ASCA News Digest (June 9, 2015)

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June 9, 2015





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ASCA Highlights


Just Released: 2015 Fall Seminar Agenda

The agenda for ASCA's 2015 Fall Seminar is now available. The seminar, October 8–10, at the Louisville Marriott Downtown, will offer educational sessions on key topics that drive development and daily operations at your ASC, lively networking opportunities and continuing education contact hours. The CASC Exam will be offered on Saturday. MORE
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Improve Your Financial Strength with Surgical Notes!

The largest management companies and over 20,000 healthcare providers trust Surgical Notes’ cutting edge revenue cycle management solutions and services to enhance the financial strength and performance of their ASCs. Maximize profits, accelerate revenue cycles, and increase efficiency with our scalable solutions including transcription, coding, document management, and electronic health records.




Ensure Patient Safety During Procedural Sedation

The ASA Standard of Basic Anesthetic Monitoring (2011) requires capnography monitoring during procedural sedation.

Nonin Medical’s easy-to-use, cost-effective RespSense™ and LifeSense® capnographs help ensure adequacy of ventilation and provide the earliest indication of an adverse breathing event.


Start entering your data for ASCA’s Salary and Benefits Survey. Data collection will be open through June 30. In order to receive the personalized reports for free, you must participate and answer at least 50% of the questions (otherwise you will have to purchase the reports). The survey won't open again until 2017, so make sure that you enter data this month. MORE
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Career success begins right here at ASCA’s Career Center! Sign up today for FREE and get your resume noticed by the people who matter the most. If you are preparing to take the next step in your career, the ASCA Career Center will help you find the opportunity that you have been looking for. MORE
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Join ASCA and your ASC community colleagues on Wednesday, August 19th in celebrating National ASC Day. The day is designed to give you an opportunity to highlight the high quality, lower cost patient care that you provide to policymakers and the local media. Getting policymakers into your ASC and even into scrubs lets you show them the high level of care you provide patients. MORE
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ASCA’s online Regulatory Training Series is a convenient, low-cost way to earn continuing education (CE) credit year round without having to travel. The interactive courses target the special needs of ASC professionals to help you meet regulatory requirements, orient new staff, achieve top outcomes, assess competency and improve quality of care. MORE
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ASCA has submitted a comment letter to the Centers for Medicare & Medicaid (CMS) in response to their Electronic Health Record (EHR) Incentive Program Stage 3 proposed rule. ASCA also submitted a comment letter to the Office of the National Coordinator for Health Information Technology in response to their proposed rule. MORE
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Industry News


ICD-10: AMA Considers Grace Period to 'Save Docs'
MedPage Today (06/07/15) Peck, Peggy

If ICD-10, the controversial coding update that has been delayed three times, does go live on Oct. 1, the American Medical Association (AMA) is likely to demand a grace period so that payments to physicians will not be delayed. That was the message delivered during a drawn-out hearing at the AMA annual meeting that considered exactly how the organization should position itself since Congress and the Centers for Medicare and Medicaid Services have signaled unwillingness to agree to another delay--or to go along with the AMA's initial suggestion to simply scrap ICD-10.
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Same Groups May Be Behind OPM, Healthcare Hacks
USA Today (06/07/15) Weise, Elizabeth

The massive four million person breach at the federal Office of Personnel Management could be the work of the same group that hacked into health care organizations Anthem and Premera last year, a security firm says. iSight Partners, a cyber threat intelligence provider based in Dallas, sees similarities between the "attack signatures" in all three breaches.
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Price of a Common Surgery Varies From $39,000 to $237,000 in L.A.
Los Angeles Times (06/02/15) Terhune, Chad; Poindexter, Sandra

A short drive in the Los Angeles area can yield big differences in price for knee or hip replacement surgery. New Medicare data show that Inglewood's Centinela Hospital Medical Center billed the federal program $237,063, on average, for joint replacement surgery in 2013.
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The Nursing Shortage and the Doctor Shortage Are Two Very Different Things
Washington Post (06/05/15) Moore, Martie

Nursing is bracing for what's being called a "silver tsunami"--a graying Baby Boomer workforce entering retirement. On top of that, many other nurses are leaving the field out of frustration.
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Deadly Infections Drive Billions in Hospital Bills to Medicare
Bloomberg (06/03/15) Chen, Caroline; Bloomfield, Doni

Life-threatening complications from bacterial infections are on the rise among hospital patients, increasing at a double-digit rate as the population ages and costing U.S. health-care programs billions of dollars a year. One form of the condition, severe sepsis with a major complication, was the second most frequently billed diagnosis submitted by hospitals to Medicare in 2013, with more than 398,000 cases, according to data released Monday from the Centers for Medicare & Medicaid Services.
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Association of a Bundled Intervention With Surgical Site Infections Among Patients Undergoing Cardiac, Hip, or Knee Surgery
Journal of the American Medical Association (06/02/15) Vol. 313, No. 21, P. 2162 Schweizer, Marin L.; Chiang, Hsiu-Yin; Septimus, Edward; et al.

Staphylococcus aureus carriage increases the risk of S aureus surgical site infections (SSIs). The risk for these infections may be decreased by screening patients for nasal carriage of S. aureus and decolonizing carriers during the preoperative period.
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Press Ganey Announces Outpatient and Ambulatory Surgery CAHPS Early Adopter Program
Business Wire (06/02/2015)

Press Ganey today announced the launch of its Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Early Adopter Program, further expanding the company's portfolio of industry-leading CAHPS solutions. This new program provides outpatient and ambulatory surgery centers the opportunity to gain experience with OAS CAHPS measurement, identify improvement opportunities and implement patient experience initiatives in preparation for the anticipated requirements.
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HHS's Burwell Sees Spike in Uninsured If Supreme Court Rules Against Health Law
Wall Street Journal (06/05/15) Radnofsky, Louise; Burton, Thomas M.

Health and Human Services Secretary Sylvia Mathews Burwell said Thursday that a potential Supreme Court decision voiding the health law's tax credits would create widespread disruption, but that federal officials were prepared to work with states to mitigate the effects. A move by the court to strike a key component of the 2010 federal health-care overhaul could mean "the number of uninsured would jump dramatically" and that a "death spiral" would ensue in insurance markets in most of the country, she said, as sicker people kept coverage and healthier ones dropped it.
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Latest Technology Improves Outcomes in Complex Surgical Cases
Ophthalmology Times (06/01/15) Harrison, Laird

New technology can improve outcomes of complex cataract cases in glaucomatous eyes, said Alan Crandall, MD. "There are a bunch of new tools that we have that makes it a lot easier to do these cases," he added.
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Second Opinions Often Lead to Recommended Changes
Medscape (05/29/15) Frellick, Marcia

Second opinions led to recommended changes in diagnosis or treatment for more than 40 percent of participants in a program that offers them free of charge to employees and their beneficiaries. The effect of second opinions on clinical outcomes remains unclear, however.
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NorthPointe Ambulatory Surgery Center OK'd
Beloit Daily News (06/02/15)

The Illinois Health Facilities Review Board approved a certificate of need (CON) for an ambulatory surgery center at the NorthPointe Health and Wellness Campus in Roscoe today, Tuesday, June 2. The board voted 5-3 in favor of the project during a meeting in Normal, Ill.
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