The Business of Surgery

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October 2025
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Minimizing wasted 'In-OR' minutes at start of day at a pediatric AMC

The OR is the financial motor of a hospital. As such, inefficiencies in this space adversely impact patient safety as well as the financial stability of the hospital and/or healthcare system. The first case on-time starts (FCOTS) metric is one of the primary benchmarks for assessing OR efficiency. The following…

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By: Katrina M. Schuh, DNP, RN; Quinn Mullikin, PhD, RN; Peter Nichol, MD, PhD; and Susan L. Jones, MBA
September 26, 2023
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Maximizing productivity measurement: Part 1

Takeaways • Many tools for measuring productivity do not reflect the complexity of the perioperative setting. • Multidisciplinary teams can help establish productivity metrics and tools. • Productivity measures vary across the perioperative continuum. For most perioperative leaders, discussions about productivity do not top the list of enjoyable parts of…

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By: Cynthia Saver, MS, RN
August 21, 2023
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Supplementing staff with travelers helps reduce burnout

OR leaders face numerous challenges in managing high patient volumes and complex procedures, as well as in maintaining staff morale. To meet these demands, many ORs have turned to nurse travelers for temporary staffing support. With the addition of nurse travelers, the responsibilities of OR leaders increase, putting them at…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL
August 21, 2023
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Transformation as a service: What hospitals can expect from LeanTaaS

The surgical department often deals with challenges like underused block time, inefficient scheduling, limited data, and unpredictable demand. They also struggle to match staff skills to service needs. LeanTaaS and its software help to tackle these issues by using lean principles, predictive analytics, and machine learning. The LeanTaaS solutions are…

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By: OR Manager
August 21, 2023
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Survey: ASC volumes continue to rise amid staffing challenges

healthcare nurse staff

ASC leaders continue to see increased surgical volumes but are finding it difficult to staff their centers, according to the 2023 OR Manager Salary/Career Survey. More than half (56%) of respondents reported increased volume in the past 12 months, the same as last year. Yet the ability to recruit new…

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By: Cynthia Saver, MS, RN
August 21, 2023
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Market forces affecting the ambulatory surgery industry

Ambulatory is the term the industry is “stuck with” because that is the name the founders came up with in 1970, says David Shapiro, MD, CASC, CPHRM, LHR, an anesthesiologist with extensive experience in ambulatory surgery management and a member of the Accreditation Association for Ambulatory Health Care (AAAHC) board.…

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By: Judith M. Mathias, MA, BS, RN
August 21, 2023
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Hospitals look to cybersecurity insurance as cyberattacks rise

Takeaways • Patient data & safety are at risk: 94% of hospitals have experienced at least one cyberattack. • Less than half of hospitals in the US carry cybersecurity insurance. • Security is a two-part strategy: cybersecurity insurance as well as preventative measures (eg, encrypted backups, patches, and training). When…

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By: Brita Belli
July 20, 2023
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Price transparency in surgical settings

Takeaways • Healthcare consumers are not aware that they can ask how much something costs. • There is disconnect between the law and common knowledge, and patients generally are confused about what they receive as good faith estimates. • In addition to incorrect CPT codes and OON allowable charges, the…

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By: Uyen Vo, BSN, MBA
July 20, 2023
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Editorial

The topic of artificial intelligence (AI) makes headlines almost daily. Eliminating any fatalistic doomsday scenarios, current literature is raising interesting points around the useability of AI and the ethical considerations regular users of AI should not ignore. In the healthcare space, the number one question seems to be, Is it…

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By: Tarsilla Moura
July 20, 2023
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Harnessing power of AI: Operational improvements for the OR

ORs are at the heart of healthcare organizations, where critical decisions are made, often under immense pressure. This pressure has escalated with ever-increasing demands, growing complexities, and the constant requirement for innovative solutions. In today’s rapidly evolving technological landscape, artificial intelligence (AI), machine learning (ML), and the emerging generative AI…

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By: Elizabeth Stocum, BSN, RN, CNOR
July 20, 2023
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