AORN Syntegrity, Inc., and IMO create consolidated surgical scheduling procedure list AORN Syntegrity, Inc., provider of the premiere perioperative documentation system, and Intel- ligent Medical Objects, Inc. (IMO), the developer of the most widely-accepted medical terminology solution for the management of medical vo- cabularies and software applications at healthcare organizations worldwide, have announced a technology partnership in conjunction with the launch of a new product, PeriopIT. PeriopIT combines AORN's perioperative care

expertise with IMO’s clinical terminology expertise to create a surgical scheduling solution that works behind the scenes in operating room scheduling systems and EHRs to improve patient outcomes and increase revenue. As a surgical scheduling solution, enhanced

with AORN Syntegrity, PeriopIT is mapped to healthcare code sets, aids in meeting regulatory requirements thus ensuring maximum reimburse- ment, accurate scheduling, and defining work- flow efficiencies for the perioperative setting. It will enhance claims and reporting workflows, optimize communication and patient outcomes, improve procedure scheduling, and reduce opera- tion and IT workloads.

Minimally invasive surgeries underused in older patients A study of more than 200,000 Medicare patients who had common surgical procedures shows that, compared to the general population, they underwent far fewer minimally invasive operations, whose benefits include lower rates of complications and readmissions, along with shorter hospital stays. A report of the findings, published in Surgical Endoscopy, suggests that the disparities short- circuit the potential for better care and cost savings, researchers say. “This study shows there is an opportunity for Medicare and other payers to spend health care dollars more wisely so that they reward high-value care over low-value care” says Martin Makary, M.D., M.P.H., professor of surgery at the Johns Hopkins University School of Medicine and a widely published expert on health care disparities and quality improvement programs. The Centers for Medicare & Medicaid Services accounts for the second largest government expenditure (the military is first), and Medicare — the federal insurance program for those over 65, younger disabled people and those with end- stage kidney disease — insures roughly a quarter of all Americans, says Makary. All told, Medicare expenditures were nearly $600 billion in 2016. For select operations, the use of MIS nearly eliminates the risk of a wound infection, and for others, it halves the overall complication rate for seven surgical procedures: cholecystectomy (gall- bladder removal), bariatric, colectomy, hysterec- tomy, inguinal hernia, thoracic and ventral hernia.

Savvy scheduling in

satisfaction and revenue by Valerie J. Dimond

etting prepped and rolled into the operating theater for a surgical procedure is one of the most important days — if not the single most important day — in a patient’s life. That’s according to Erin Kyle, DNP, RN, CNOR, NEA-BC, Periop- erative Practice Specialist, Association of periOperative Registered Nurses (AORN). For a variety of reasons, this is probably an accurate assessment. However, it’s probably true also that most patients aren’t thinking about (nor should they have to) the many variables that go into scheduling their case that day and how fundamental the process is to the operation’s success or failure. “The complexity of surgery is now at a level where changes can happen on a daily basis,” Kyle said. “Coordinating all of the people, equipment, and supplies at the time of scheduling can literally look different from day to day for the same procedure type with all of the advances in technology. In today’s technologically advanced society and especially in healthcare, many details are inputted into scheduling programs that feed into workflows for all that coordinate care of the patient,” said Kyle, citing an automated internal defibrillator implant procedure as an example: “Scheduling is responsible for inputting information and informing all of the specialists and caregivers who are needed for the procedure. In this case, the imaging department and the device repre- sentative must be present for the procedure for device placement and programming. If accuracy in scheduling breaks down, all of the key players may not be present with all of the needed tools, supplies, and implants needed for the case at the right time.”

G Erin Kyle Scheduling mistakes and their consequences

Consistent accuracy and throughput requires the successful management of many interlocking components. As Kyle pointed out, miss just one and it has the potential to create a negative ripple-effect on surgical outcomes, time, patient satisfaction and money; and it most certainly frustrates surgeons and causes undue stress and anxiety for the entire surgical staff. “The top three challenges facing perioperative professionals are on time starts, room turnover and add-on cases,” asserted Eric Burch, Associate Principal, Vizient, Inc. “Failing to start on time throws your schedule off and even one delay has a cascading effect on every procedure that comes after. Optimal surgery scheduling is one which demand for the OR rooms and resources is aligned and planned accordingly. It also keeps all required staff informed and ready to meet the needs of the patient and the surgeon.”

Eric Burch

Casetabs scheduling software

Gavin Fabian, CEO, Casetabs, be- lieves if OR staff is struggling to keep cases organized and on track then communication and coordination are probably the top culprits that need to be addressed. “There are many moving parts when sched- uling a case and seeing it through completion,” said Fabian. “En- suring everyone involved is properly scheduled and kept up-to-date on any changes or


the surgical suite Today’s technology boosts productivity,

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