Surgery/Specialties Editor's Note Major clinical comorbidities increased substantially in patients after elective arthroscopic hip surgery in this study by Duke researchers. These comorbidities have been overlooked in the past by major studies evaluating the procedure’s benefits and risks, the researchers say. In this analysis of 1,870 patients (mean age 32) in…
Editor's Note The Joint Commission on September 26 announced a collaboration with the American Academy of Orthopaedic Surgeons (AAOS) that will incorporate AAOS’ clinical expertise into development of standards and performance measurement requirements for the Joint Commission's Total Hip and Knee Replacement (THKR) Certification. The Joint Commission and AAOS will…
Editor' Note The Joint Commission in partnership with the American Heart Association recently approved a new certification program that will provide an independent evaluation of an organization's eligibility to qualify as a comprehensive cardiac center. After reviewing program requirements, the Joint Commission identified the following areas for revision: Collaborative model…
Editor's Note The Food and Drug Administration (FDA) on September 30 posted an announcement by Getinge that it is voluntarily initiating a worldwide recall involving a field correction of some 5,223 Maquet/Getinge Cardiosave Intra-Aortic Balloon Pumps (IABP) sold by Datascope Corp. The recall is because of the potential for interruption…
Editor's Note Symptoms of burnout and career choice regret were prevalent in resident physicians but varied substantially by specialty, this study fines. In this prospective analysis of 3,588 second-year residents, symptoms of burnout occurred in 45.2% and career choice regret occurred in 14.1%. There were wide differences of prevalence by specialty,…
According to a 2016 McKesson report, payers expect value-based reimbursement, including bundled payments, to grow from a third of their business to a majority of it in 5 years. And as noted in Part 1 of this two-part series (OR Manager, September 2018, 1, 13-17), bundles are advancing on multiple…
As hospital administrators face shrinking operating margins, OR leaders are being called upon to create innovative approaches for boosting revenue. Adding a new service line is one option, but it carries both risks and rewards. Only by careful analysis and follow-through can OR leaders hope to tip the balance to…
Editor's Note Physician burnout was linked to a higher risk of patient safety incidents, lower patient satisfaction, and poorer care in this study. This meta-analysis of 47 studies involving more than 40,000 physicians, found that physician burnout was associated with double the odds for involvement in patient safety incidents and…
Editor's Note Hospital participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program for lower extremity joint replacement (LEJR) was not associated with changes in overall procedural volume or the majority of patient case-mix factors, this study finds. The analysis of 1,717,243 Medicare patients found hospital participation in the BPCI…
Editor's Note This interim analysis of the first year of the Comprehensive Care for Joint Replacement (CJR) bundled payment model finds that CJR may reduce institutional postacute care. Of 75 metropolitan statistical areas (MSAs) that were assigned the bundled payment model and 121 control MSAs, the mean percentage of discharges…
