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Obamacare, You're Fired - December 2016 - 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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The Instrument Approval Gauntlet Jumping through hoops to get that purchase order. N o pun intended, but the instruments of yesteryear just won't cut it anymore when something new and improved comes down the surgical pike. Every time I look up from my mask, there's a new-fangled gadget, be it a suture retriever, suture passer, anchor or drill guide. Many will turn out to be mere fads; others are small varia- tions on an old theme. But once in a while a new product truly holds promise in making the case easier. This of course translates to better patient care. The problem is, how can I get it approved? Seriously, please tell me. The new order In the old days, if I discovered a new instrument that I deemed wor- thy, I would simply ask for the instrument and insist on its importance to my practice. If the device wasn't terribly expensive, chances are it would materialize on my tray. Nowadays, the labyrinth of steps for instrument approval rivals the path for U.S. citizenship. I sometimes feel I have to sign over the title of my home or my firstborn in order to procure a new anchor. Capital budget. I fear these dreaded words. If you don't request new instruments during that sacrosanct budgetary time of year when capital expenditures may be approved, 12 months of painful waiting is certain. 1 2 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • D E C E M B E R 2 0 1 6 Cutting Remarks John D. Kelly IV, MD The labyrinth of steps for instrument approval rivals the path for U.S. citizenship. Pamela Bevelhymer, RN, BSN

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