The Business of Surgery 
Healthcare costs in the US have increased exponentially in recent years. Surgical procedures are especially costly. Cost control without sacrificing high quality care is the ultimate goal for many surgical practices and payers. Alternative practices and payment models have been explored to meet this goal. Episode-based payments, more commonly known…
ORs rebounding from the financial impact of COVID-19 are looking for ways to reduce expenses. With rising costs coming from all angles of the economy, some have adopted systemwide processes to reduce, streamline, and improve surgical instrumentation sets. Two major health systems, the Cleveland Clinic and Thomas Jefferson University Hospital…
With inflation hitting yet another record-breaking high—9.1% at the time of publication—hospitals and health systems continue to contend with challenging supply chain disruptions that force leaders into a constant state of putting out fires. Supply chain issues are not new. But instead of having time to plan ahead and implement…
Lynn Webb, PhD, assistant dean of the Vanderbilt School of Medicine, Nashville, Tennessee, shared an anecdote about unprofessional behavior with attendees of the recent OR Business Management Conference in San Antonio, Texas. A nurse reported that a surgeon was performing a transverse colon resection, and at the appropriate point, they…
The passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009 brought electronic health records (EHR) to the forefront, but the concept existed long before that. Larry Weed and Jan Schultz at the University of Vermont developed a preliminary system in the 1970s. In 2014,…
The Accreditation Association for Ambulatory Health Care (AAAHC) has been accrediting ambulatory healthcare facilities, including ambulatory surgery centers (ASCs), for more than 40 years, with some 6,100 accredited organizations. A top philosophy of AAAHC is “1095 Strong,” which emphasizes the importance of integrating quality practices throughout a facility’s 1,095 days…
When Donna Doyle, DNP, RN, CNOR, NE-BC, perioperative consultant with DJD Consulting Services in Columbus, Ohio, thinks of succession planning, the British royal family comes to mind. “That is the epitome of succession planning,” she says. “You know exactly who’s in what position, who is next up, and who is…
May 2022 saw a critical shortage of the iodinated contrast medium (ICM) iohexol that extended well into June because of a COVID-19-related shutdown of a GE Healthcare plant in Shanghai, China, that interrupted the manufacture of ICM. According to the American College of Radiology, contrast media were added to the…
When a natural disaster strikes—whether flood, tornado, hurricane, or wildfire—nearly every aspect of a healthcare system’s operations are impacted. There is an influx of patients in crisis and a spike in calls for emergency services. There are logistical problems—impassable roads, power outages, and communication and internet breakdowns. Supply chain disruptions…
May 2022 brought business leaders and operations managers back together in person for the OR Business Management Conference. This year marked its 10th anniversary, and the intimate event highlighted several facets of the behemoth issue that is staffing. Several sessions touched on the topic, including: • “Organize the chaos and…
