The Business of Surgery

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Editorial

April OR Manager draws on some of the content presented at the 2020 OR Business Management Conference in January and the 2019 OR Manager Conference, which took place last September. OR Business Management Conference attendees start each year with a look at the latest technology, reimbursement models, and emerging trends…

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By: Elizabeth Wood
March 16, 2020
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Don't fall victim to data breaches in your OR

Data breaches in the healthcare setting are on the rise, according to recent federal statistics. In November 2019, the US Department of Health and Human Services’ (HHS) Office of Civil Rights reported that 29 data breaches affecting 570,565 patients took place, a notable rise from the more than 311,000 people…

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By: Jennifer Lubell
March 16, 2020
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Overcoming common obstacles to implementing a perioperative surgical home

Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach coordinates all phases of surgical care, from preoperative assessment through intraoperative care and postdischarge recovery. According to the American Society of Anesthesiologists, PSH initiatives have…

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By: OR Manager
March 16, 2020
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Competition engages staff in cost savings and standardization

More than half of respondents to a recent OR Manager reader survey put cost-saving initiatives at the top of their list of important topics, and cost reduction is an ongoing challenge for many OR managers. Leaders at Lehigh Valley Health Network (LVH), based in Allentown, Pennsylvania, took a creative approach…

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By: Cynthia Saver, MS, RN
March 16, 2020
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Establishing and leveraging data analytics for ERAS

Virginia Commonwealth University Health System (VCU Health) in Richmond is a Magnet facility, and as such we continually examine innovative ideas to improve the quality, safety, and care of our patients. Evidence has linked Enhanced Recovery After Surgery (ERAS) with better outcomes, and ERAS has become a focal point at…

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By: OR Manager
March 16, 2020
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Nuts and bolts of new technology acquisition--Part 2

Technology acquisitions require OR leaders to weigh the competing demands of stakeholders—including physicians, nursing staff, the finance department, and patients—and to make sure they address those demands when justifying a new purchase. “New technology can be what’s needed to keep competitive in the current environment,” says Beth Bozzelli, MBA, RN,…

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By: Cynthia Saver, MS, RN
February 21, 2020
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Latest sterilization packaging guideline backed by evidence

In October 2019, AORN released its updated Guideline for Sterilization Packaging, which is based on evidence from peer-reviewed literature. This article includes recommendations from that guideline and addresses common misconceptions about sterilization packaging. Other resources for proper use of sterilization packaging include the Association for the Advancement of Medical Instrumentation…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
February 21, 2020
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Back to basics: How collaboration can improve PACU patient flow

Healthcare technology can be a great thing, but nurses at Abington—Jefferson Health, in Abington, Pennsylvania, have discovered that sometimes stepping back from it is the best way to make progress. Going low-tech was the key that unlocked patient flow gridlock that had plagued the postanesthesia care unit (PACU). Before 2017,…

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By: Catherine Spader, RN
February 21, 2020
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Using project management principles to hardwire ERAS protocols

Implementation of Enhanced Recovery After Surgery (ERAS) at Virginia Commonwealth University (VCU) Health System in Richmond has been achieved through project and change management tools that transform the current state to the desired future state. To hardwire ERAS protocols in the OR as well as the ambulatory and acute care…

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By: OR Manager
February 21, 2020
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Nuts and bolts of new technology acquisition--Part 1

Surgeons often are eager to acquire the newest technology, particularly right after attending a conference with a vendor-packed exhibit hall. How can OR leaders weigh surgeon demands with organizational cost constraints to ensure they meet patient needs while being fiscally responsible? The first step is to acknowledge the complexity of…

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By: Cynthia Saver, MS, RN
January 13, 2020
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