Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Cost Justification - January 2017

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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3 0 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E J A N U A R Y 2 0 1 7 he uses lets him confirm the precise placement of screws and implants around nerves and arter- ies — all during the case. "We never before had the ability to do that in the middle of procedures," he says. Don't let high price tags scare you away from adding imaging technology that can improve outcomes and reduce the need for follow-up CT scans and revision surgery. Worth a look Dr. Gary says his hospital's C-arm provides a CT-scan-like image in the OR in around 2 minutes, while the patient's still under. "That's the information we used to have to move the patient out of the OR to a CT scanner for, and potentially back to the OR for reintubation to alter placement of hardware that was less than optimal," he explains. "Our C-arm moves that ability into the OR in a way that's not disruptive." Hospitals have financial incentives for running CT scans after temporizing sur- gery to confirm the correct placement of hardware, but new C-arms that elimi- nate a CT scan and return trip to the OR for revision surgery could result in sig- nificant healthcare savings, according to Dr. Gary. "Radiologists won't like it, because they don't get to read scans, and hospitals won't get to charge for it, but from a healthcare dollar standpoint, you're saving a lot of money," he says. Gregory Jett, president of Creative Surgical Solutions in Panama City, Fla., says CMOS technology, flat-panel C-arms, 3D imaging and much more powerful imaging capabilities have hit the market in the past 3 years. "With older models, there are some borders of anatomy that you can't see, • LIVE UPDATE Detailed imaging in the OR lets surgeons confirm precise placement of implants and hardware. Pamela Bevelhymer, RN, BSN

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