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Preoperative screening is more than a form with a checklist of questions to be answered. Surgery center staff may be walking a well-worn path, but the key is asking a familiar question in a way that could elicit a different, better response.
With a record number of Americans newly without health insurance, surgery centers face additional financial challenges as they cope with the COVID-19 pandemic. To survive, surgery centers will have to stay flexible and work closely with patients on payment plans.
Surgeons may be seeing patients who are frail, but those patients may not be recognized as such. Engage in nuanced discussions and shared decision-making with patients. Include information about how even a small operation could lead to death.
Two of the most desirable procedures for ambulatory surgery centers (ASCs) in 2020 and beyond are cardiology and vascular procedures, which the Centers for Medicare & Medicaid Services has just blessed for ASC reimbursement. Setting up a cardiac lab in an ASC requires some homework. They are not necessarily difficult or terribly expensive, but there are fine details worth understanding well.
COVID-19 gives accredited surgery centers both a challenge and an opportunity: Ensuring all policies and procedures are in line with state, federal, and other infection prevention requirements concerning the pandemic.
The Accreditation Association for Ambulatory Health Care is focusing on site marking and high alert/confused drug name medications as part of new standards set to take effect on Nov. 1.
The COVID-19 pandemic is increasing drug shortages, particularly for generic drugs, as people are stockpiling medication. Stockpiling can make medication reconciliation more challenging for surgery centers as they work to meet related accreditation requirements.
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Financial Disclosure: Nurse Planner Kay Ball, PhD, RN, CNOR, CMLSO, FAAN (Nurse Planner), reports she is on the speakers bureau for AORN and Ethicon USA and is a consultant for Mobile Instrument Service and Repair. Editor Jonathan Springston, Editor Jill Drachenberg, Author Melinda Young, Author Stephen W. Earnhart, RN, CRNA, MA, Physician Editor Steven A. Gunderson, DO, FACA, DABA, CASC, RN, CRNA, MA, Consulting Editor Mark Mayo, CASC, Editorial Group Manager Leslie Coplin, and Accreditations Director Amy M. Johnson, MSN, RN, CPN, report no consultant, stockholder, speaker’s bureau, research, or other financial relationships with companies having ties to this field of study.
