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Volume to value, the shift in the patient care paradigm and CMS payments that should, by now, be known to all providers and revenue-cycle managers, is still monopolizing the macro healthcare conversation. For those who have yet to take the leap and fully embrace the change, the perioperative surgical home (PSH) offers one way to make the transition.

The PSH eliminates the silos that have for so long dominated care and introduces a truly integrated approach to patient-centered care via a team-based practice model. The PSH is all about coordinated care that follows patients through an entire surgical episode, from the time the patient decides to undergo surgery through 90-days following his/her discharge from a hospital.

The latest PSH Cohort comprises some 88 institutions including academic medical centers, community hospitals, health systems, pediatric hospitals, and, physician groups that are piloting the new care model at their sites. And that number continues growing as the successes mount and more and more facilities become engaged.

Read how implementation of a PSH at one hospital resulted in better outcomes and experiences and resulted in a cost savings of more than $250,000. This Q&A strengthens the case for a PSH implementation >>
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The Earth Day Network delivered another set of horrifying facts this year about pollution caused by plastic, insidious plastic. Imagine, by 2050 there will be more plastic than fish, by weight, in the oceans. A bright spot: we’ve begun the march toward eliminating/minimizing its use (plastic straws and bags being replaced by paper and reusable ones—a start).



A not-so-bright-spot: the healthcare industry has a large carbon footprint. Good news, it has begun shrinking its size via ORs. Why? Emission of anesthetic gases as a byproduct of surgical procedures.  Not something patients think about, but certainly a cause for concern by those in the ecological sustainability field. According to AnesthesiaExperts.com, “More than one-third of the carbon footprint stemming from an average OR surgical procedure derives from anesthetic gases … up to 5% of a hospital’s greenhouse emissions can come from inhaled anesthetics.”

But there is another bright spot: anesthesia providers can use low- and medium-flow anesthesia to reduce the amount of inhalation agents that are released into the atmosphere.  Not a new practice, but not exactly widely used. The benefits are threefold: greener ORs, improved patient care outcomes, and, savings. According to Dr. Clifford Gervirtz, a veteran anesthesiologist, medical facilities have an opportunity to same up to 40% on oxygen bills simply by following this simple process.

Listen to him share information on how is being accomplished at various healthcare facilities today in the latest edition of GasTalk, the podcast series dedicated to the business and clinical aspects of anesthesia.

Play now >>
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Yes, it should be easy reading during summer. However, in many industries in which disruption is the norm, data, huge data, is making that harder. That’s especially true in healthcare. With the onslaught of CMS changes, it’s almost impossible to find they type of information providers need to inform certain decisions, or, at the very least, to provide confidence that the decisions that are made, are the right ones.

This “In Case You Missed It” share might very well have flown into people’s Inboxes and moved quickly to the bottom of the pile, so it was easily skipped over. For those who simply cannot, for various reasons, unplug while on vacation, we thought we would provide a link to the American Hospital Association’s The 2018 Environmental Scan, an informative visual representation (infographic) of the healthcare environment in 2018. (Copyright © B.E. Smith)

It includes statistics on access, labor shortages, costs, affordability, CMS payments, value, innovation, partners and more (one ad) in a concise way. While it may not make for the greatest après beach conversation, it is worth a look. We hope you enjoy the rest of your summer. Happy reading. →→→

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