Outpatient Surgery Magazine

Her Loss, Their Gain - October 2019 - 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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1 0 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • O C T O B E R 2 0 1 9 C omplex cataracts are becom- ing more common as increasing numbers of patients show up for sur- gery with risk factors for poor pupil dilation — uveitis, diabetes, previous eye trauma and advanced age — and more men are opting to take Flomax, an alpha blocker that has been shown to constrict the iris sphincter muscle, to treat enlarged prostates. Surgeons earn approximately $150 more for the time and effort it takes them to perform these complex cases, but the reimbursement remains the same for facilities — between $900 and $1,000 — that must pony up for the devices and drugs used to maintain mydriasis, hard costs that hit the bottom line in a specialty with IOL-thin profit margins. Surgeons, especially non-facility owners, often don't think twice about adding to the expense of cataract cases. Facility adminis- trators in charge of monitoring the bottom line are more likely to take a long, hard look at the cost of the drugs and devices that are used to prevent pupils from constricting. Or are they? Daniel Cook | Executive Editor Considering the Costs of Complex Cataracts There's a case to be made for adding to the expense of procedures with already thin profit margins. • EYE ON SAVINGS Consider the benefit of shaving valuable minutes off challenging procedures performed in high-volume facilities. Pamela Bevelhymer, RN, BSN, CNOR

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