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Same-Day Surgery 2000 Index

December 1, 2000

Same-Day Surgery 2000 Index

Accreditation

Core measures include surgical site infection, MAY:58

JCAHO adds pain management standards, MAR:Sup

Joint Commission Defines Surgical Core Measures, MAY:59

Joint Commission drafts office-based standards, OCT:125

Joint Commission revises fire-drill standards, OCT:125

Joint Commission updates standards for anesthesia, OCT:124

Joint Commission warns about OR sentinel events, MAY:54

Seven steps to reducing surgery complications, MAY:57

Some single-use devices can be reprocessed safely, GAO report says, AUG:97

The Joint Commission defines sentinel event, MAY:55

Web sites offer accreditation info, OCT:126

Advance directives

Develop a policy on advance directives, SEP:115

Learn how to handle advance directives, SEP:113

Patient Information Sheet (Advance Directives), SEP:Sup

Alternative medicine

Integrate complementary medicine into your practice, OCT:132

Patients must skip Viagra 24 hours before surgery, APRIL:41

Anesthesia

Cut length of stay: Pay attention to meds, SEPT:117

How you can reduce your anesthesia costs, APR:43

Joint Commission updates standards for anesthesia, OCT:124

Minimum Elements for Providing Anesthesia Services in the Office-Based Practice Setting — Assessment Checklist, NOV:Sup

Patients must skip Viagra 24 hours before surgery, APRIL:41

Teamwork and anesthetics reduce surgery times, NOV:139

Documentation/Forms/Policies/ Protocols

Competency assessment begins at orientation, APR:44

Endoscopic Sinus Surgery (Pediatric and Adult) perioperative pathway, MAR:Sup

Flexible Sigmoidoscopy Screening Protocol, JUN:Sup

Flexible Sigmoidoscopy Abnormal Exam, JUN:Sup

Minimum Elements for Providing Anesthesia Services in the Office-Based Practice Setting — Assessment Checklist, NOV:Sup

Patient Information Sheet (Advance Directives), SEP:Sup

Performance Review and Competency Tracking Tool — Staff RN — Surgery, APR:Sup

Performance Review and Competency Tracking Tool — Surgical Technician, APR:Sup

Protocol addresses nausea and vomiting, JUL:90

Survey techniques vary among facilities, MAY:62

Training Program for Nurse Endoscopist Performing Flexible Sigmoidoscopy, JUN:Sup

Vendors provide survey tools, MAY:62

Equipment/Supplies (also see Anesthesia and Laparoscopy/ endoscopy/arthroscopy/ sigmoidoscopy)

Cataract extraction study looks at costs, efficiency, JUN:77

FDA policy on reprocessing not for surgery centers, APRIL:40

FDA's Intended Time Line for Enforcing Existing Non-premarket and Premarket Submission Requirements for Hospital Reprocessors, OCT:Sup

FDA's Intended Time Line for Enforcing Specific Premarket Requirements, OCT:Sup

Final reuse regulation: FDA drops risk classification, OCT:130

Get ready to be treated like a device manufacturer, if FDA has its way — Feds propose revisions to policy on reprocessing single-use items; JAN:1

HCFA adds $50 payment for new technology IOLs, JUN:68

Health advisory targets reprocessing endoscopes, JAN: 9

How you can reduce your anesthesia costs, APR:43

Info System Vendors Offer Cost-Accounting Capabilities, JAN:5

List of Surgical Single-Use Devices Known to be Reprocessed, OCT:Sup

PCA said to be effective method for children, APR:45

Recent studies add fuel to the fire: Should your staff use soap or gel? APRIL:37

Some single-use devices can be reprocessed safely, GAO report says, AUG:97

Surgery center uses IOL to reduce cataract costs, MAY:53

Teamwork and anesthetics reduce surgery times, NOV:139

Extended recovery care

Be persistent against regulatory roadblocks, AUG:103

Examine programming for extended recovery care, SEP:115

Extended care adds revenue potential, AUG:102

Mixed financial results for extended recovery care, AUG:104

Survey by FASA looks at recovery care, AUG:106

Finances (also see Medicare and Outpatient PPS)

Avoid reimbursement delays: Accuracy is key, JUN:69

ID reimbursement problems before they appear, JUN:70

Prepare to give away financial data and pay your state for the 'privilege,' SEP:109

Same-day surgery questions and answers, OCT:126

Sample of what data states collect, SEP:110

Strategy for success in one word? Volume! MGMA analyzes performance of surgery centers, DEC:149

Use peer comparisons to lower operating cost, DEC:148

Freestanding centers

Bill proposes delay in PPS for surgery centers, NOV:138

IC guidelines reach beyond the hospital, MAR: 30

Prepare to give away financial data and pay your state for the 'privilege,' SEP:109

Requirements for Infrastructure and Essential Activities of Infection Control and Epidemiology in Out-of-Hospital Settings, MAR: Sup

Sample of what data states collect, SEP:110

Strategy for success in one word? Volume! MGMA analyzes performance of surgery centers, DEC:149

Surgery centers attract experience, MAR:30

Surgery center uses IOL to reduce cataract costs, MAY:53

Hospital-based programs (Also see Outpatient PPS)

FDA policy on reprocessing not for surgery centers, APRIL:40

FDA's Intended Time Line for Enforcing Existing Non-premarket and Premarket Submission Requirements for Hospital Reprocessors, OCT:Sup

FDA's Intended Time Line for Enforcing Specific Premarket Requirements, OCT:Sup

Final reuse regulation: FDA drops risk classification, OCT:130

Hospital CEOs express competitive concerns, AUG:101

Joint venture column leads to flood of e-mails, MAR:32

List of Surgical Single-Use Devices Known to be Reprocessed, OCT:Sup

Why hospitals try joint venture ASCs with doctors, JAN:8

Infection control/Reprocessing single-use devices

Bills address reuse issue, AUG:100

Consider caveats of reprocessing safely, AUG:100

Controversy erupts over whether to disinfect or sterilize endoscopes, FEB:13

Core measures include surgical site infection, MAY:58

FDA policy on reprocessing not for surgery centers, APRIL:40

Final reuse regulation: FDA drops risk classification, OCT:130

Health advisory targets reprocessing endoscopes, JAN:9

IC guidelines reach beyond the hospital, MAR:30

Joint Commission Defines Surgical Core Measures, MAY:59

List of Surgical Single-Use Devices Known to be Reprocessed, OCT:Sup

Recent studies add fuel to the fire: Should your staff use soap or gel? APRIL:37

Requirements for Infrastructure and Essential Activities of Infection Control and Epidemiology in Out-of-Hospital Settings, MAR:Sup

Some single-use devices can be reprocessed safely, GAO report says, AUG:97

Internet/World Wide Web

Free safety info available on the Web, JULY:86

Grants, guidelines, and more with a lick of a mouse, JULY:96

Orthopedic information available on the Web, DEC:156

Reduce patients' stress with Web site service, DEC:Sup

Use the Web to give pre-op information, APR:46

Web sites offer accreditation info, OCT:126

Laparoscopy/endoscopy/arthroscopy/sigmoidoscopy

Controversy erupts over whether to disinfect or sterilize endoscopes, FEB:13

Cut length of stay: Pay attention to meds, SEPT:117

Endoscopic Sinus Surgery (Pediatric and Adult) perioperative pathway, MAR:Sup

Flexible Sigmoidoscopy Screening Protocol, JUN:Sup

Flexible Sigmoidoscopy Abnormal Exam, JUN:Sup

Health advisory targets reprocessing endoscopes, JAN: 9

Here are study results: How do you measure up? NOV:140

Nurse endoscopists increasing staffing options, JUN:74

Solid training essential for flexible sigmoidoscopies, JUN76

Team effort vs. assigned tasks saves time, NOV:141

Teamwork and anesthetics reduce surgery times, NOV:139

Training Program for Nurse Endoscopist Performing Flexible Sigmoidoscopy, JUN:Sup

Management (Also see Salary/Careers, Regulation, and Renovating/Building)

ASC management: 9 lessons I've learned, FEB:18

Check out shoe sales and surgery in one trip, JULY:91

Collect cost information in three categories, JAN:6

Ensure success, follow tips to measure your costs, JAN: 4

Generation X: Who are they? FEB:17

Info System Vendors Offer Cost-Accounting Capabilities, JAN:5

Joint venture column leads to flood of e-mails, MAR:32

Managing Generation X in same-day surgery, FEB:16

Prepare to give away financial data and pay your state for the 'privilege,' SEP:109

Same-day surgery questions and answers, OCT:126

Sample of what data states collect, SEP:110

Should your facility ban the use of cell phones? NOV:141

Tips for freeing up bottlenecks in surgery, NOV:142

Medicare (Also see Outpatient PPS)

Fraud alert addresses outpatient surgery billing, JAN: 11

HCFA adds $50 payment for new technology IOLs, JUN:68

New procedures (also see Technology)

Options available for vision correction, JULY:93

Nurses

Nurse endoscopists increasing staffing options, JUN:74

Performance Review and Competency Tracking Tool — Staff RN — Surgery, APR:Sup

Perioperative elective introduces OR to students, MAR:29

Periop nursing shortage threatens SDS programs, MAR:28

Shortage of experienced nurses? Readers share solutions, NOV:Sup

Solid training essential for flexible sigmoidoscopies, JUN:76

Surgery centers attract experience, MAR:30

Training Program for Nurse Endoscopist Performing Flexible Sigmoidoscopy, JUN:Sup

Outpatient prospective payment system (Also see Medicare and Finances)

Bill proposes delay in PPS for surgery centers, NOV:138

Brace yourself: HCFA might be wrong in optimistic predictions for PPS rule, JUN:65

Days are counting down: 4 steps to take now, JUN:67

Follow these tips to comply with PPS, OCT:129

Glitches in outpatient PPS could cause claims errors, OCT:127

Good/bad reimbursement news for pain management, DEC:154

Groups ask for delay in provider-based rule, OCT:129

HCFA delays outpatient PPS by one month, JULY:81

HCFA to phase in APCs for surgery centers and give hospitals supplemental payments, JAN:1

Here's the bad news from hospital PPS rule, MAY:52

Here's the latest PPS news, DEC:145

Medicare Learning Network for Outpatient PPS Frequently Asked Questions and Answers (Excerpt), AUG:Sup

Medicare Learning Network Q&As (Excerpt), NOV:Sup

OIG won't seek penalties for outpatient PPS errors, AUG:107

Outpatient PPS to be implemented this year, APR:37

Want more information on the outpatient PPS? SEP:119

Were you expecting the worst with outpatient PPS? You can relax, MAY:49

Will patients shift settings under outpatient PPS? SEP:118

Pain management

Complementary therapies offer pain control options, MAR:Sup

Know the definitions of complementary therapies, MAR:Sup

JCAHO adds pain management standards, MAR:Sup

PCA said to be effective method for children, APR:45

Patient satisfaction

Patients define value of pre-op information, MAY:63

Reduce patients' stress with Web site service, DEC:Sup

Patient screening

A quick tip on when to test, DEC:147

Be ready to handle domestic abuse victims, DEC:153

Domestic abuse victims undergo more surgeries, DEC:151

Will you ID diseases or waste time and money with routine pre-op tests on the elderly? DEC:145

Pediatrics

PCA said to be effective method for children, APR:45

Tips on how to handle the pediatric patient, JUN:73

Preoperative care

A quick tip on when to test, DEC:147

Flexible Sigmoidoscopy Screening Protocol, JUN:Sup

Patients define value of pre-op information, MAY:63

Use the Web to give pre-op information, APR:46

Will you ID diseases or waste time and money with routine pre-op tests on the elderly? DEC:145

Quality assurance/quality improvement/benchmarking/best practices

Benchmarking is more than managers realize, MAY:60

Best performers strive to improve, JUN:78

Cataract extraction study looks at costs, efficiency, JUN:77

Core measures include surgical site infection, MAY:58

Future benchmark studies planned, JUN:80

Here are study results: How do you measure up? NOV:140

Joint Commission Defines Surgical Core Measures, MAY:59

Protocol addresses nausea and vomiting, JUL:90

Team effort vs. assigned tasks saves time, NOV:141

Teamwork and anesthetics reduce surgery times, NOV:139

Regulation

FDA policy on reprocessing not for surgery centers, APRIL:40

FDA's Intended Time Line for Enforcing Existing Non-premarket and Premarket Submission Requirements for Hospital Reprocessors, OCT:Sup

FDA's Intended Time Line for Enforcing Specific Premarket Requirements, OCT:Sup

Final reuse regulation: FDA drops risk classification, OCT:130

Get ready to be treated like a device manufacturer, if FDA has its way — Feds propose revisions to policy on reprocessing single-use items; JAN:1

IC guidelines reach beyond the hospital, MAR:30

List of Surgical Single-Use Devices Known to be Reprocessed, OCT:Sup

New FCC requirements may mean replacing telemetry equipment, OCT:121

Requirements for Infrastructure and Essential Activities of Infection Control and Epidemiology in Out-of-Hospital Settings, MAR:Sup

Risk categorization scheme draft published, FEB:23

Safe harbors extended to four types of ASCs, FEB:19

Some single-use devices can be reprocessed safely, GAO report says, AUG:97

Renovating/Building

Build or renovate: How do you decide? JAN:6

Construction costs can vary widely, FEB:22

Learn how to select an architect, FEB:22

Location costs differ from traditional sites, JULY:93

Use current, future case mix to plan your center, JAN:8

Risk Management/Medical errors (also see Infection Control)

AORN course trains industry reps, JULY:88

Consider caveats of reprocessing safely, AUG:100

Develop a policy on advance directives, SEP:115

Don't end up on '60 Minutes' — avoid liability with new technology, MAR:25

Do you have a difficult physician in your OR? JUN:71

Fraud alert addresses outpatient surgery billing, JAN: 11

Free safety info available on the Web, JULY:86

Instrument counts: Controversial, but vital, JULY:84

Joint Commission warns about OR sentinel events, MAY:54

Learn how to handle advance directives, SEP:113

New FCC requirements may mean replacing telemetry equipment, OCT:121

New statement addresses sales reps in the OR, JULY:88

Number of office-based surgeries rivals surgery centers; are they safe? NOV:133

Public spotlight is on medical errors — don't become one of the statistics, JULY:81

Recommended Practices for Sponge, Sharp, and Instrument Counts, JULY:Sup

Seven steps to reducing surgery complications, MAY:57

Some single-use devices can be reprocessed safely, GAO report says, AUG:97

The Joint Commission defines sentinel event, MAY:55

Tips on how to handle the pediatric patient, JUN:73

What led Florida board to pass moratorium? NOV:137

Salary/Career

Shortage of experienced nurses? Readers share solutions, NOV:Sup

Staffing/Staff satisfaction

Competency assessment begins at orientation, APR:44

Cross-trained staffing: The pros and cons, SEP:112

Do you know the preferences of your OR staff? JULY:89

Performance Review and Competency Tracking Tool — Staff RN — Surgery, APR:Sup

Shortage of experienced nurses? Readers share solutions, NOV:Sup

Surgeons/Office-based surgery

Do you feel threatened by office-based surgeries? NOV:136

Do you have a difficult physician in your OR? JUN:71

How do surgeons judge a day-surgery program, MAY:61

Joint Commission drafts office-based standards, OCT:125

Joint venture column leads to flood of e-mails, MAR:32

Minimum Elements for Providing Anesthesia Services in the Office-Based Practice Setting — Assessment Checklist, NOV:Sup

Number of office-based surgeries rivals surgery centers; are they safe? NOV:133

Survey techniques vary among facilities, MAY:62

Vendors provide survey tools, MAY:62

What led Florida board to pass moratorium? NOV:137

Why hospitals try joint venture ASCs with doctors, JAN:8

Technology (also see Internet/World Wide Web, and Laparoscopy/endoscopy/arthroscopy/sigmoidoscopy)

Don't end up on' 60 Minutes' — avoid liability with new technology, MAR:25

Free safety info available on the Web, JULY:86

How to decide on technology purchases, JULY:85

Include potential volume increase in cost evaluation, JUL:87

Low-tech zipper plays role in modern surgery, MAR:33

Technological 'Big Brother' increases efficiency, DEC:Sup