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As Many as 92% of Surgical Patients Are Overprescribed Opioids

More than two-thirds of patients reported unused prescription opioids following surgery, and safe storage and disposal rarely occurred, according to a study published by JAMA Surgery that strongly suggests that overprescribing after surgery is fueling the nation’s opioid addiction and abuse crises.

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Q&A with Lou Shapiro: ‘Rise to the occasion and make a difference’

For more than 150 years, the mission of the Hospital for Special Surgery in New York City has been to provide high-quality, efficient care for orthopedic and rheumatology patients. The hospital performs more than 30,000 surgical procedures a year, including more than 10,000 joint replacements. At the helm of the organization since 2006 is Lou Shapiro, a veteran healthcare executive who previously served as chief operating officer of Geisinger Health System in Pennsylvania. Shapiro stopped by Modern Healthcare’s Chicago offices to speak with reporter Maria Castellucci about HSS’ unique care-delivery approach, its efforts to expand and how to achieve value in healthcare.

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Lumbar spinal fusion ED readmissions affect HCAHPS scores: 5 key trends

A new study published in The Spine Journal examines emergency department visits among lumbar spine surgery patients. The study specifically targets how the ED visits associate with Hospital Consumer Assessment of Healthcare Providers and Systems surveys. The study covers patients undergoing lumbar spine surgery between 2013 and 2015, excluding patients with spinal malignancy or scoliosis.

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‘Strong for surgery’ shows promise in reducing smoking rates for patients facing surgery

A new American College of Surgeons (ACS) quality improvement program that moves the concept of the checklist (used in operating rooms across the country to reduce medical mishaps) out of the operating room and into the preoperative setting is linked to a two-thirds decrease in the rate of smoking in patients undergoing cervical and lumbar spine procedures, according to new findings presented yesterday at the 2017 ACS Quality and Safety Conference.

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OrthoIllinois’ Dr. Michael Chmell: 2 key thoughts on the ASC’s ownership structure, TJR program

Many opportunities are erupting in the outpatient landscape, as surgery centers can truncate overall costs while simultaneously providing optimal patient outcomes. With hospitals facing slimmer margins and pressure to operate in an environment that emphasizes value, hospitals and healthcare systems are eyeing ASCs as a potential partner to move forward in healthcare’s rather uncertain future.

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