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CMS extends ASC quality measure deadline until September 30

Editor's Note The Centers for Medicare & Medicaid Services has extended the deadline for submitting data for the Ambulatory Surgical Center Quality Reporting Program until September 30, the Ambulatory Surgery Center Association reports.   This applies to the claims-based measures submitted via QualityNet and the Centers for Disease Control and…

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By: OR Manager
August 4, 2015
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Medicare penalizes more than half of hospitals for readmissions

Editor's Note Nearly 2,600 hospitals will be penalized for missing readmission targets under Medicare, with a loss of $420 million, Kaiser Health News reports. The average Medicare payment reduction is 0.61% per patient stay; 38 hospitals will receive the maximum cut of 3%. The reductions are based on readmissions of…

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By: OR Manager
August 4, 2015
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ACS Advocating for Critical Access Hospital Relief Act

Editor's Note A central issue discussed at the US House Committee on Ways and Means on July 28 was the Critical Access Hospital (CAH) Relief Act, HR 169, which is supported by the American College of Surgeons (ACS). Currently, for CAHs to receive Medicare Part A reimbursement, physicians must certify…

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By: OR Manager
July 31, 2015
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More physicians, nurses needed as Medicare turns 50

Editor's Note More physicians and nurses are needed as Medicare and Medicaid reach their 50th anniversary, Healthcare Finance News reports. Medicare and Medicaid paid $15 billion toward residency training programs in 2012, and the Association of American Medical Colleges has predicted a shortage of between 46,000 and 90,000 physicians by…

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By: OR Manager
July 31, 2015
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ASA survey: Who bears responsibility for reducing healthcare costs?

Editor's Note A survey of members of the American Society of Anesthesiologists on the level of responsibility they perceive stakeholders to have in reducing the cost of healthcare and perioperative care delivery found: physicians bear “major responsibility” (38%) physicians bear “some responsibility” (58%) physicians bear “no responsibility” (4%) hospitals bear…

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By: OR Manager
July 31, 2015
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Which procedures should be added to ASC Medicare list?

Editor's Note The Ambulatory Surgery Center Association (ASCA) is conducting a survey of its members to determine which procedures should be added to the list of ASC Medicare payable procedures for 2016. The information will help ASCA advocate for the expansion of the list of procedures the Centers for Medicare…

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By: OR Manager
July 30, 2015
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UTIs reduced by focusing on catheter use in the OR

Editor's Note Surgical teams at Northwesterm Memorial Hospital in Chicago are decreasing the rate of urinary tract infections by focusing on the use of catheters before and immediately after surgical procedures. A process improvement program reduced the number of UTIs associated with catheters placed in patients in the OR from…

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By: OR Manager
July 30, 2015
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Medicare patient mortality, hospitalizations, and expenditures down

Editor's Note Deaths, hospital stays, and spending all decreased for Medicare patients from 1999 to 2013, this study finds. In 1999, the all-cause mortality rate was 5.3%, and by 2013 that rate had fallen to 4.5%. Hospitalizations decreased from around 35,000 per 100,000 annually to 27,000 per 100,000. Inpatient inflation-adjusted…

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By: OR Manager
July 30, 2015
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Night shifts, overtime linked to injuries in new RNs

Editor's Note New RNs working night shifts and overtime are at increased risk for injury, this study finds. Those working weekly overtime were associated with a 32% increase in the risk of needle sticks. New nurses working night shifts correlated with a 16% increase in the risk of sprain and…

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By: OR Manager
July 30, 2015
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Penalties based on number of VTEs unfairly imposed

Editor's Note After a review of 128 case histories, Johns Hopkins researchers find that financial penalties imposed by federal and state agencies on Maryland hospitals based solely on the total number of patients who suffer venous thromboemboli (VTEs) fail to account for those that occur despite the consistent and proper…

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By: OR Manager
July 29, 2015
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