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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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FDA approves nonsurgical balloon device for bariatric patients

Editor's Note The Food and Drug Administration on July 28 approved a new balloon device to treat obesity without the need for a surgical procedure. The ReShape Integrated Dual Balloon System (ReShape Medical Inc, San Clemente, California) is inserted into the stomach endoscopically and then filled with saline. Patients are…

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By: OR Manager
July 29, 2015
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Healthcare spending to grow 5.8% annually

Editor's Note The Centers for Medicare & Medicaid Services Office of the Actuary estimates that healthcare spending will grow an average of 5.8% each year from 2014 to 2024. The estimate is higher than the projection of 5.7% made a year ago. Prior to the Affordable Care Act in 2014,…

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By: OR Manager
July 29, 2015
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Characteristics of hospitals penalized in HAC reduction program

Editor's Note Among hospitals participating in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program, those penalized the most had more quality accreditations, offered more advanced services, were major teaching institutions, and had better performance on other process and outcome measures. The findings suggest that the approach CMS…

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By: OR Manager
July 29, 2015
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