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Outpatient Surgery

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  • MedPAC discusses, but doesn't equalize pay rates

    In recent discussions, the Medicare Payment Advisory Commission (MedPAC), for the first time, proposed equalization between hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) for certain procedures, according to the ASC Association.
  • Preventing unsafe devices from reaching the market

    Technological advancements in medicine have allowed patients suffering from musculoskeletal conditions such as hip and knee pain to regain mobility and live relatively pain-free. But some high-risk surgical devices that have been approved by the Food and Drug Administration (FDA) are not required to go through clinical trials, where a product is tested to determine its safety and effectiveness.
  • Same-Day Surgery Manager: Tips and tricks for the SDS trade

    Few ideas I come up with or speak about are original. Sometimes I think they are, but I might have heard them from a doc, nurse, Seinfeld show, or a conference.
  • $68,000 proposed OSHA fine for ASC raises concerns: Is the field complying?

    Compliance with the bloodborne pathogen standard from the Occupational Safety and Health Administration (OSHA) is an ongoing issue, and now apparent lack of compliance has resulted in a proposed $68,000 fine for a surgery center regarding claims that it failed to protect workers exposed to bloodborne pathogen hazards.
  • 4-year degree nurses tied to fewer deaths

    When hospitals hire more nurses with four-year degrees, patient deaths following common surgeries decrease, according to new research by the Center for Health Outcomes and Policy Research at the University of Pennsylvania School of Nursing in Philadelphia, as reported in the March issue of Health Affairs. Less than half the nations nurses (45%) have baccalaureate degrees, according to the most recent data available (2008).
  • CDC contacting facilities with high infection rates

    While generally citing continued reductions in key health care associated infections (HAIs), a recent Centers for Disease Control and Prevention (CDC) surveillance report also revealed some outliers with high infection rates.
  • Your EMR charting might be provably false!

    Entering an overly complete history and examination on a patient presenting with a minor or simple complaint is one danger with electronic medical records (EMRs), especially when time-stamping makes such a lengthy examination unlikely, warns John Davenport, MD, JD, physician risk manager of a California-based health maintenance organization.
  • Hitting the high (reliability) notes

    For the last 10 years, Memorial Hermann Hospital in Houston has been on a journey to make the only two scores that matter 100 and zero.
  • CMS pilots quality improvement, discharge planning surveys

    The Centers for Medicare & Medicaid Services (CMS) has started pilot testing of two more survey tools to go with the infection control pilot it began testing last year.
  • 10 steps to the ideal transition

    Everyone has a great idea for reducing read-missions and improving transitions of care. The literature is full of it.