Anesthesia & OR Review

February 26, 2019

Providers caught in the crossfire in Pennsylvania management company transition

In a concerning turn of events in a hospital based physician service, Emergency Department coverage has been disrupted at three Pennsylvania hospitals and providers left without pay for months.  The situation, detailed in the Philadelphia Inquirer, relates to an emergency... read more »
February 26, 2019

Automated text messaging and video system shows impressive results in Total Joint Replacement patients

A randomized, controlled trial performed at Rush University medical center tested the impact of an automated text and video “bot” on patients undergoing hip and knee replacements.  The study published in the Journal of Bone and Joint Surgery, randomized 159... read more »
February 26, 2019

Interview with Dr. David Bergman – CEO of ePreop

David E. Bergman is the CEO and co-founder of ePreop. He practiced as an attending anesthesiologist at St. Jude Medical Center in Fullerton, California, where he also served as chairman for two years. Dr. Bergman co-founded ePreop in 2008 to... read more »
February 26, 2019

Can you imagine…Uber Anesthesia?

In the Winter 2019 Communique from Anesthesia Business Consultants, Jody Locke offers an article considering the possibilities of an Uber-type service in anesthesia.  The entertaining article draws the analogy between consumers’ appetite for on-demand transportation to the desire of hospital... read more »
February 26, 2019

Just like a baseball star? Arbitration proposed as a solution for Out-of-Network bills

The focus on “surprise” or out-of network bills continues, with many potential solutions being considered and implemented in a number of states.  Bloomberg reports on a solution based on a Major League Baseball style arbitration which is in effect in... read more »
February 26, 2019

Skills for a successful transition into Clinical Nurse Management

The American Association of Nurse Anesthetists (AANA) found that there was two times more turnover among nurse managers than with clinical nurses. They conducted a study involving 18 CRNA’s to determine why turnover was so high and what knowledge, skills,... read more »
February 26, 2019

Review of Financial Incentive Programs for Anesthesiologists

Dr. David Lubarsky et al. provides a detailed review article in the January 2019 issue of Anesthesiology.  They look at financial incentives for physicians in general, with many specific examples related to anesthesiologists. Utilizing the framework of behavioral economics as... read more »
February 26, 2019

ACS updates patient and procedure-specific Risk Calculator

The American College of Surgeons has updated a free, internet-based  Risk Calculator which may be used by surgeons and/or patients to determine the risks associated with an anticipated procedure. The calculator, which incorporates data from 3.2 million procedures done between... read more »
February 26, 2019

Artificial Intelligence shows strong early predictive capabilities for LV dysfunction

A CNBC interview with Dr. Paul Friedman, the Chair of Cardiovascular Medicine at the Mayo Clinic, describes his work with Artificial Intelligence as an early predictor of Asymptomatic Left Ventricular (LV) Dysfunction.  Using only EKG readings, the computer system has... read more »
January 15, 2019

Welcome to the Anesthesia & OR Review

Welcome to the inaugural edition of Enhance Healthcare Consulting’s Anesthesia & OR Review! As your anesthesia and operating room partners we take pride in keeping our clients, friends and the healthcare community up-to-date on issues and events... read more »
January 15, 2019

Geisinger embraces components of Perioperative Surgical Home to re-imagine surgical patient experience and reduce Opioid use

Geisinger announced the launch of what they are calling “ProvenRecovery”, a surgical redesign program aimed at expediting healing, improving pain management and reducing opioid use. The program will be implemented across 42 surgical procedures impacting approximately 15,000 surgical cases annually,... read more »
January 15, 2019

5 Areas Standardization Can Be Used to Create High Value in the OR

In a letter published in the Anesthesia Patient Safety Foundation newsletter, a physician leader affiliated with a large national anesthesia company suggests five areas that can be standardized in the OR to promote patient safety, patient satisfaction and efficiency. 1.... read more »
January 15, 2019

Health System Executive Interview: Mark Penkhus, HCA

HEALTH SYSTEM EXECUTIVE INTERVIEW Mark L. Penkhus is a Vice President of the Physician Services Group for HCA overseeing several hospital-based physician services, including anesthesiology for the organization since 2007. Mark has extensive healthcare experience, previously serving as CEO for... read more »
January 15, 2019

JAMA study shows that very low volume surgeons have worse outcomes and longer LOS for several vascular procedures

A study published in JAMA in August 2017 shows that for over 75,000 Abdominal Aortic Artery (AAA) repairs and Carotid Endarterectomies (CEA), outcomes of very low volume surgeons were significantly worse. The study was for all cases in NY state... read more »
January 15, 2019

UCHealth adopts innovative method of scheduling surgery that results in an increased revenue of $10M

UCHealth’s University of Colorado Hospitals have adopted a machine learning system for their operating room (OR) that has resulted in an increase in revenue of $10 million. In an article describing the results in Rev Cycle Intelligence, UCHealth’s Chief Operating... read more »
January 15, 2019

To Pregnancy Test or Not to Pregnancy Test?…That is the Question

We commonly see confusion as to requirements for pregnancy testing prior to surgical procedures. Some institutions mandate testing for females in certain age groups, sometimes supported, sometimes not supported by their anesthesia provider group. Many refer to the American Society... read more »
January 15, 2019

ASA expands resources for Sedation Education for Non-Anesthesiologists

The American Society of Anesthesiologists has expanded its suite of educational offerings for non-anesthesiologists to now include resources for providing deep sedation. The original offering in 2015 provided simulation based training for non-Anesthesiologist physicians and care team members in moderate... read more »
January 15, 2019

EHCdata shares impact of OB services on hospital subsidy

EHCdata is Enhance Healthcare Consulting’s growing database of over 100 hospitals and anesthesia practices. This database provides real-time impactful information on anesthesia services across the United States, including information on hospital subsidies, provider compensation and more. Multiple variables impact anesthesia... read more »