OR Manager - January 2020 - 1

JANUARY
2020
Volume 36
Number 1
The monthly publication for OR decision makers
IN THIS ISSUE
NEW!
Air decontamination
system from NUVO
See page 15
Meet the OR Manager
Advisory Boards
Leaders from hospitals and outpatient
facilities share expertise
with OR Manager
Periop nursing
Reinvent and reap the rewards
of improved handoffs-Part 1 22
Periop nursing
Well-crafted handoff tools save
valuable time in OR schedule 24
Special Series: Enhanced
Recovery After Surgery
Providing cost-benefit analysis
for ERAS-related solutions 26
Ambulatory Surgery Centers
To avoid penalties, know the
rules for quality reporting
SAVINGS OPPORTUNITY!
OR Manager subscribers:
Get 15% off on registration for the
OR Business Management Conference
January 27-30 | Weston, FL
Register now with code ORM15.
www.ormanager.com/events
28
19
Regulations
CMS expects greater scrutiny from
Joint Commission surveyors
he start of a new year includes OR
Manager's annual updates on Joint
Commission standards-an effort
to help OR leaders ensure their facilities
are in compliance. With increasingly
stringent expectations from the Centers
for Medicare & Medicaid Services (CMS),
the Joint Commission and other accreditation
organizations are under pressure
to conduct more thorough surveys.
In recent years, when CMS has done
a validation or follow-up survey on an acT
Patient
safety
Is your staff ready to manage
malignant hyperthermia?
alignant hyperthermia (MH) is
a rare but life-threatening surgical
complication that seems
to turn the effects of general anesthesia
upside down. Instead of relaxing,
muscles become rigid, releasing large
amounts of acid and potassium into
the blood. Instead of a normal slowing
of breathing, respirations quicken, and
end-tidal CO2 rises. Other signs include
tachycardia and a spike in body temperature
that can reach over 110 °F.
Without rapid treatment, MH can lead
to cardiac arrest and death.
M
Fortunately, MH crisis is rare, occurring
in only one in about 100,000
adult procedures and one in about
30,000 pediatric procedures, according
to the Malignant Hyperthermia
Association of the United States
(MHAUS, https://www.mhaus.org/
faqs/). However, when MH does
strike, it requires rapid response by
highly trained staff.
So how do you keep your staff's
skills sharp enough to treat this potentially
catastrophic condition, which
many healthcare professionals have
never seen? OR Manager spoke with
nurse leaders at three US healthcare
facilities who have found that drills are
Continued on page 12
Continued on page 6
credited organization, which under a pilot
program happens concurrently with 5% of
Joint Commission surveys, CMS typically
has identified 30% to 40% more findings
than the Joint Commission.
" CMS is not happy about this disparity
rate, obviously, because they expect
the surveyors to also catch these deficiencies, "
says John R. Rosing, MHA,
FACHE, executive vice president and
principal, Patton Healthcare Consulting,
Continued on page 6
Continued on page 8
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OR Manager - January 2020

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