OR Manager - January 2018 - 1

JANUARY
2018
Volume 34
Number 1
The monthly publication for OR decision makers
IN THIS ISSUE
Meet the OR Manager
Advisory Boards
Leaders from hospitals and outpatient
facilities contribute
to the success of OR Manager 4
Success Stories
Peer initiative cultivates
a better OR culture
Finances
Where are you on the valuebased
care continuum?
Technology
Robotics: Building a winning
business case
24
20
18
Regulations
Joint Commission cites 'continuous
improvement' as 2018 survey goal
hen Medicare and Medicaid
legislation was passed and
signed into law in 1965, the
US Congress formed the precursor federal
agency to the Centers for Medicare
& Medicaid Services (CMS) to write the
rules and regulations spelling out the
" Conditions of Participation " (CoPs) required
to obtain federal funding under
these statutes. However, because the
Joint Commission already had a hospital
standards manual at the time, a deal
W
Leadership
Bullying: From conflict to confrontation
to civility in the OR-Part 1
Ambulatory
Surgery Centers
ASC quality reporting deadlines
moved up in 2018
29
urse bullying is a hot issue,
even in the lay press-consider
the 2015 Marie Claire article,
" Mean Girls of the ER: The Alarming
Nurse Culture of Bullying and Hazing. "
Numbers vary, but the American Nurses
Association reports that between 18%
and 31% of nurses have experienced
bullying at work. The Workplace Bullying
Institute (WBI) says 35% of adults have
been bullied at work, with an additional
15% who have witnessed the behavior
and are affected by it. WBI also notes
that bullying is four times more prevalent
than illegal harassment.
N
Bullying turns up much too often
in the OR. For example, Brenda Burk,
MSN, RN, NEA-BC, CNOR, an experienced
perioperative manager, was once
forced to leave a job because of bullying
(sidebar, p 13).
" The OR operates very differently
than other nursing units, " says Cheryl
Dellasega, PhD, NP, professor of humanities
in the college of medicine
and professor of women's studies at
Pennsylvania State University, Hershey.
" Things happen very quickly, and there
are many more players than on a regular
floor. "
Nurses, surgical
technologists,
Continued on page 13
Continued on page 6
was struck that CMS would more or
less adopt the Joint Commission standards,
and, in return, the Joint Commission
was granted " deemed " status (ie,
certified by CMS to survey hospitals to
determine if they comply with the CoPs).
Since then,
the CMS CoPs have
been modified as new hospital quality
and safety issues emerged, and the
Joint Commission has gone through
many metamorphoses.
Continued on page 7
Continued on page 8

OR Manager - January 2018

Table of Contents for the Digital Edition of OR Manager - January 2018

OR Manager - January 2018 - 1
OR Manager - January 2018 - 2
OR Manager - January 2018 - 3
OR Manager - January 2018 - 4
OR Manager - January 2018 - 5
OR Manager - January 2018 - 6
OR Manager - January 2018 - 7
OR Manager - January 2018 - 8
OR Manager - January 2018 - 9
OR Manager - January 2018 - 10
OR Manager - January 2018 - 11
OR Manager - January 2018 - 12
OR Manager - January 2018 - 13
OR Manager - January 2018 - 14
OR Manager - January 2018 - 15
OR Manager - January 2018 - 16
OR Manager - January 2018 - 17
OR Manager - January 2018 - 18
OR Manager - January 2018 - 19
OR Manager - January 2018 - 20
OR Manager - January 2018 - 21
OR Manager - January 2018 - 22
OR Manager - January 2018 - 23
OR Manager - January 2018 - 24
OR Manager - January 2018 - 25
OR Manager - January 2018 - 26
OR Manager - January 2018 - 27
OR Manager - January 2018 - 28
OR Manager - January 2018 - 29
OR Manager - January 2018 - 30
OR Manager - January 2018 - 31
OR Manager - January 2018 - 32
https://www.nxtbook.com/accessintelligence/ORManager/orm_november-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_asc_october-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_october-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_september-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_august-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_july-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_june-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_may-2024
https://www.nxtbook.com/accessintelligence/ORManager/ormc_brochure_march-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_april-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_asc_march-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_march-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_february-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_january-2024
https://www.nxtbook.com/accessintelligence/ORManager/orm_november-2023
https://www.nxtbook.com/accessintelligence/ORManager/orm_october-2023
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-september-2023
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-august-2023
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-july-2023
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-june-2023
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-may-2023
https://www.nxtbook.com/accessintelligence/ORManager/ormc-brochure-march-2023
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-april-2023
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-march-2023
https://www.nxtbook.com/accessintelligence/ORManager/orm-february-2023
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-january-2023
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-november-december-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-october-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-september-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-august-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-july-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-june-2022
https://www.nxtbook.com/accessintelligence/ORManager/ormc-brochure-may-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-may-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-april-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-march-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-february-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-january-2022
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-november-december-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-october-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-september-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-august-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-july-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-june-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-may-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-April-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-march-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-february-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-january-2021
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-december-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-october-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-september-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-august-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-july-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-june-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-may-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-april-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-march-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-february-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-january-2020
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-december-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-november-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-october-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-september-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-august-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-july-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-june-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-may-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-april-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-march-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-february-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-january-2019
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-december-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-november-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-october-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-september-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-august-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-july-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-june-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-may-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-april-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-march-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-february-2018
https://www.nxtbook.com/accessintelligence/ORManager/or-manager-january-2018
https://www.nxtbookmedia.com