Same-Day Surgery – August 1, 2016
August 1, 2016
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Battle Lines Drawn: Proposal Says CRNAs Could Practice Alone at VA
The West isn’t the only place experiencing firestorms. A just-published proposal from the Department of Veterans Affairs to allow full practice authority for APRNs, including CRNAs, has ignited a battle with the American Society of Anesthesiologists over whether CRNAs should be allowed to practice without physician supervision at VA facilities. The proposed change would allow CRNAs to work without the collaboration, supervision, or other involvement of physicians.
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Can Alarm Fatigue Be Conquered?
Healthcare providers are finding ways to effectively address the problem by minimizing the number of alarms and prioritizing everything else.
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A List of Recruiting Tools for Attracting Surgeons
One of the most frequent questions we receive from clients is how to recruit new surgeons into their hospital outpatient department or a freestanding ambulatory surgery center. My response? It isn’t easy!
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Task Force Offers Colorectal Cancer Screening Recs
Final colorectal cancer screening recommendations from the United States Preventive Services Task Force assigned an “A” grade to colorectal cancer screening in those ages 50-75 years and provided a list of recognized screening exams. The Affordable Care Act now would require private insurers that take part in insurance exchanges to fully cover, with no co-pay, all of the colorectal cancer screening exams recognized by the United States Preventive Services Task Force, including CT colonography. Medicare should now recognize this overall “A” grade and provide full coverage for CT colonography.
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First Dual-licensed ASC Developed, Opens the Door for Similar Facilities
Timeshares aren’t just for vacationers anymore. Surgeons in Colorado now have a legal pathway to lease operating rooms in ambulatory surgery centers following approval of that state’s first dual-licensed ambulatory surgery center. It is believed to be the nation’s first such ambulatory surgery center.
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Auth in Place, Then Additional Procedure Is Done? Take Steps to Avoid ‘No Auth’ Claims Denials
When a physician orders a procedure to be performed in a surgical setting at Birmingham, AL-based UAB Hospital, staff start the process of obtaining required authorizations.
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Hospital Readmissions Tied to Mental Health, Substance Abuse, and Homelessness
An analysis of risk factors for hospital readmission following general surgery finds that a large number of readmissions were not caused by suboptimal medical care or deterioration of medical conditions, but by issues related to mental health, substance abuse, or homelessness, according to a study published online by JAMA Surgery.
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Some Solid Foods May Boost Colonoscopy Prep
There’s good news for your patients who dread the clear-liquid diet before a colonoscopy. A new study finds that patients who ate certain solid foods, considered “low residue,” were better prepared for their colonoscopies than individuals who followed the conventional liquid diet. Also, researchers saw that these patients who ate foods such as eggs, white bread, cheese, white rice, and chicken breast the day before their screening were more comfortable during the 24 hours leading up to the test than individuals who could have only apple juice, chicken broth, coffee, and similar clear liquids.
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Visual Triggers Increase Hand Hygiene Compliance
Can you use the “ick factor” to get healthcare workers to clean their hands more often? Yes, according to a new study presented at the annual conference of the Association for Professionals in Infection Control and Epidemiology.
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TJC Delays End of the Ban on Text Orders
TJC is delaying the removal of the ban on texting orders, which updates an article in the May 11, 2016, issue of Joint Commission Online. The updated release date for guidance is late September 2016.