Outpatient Surgery Magazine

OR Excellence Awards - September 2018 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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data and outcomes. Perform a program quality review every 6 months, says Excelsior. • Patient selection criteria. There's no specific age criteria, but Excelsior has a long list of guidelines for accepting patients, starting with BMI <40, minimal past medical history with few if any comor- bidities, well-controlled sleep apnea and being opioid naïve. There should be no history of cardio-thoracic or diabetic problems, pul- monary embolism or deep vein thrombosis, blood thinners, rheuma- toid arthritis, MRSA or gastric bypass. Then there are the invariables to consider, including patient motivation, family support and the resiliency of the patient. • Patient education. All patients and caregivers must attend an Excelsior patient education class taught by therapists, nurses and DME staff. • Surgical techniques and pain management. An anterior approach for hips offers patients less pain, fewer restrictions, quicker S E P T E M B E R 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 1 1 1 patient ambulate with a physical therapist. 4. Is your staff up for the challenge? Find out if your nurses, anesthesia providers and physical therapists have the knowledge and motivation to offer an outpatient TJR program. Determine if you'll need to offer extended hours, hire new staff and incorpo- rate training into the development plan. You'll also want to desig- nate a point person who coordinates getting the proper equip- ment and supplies in for each case and also deals with inventory management and billing. — Greg DeConciliis, PA-C, CASA Mr. DeConciliis (gregd@bostonoutpatient.com) is the administrator at Boston Out-Patient Surgical Suites in Waltham, Mass.

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