OR Manager - January 2019 - 1
JANUARY
2019
Volume 35
Number 1
The monthly publication for OR decision makers
IN THIS ISSUE
CONFERENCE AROUND
THE CORNER!
Jump-start 2019 with new ideas from
the OR Business Management Conference
in San Diego, January 27-30.
Featuring two preconference workshops,
50+ expert speakers, and unique
networking activities!
Register now at:
www.ORBusinessManagementConference.com.
OR Manager subscribers:
Receive a 15% discount when you
register with code ORMVIP.
Meet the OR Manager
Advisory Boards
Leaders from hospitals
and outpatient facilities
contribute to the success
of OR Manager
Patient safety
How should you manage
patients using marijuana? 16
Process improvement
New structure puts SPD
staff on fi rmer footing
Orthopedic experts urge
caution when starting total
knee service lines
21
Ambulatory Surgery Centers
24
Regulations
Joint Commission surveys now seek
evidence of performance
n the past few months, the Joint
Commission has implemented a
new process for accreditation surveys
and changed the wording and interpretation
of some standards, particularly
infection control.
I
At the 2018 OR Manager Conference
in Nashville, Tennessee, in
September, John R. Rosing, MHA,
FACHE, executive vice president and
principal of Patton Healthcare Consulting
in Naperville, Illinois, shared
Patient safety
14
Policy compliance essential for
overlapping surgery safety
lipping rooms, or running two ORs
back to back, is common in many
perioperative services departments.
Certain rules of thumb can help
ensure efficiency and good outcomes,
but sometimes those rules either don't
exist or are unclear.
F
Does your facility have guidelines
for overlapping surgery, and do your
surgical teams consistently follow
them? It's a question worth pondering,
especially in an era of media
coverage that sometimes sends the
wrong messages. Negative publicity
about overlapping surgery in recent
years has led to increased scrutiny
and the need for more clearly defined
terminology and protocols.
Stirring the pot
The Boston Globe's Spotlight team
investigation of overlapping surgery
in 2015 caused an uproar by suggesting
that the practice was tied
to an adverse outcome in a surgical
case at Massachusetts General
Hospital in Boston. Although a jury
later found that to be untrue, the
fallout from the Globe's article included
a probe by the US Senate
Finance Committee of overlapping
Continued on page 11
Continued on page 6
the changes that the Joint Commission
announced recently.
New survey process
New techniques the Joint Commission
has recently implemented for conducting
surveys include the following.
* New ways to do patient tracers.
Intense surveyor training has resulted
in increased capability to dive
deeper into topics.
Continued on page 6
Continued on page 8
http://www.ORBusinessManagementConference.com
OR Manager - January 2019
Table of Contents for the Digital Edition of OR Manager - January 2019
OR Manager - January 2019 - 1
OR Manager - January 2019 - 2
OR Manager - January 2019 - 3
OR Manager - January 2019 - 4
OR Manager - January 2019 - 5
OR Manager - January 2019 - 6
OR Manager - January 2019 - 7
OR Manager - January 2019 - 8
OR Manager - January 2019 - 9
OR Manager - January 2019 - 10
OR Manager - January 2019 - 11
OR Manager - January 2019 - 12
OR Manager - January 2019 - 13
OR Manager - January 2019 - 14
OR Manager - January 2019 - 15
OR Manager - January 2019 - 16
OR Manager - January 2019 - 17
OR Manager - January 2019 - 18
OR Manager - January 2019 - 19
OR Manager - January 2019 - 20
OR Manager - January 2019 - 21
OR Manager - January 2019 - 22
OR Manager - January 2019 - 23
OR Manager - January 2019 - 24
OR Manager - January 2019 - 25
OR Manager - January 2019 - 26
OR Manager - January 2019 - 27
OR Manager - January 2019 - 28
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