The Business of Surgery 
Takeaways • Although the central tenets of value-based healthcare have not changed, in many cases implementation has been reduced to little more than reducing costs, to the detriment of clinicians and patients. • The right incentives, such as recognition and work support, can effectively inspire clinicians to deliver high value…
Takeaways • Interdepartmental collaboration and standardized communication are essential to quickly identifying and addressing supply chain challenges. • Just-in-time inventory strategies have gained traction since the pandemic. Successful strategies involve leveraging data, rethinking preference card management, and shifting to a demand-planning model. • Resiliency is essential to cope with the…
Ensuring safe, quality care requires precise alignment among inventory levels, delivery schedules, storage solutions, and every other element of the supply chain. A single missing piece of this puzzle—say, a delayed shipment or a storage issue—can disrupt the entire picture. Making the pieces fit can be difficult for any healthcare…
CEO Karen Franco, MBA, spent years struggling to fill surgical technologist (ST) positions at Pacific Surgery Center in Poulsbo, Washington, due to a lack of viable training options. Nearly 1,400 miles away, Deb Braly, RN, a nurse educator in the surgery department of San Luis Valley Regional Medical Center in…
Immersed in texts, apps, QR codes, and streaming videos, we live in a digital world. And yet, healthcare has been slow to catch up. Most nurses and other staff still hand out packets of paper and relay information verbally, whether in person or over the phone. It does not have…
Takeaways • Visual management (VM) tools support Lean efforts, leading to improved quality and efficiency. • VM boards provide an overview of processes, facilitate problem solving, and promote staff-manager collaboration. • Other VM tools such as color coding and customized instrument trays can help reduce errors and save money. Lean…
What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…
“Surgeons are the only people trained to provide surgery—life-saving care," says Carrie Zlatos, chief of legislative and political affairs at the American College of Surgeons (ACS). "They are an essential element of a community-based healthcare system. Regardless of where you live, everyone should have access to full quality surgical care.”…
Stem cell therapy is poised to revolutionize regenerative medicine. As these therapies advance, they may alter or even replace certain invasive surgical procedures. Already undergoing advanced clinical trials, orthopedic applications are likely candidates for attracting the earliest adopters. Results so far indicate significant potential for providing alternatives to implants, grafts,…
Perioperative leaders are entering a time of uncertainty after 2024 proved to be transformative for inpatient and outpatient surgical care. Last year saw important updates from The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) that emphasized improvements alongside ongoing challenges in safety, workforce shortages, reimbursement, and…
