliminary system in the 1970s. In 2014,…
The Accreditation Association for Ambulatory Health Care (AAAHC) has been accrediting ambulatory healthcare facilities, including ambulatory surgery centers (ASCs), for more than 40 years, with some 6,100 accredited organizations. A top philosophy of AAAHC is “1095 Strong,” which emphasizes the importance of integrating quality practices throughout a facility’s 1,095 days…
When Donna Doyle, DNP, RN, CNOR, NE-BC, perioperative consultant with DJD Consulting Services in Columbus, Ohio, thinks of succession planning, the British royal family comes to mind. “That is the epitome of succession planning,” she says. “You know exactly who’s in what position, who is next up, and who is…
