Uncategorized Editor's Note Use of the Perioperative Surgical Home (PSH) model in patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion improved surgical outcomes, this study finds. A multidisciplinary group created evidence-based protocols for preoperative, postoperative, and postdischarge patient care. Anesthesiologist comanagement of patients also allowed a new pathway for patients…
Editor's Note In this study, bariatric surgery for obese adolescents was shown to be cost-effective if assessed over a time period of 5 years, but not in shorter time frames. The incremental cost-effectiveness ratio of bariatric surgery vs no surgery was $155,000 per quality-adjusted life year (QALY) when assessed over…
Editor's Note Patients were more likely to take their regularly prescribed medications correctly before surgery when they were provided a simple instruction sheet, finds this study presented October 24 at the Anesthesiology 2016 annual meeting. For the study, 48 patients were given verbal instructions and 57 were given a new,…
Editor's Note More transparency and validation are needed for consumer-based benchmarking methods, this study finds. Researchers evaluated differences between Centers for Medicare & Medicaid Services measured rates of safety events for Rush University Medical Center, Chicago, and the US News & World Report determined patient safety scores. Discrepancies were found…
Editor's Note A Deloitte survey of physicians found that three out of four believe electronic health records (EHRs) increase practice costs, which outweigh any efficiency savings, and seven out of 10 say EHRs reduce their productivity, the October 3 Healthcare Informatics reports. Nearly two-thirds (62%) of respondents want EHRs to…
Editor's Note Suboptimal postoperative outcomes are the primary driver of high overall costs of care after bariatric surgical procedures, this study finds. The study included morbidly obese patients who underwent laparoscopic vertical sleeve gastrectomy (74 patients) or laparoscopic Roux-en-Y gastric bypass (270 patients) at a single institution from 2010 to…
Editor's Note Ambulatory surgery centers (ASCs) must comply with nondiscrimination requirements in Section 1557 of the Affordable Care Act by October 19, the Ambulatory Surgery Center Association announced on September 28. The Act prohibits sex discrimination and requires language assistance for those with limited English proficiency and effective communication for…
Editor's Note The Air Force Academy (Colorado Springs, Colorado) is notifying 267 patients from the school’s medical clinic and the Veterans Affairs Eastern Colorado Health Care System that they are at risk of infections from improperly processed gastrointestinal endoscopy equipment, according to the September 21 MilitaryTimes. Air Force officials say…
Editor's Note A novel model by researchers from the Massachusetts General Hospital, Boston, uses natural language processing to predict readmission risk by incorporating physical function, cognitive status, and psychosocial support--three areas that may impact readmission but are poorly captured with structured data sources. The final model had 16 variables, a…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 16 released its final rule on “Emergency preparedness requirements for Medicare and Medicaid participating providers and suppliers.” The rule establishes requirements to plan for natural and man-made disasters and coordinate with federal, state, tribal, regional, and local emergency…
