Author: Dr. Clemens

Uncategorized Published - 29 December, 2014    By - Dr. Clemens
Anesthesia Management: Wait as Long as Possible for Noncardiac Surgery After Stroke

Authors: Jørgensen ME et al. JAMA 2014 Jul 16. Risk for postoperative adverse cardiovascular events was especially high during the first 9 months after stroke. Stroke is a known risk factor for adverse perioperative outcomes in patients undergoing noncardiac surgery. Whether this relation is time dependent is unclear. Researchers in Denmark examined a nationwide cohort […]

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Uncategorized Published - 29 December, 2014    By - Dr. Clemens
Anesthesia Management: Patient collections: 5 challenges to address

The proliferation of high-deductible health plans has not only caused hardship for patients, but has added a difficult layer of administrative and financial burden for physician practices and ambulatory surgery centers. The challenges of collecting balances from patients are multi-fold, with practice managers and consultants citing the following issues: 1. Despite the movement toward consumer-directed […]

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Uncategorized Published - 29 December, 2014    By - Dr. Clemens
Anesthesia Management: Insights into Bundled Payments

I wanted to share this because while it even though it does not involve it directly bundle payments are very important to our specialty. California Bundled Payment Study Shows Lackluster Results Bundled payments have been a popular topic of discussion in the world of accountable care. In fact, some research shows that bundled payments and […]

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Uncategorized Published - 29 December, 2014    By - Dr. Clemens
Anesthesia Management: Doc: ICD-10 delays teach medical professionals to embrace apathy

After so many delays to ICD-10, practices have been left in limbo, waiting for the new compliance deadline–Oct. 1, 2015. James Libecco, a single practitioner at Akron Skin Center in Ohio, said the most recent delay has forced his small practice to waste time, effort and money. It has been ready to go with ICD-10 […]

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Uncategorized Published - 29 December, 2014    By - Dr. Clemens
Anesthesia Management: 100 things to know about Medicare and Medicaid

I wanted to share this with our readers because I thought it was very interesting and important to know. An overview of Medicare and Medicaid, including the history, innovation and the politics behind them. History 1. President Lyndon B. Johnson signed a transformative healthcare bill on July 30, 1965 in Independence Mo., the hometown of […]

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Uncategorized Published - 26 December, 2014    By - Dr. Clemens
Anesthesia Management: Medicare Cuts Payments to 721 Hospitals With Highest Rates of Infections, Injuries

I thought this was information our readers would want to know since most of them work in a hospital. In its toughest crackdown yet on medical errors, the federal government is cutting payments to 721 hospitals for having high rates of infections and other patient injuries, records released show. Medicare assessed these new penalties against […]

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Uncategorized Published - 26 December, 2014    By - Dr. Clemens
Anesthesia Management: Severe Hyperoxia in Cardiac Arrest Survivors Is Associated with Worse Outcomes

Authors: Elmer J et al. Intensive Care Med 2015 Jan. Severe, but not moderate, hyperoxia portended lower survival to hospital discharge. Hyperoxia may result in increased oxidative stress and ischemia-reperfusion injury in patients resuscitated from cardiac arrest. To assess the effect of hyperoxia on outcomes, investigators retrospectively analyzed data for 184 ventilated post–cardiac arrest patients […]

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Uncategorized Published - 26 December, 2014    By - Dr. Clemens
Anesthesia Management: Preventing Emergency Surgeries Could Save $1 Billion

Strategies to reduce the number of emergency surgeries in the United States could save up to $1 billion in health care costs over a decade, new research suggests. The study also found that surgeries planned ahead of time (elective surgery) are less risky for patients and generally have better outcomes. “The costs of surgical care […]

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Uncategorized Published - 26 December, 2014    By - Dr. Clemens
Anesthesia Management: Memos to managers: Little effort = Big change

Though being a good manager requires a combination of experience, education, and learned and honed skills, stylistic and subtle changes to how you communicate and direct your teams can make significant impacts. Here are some simple tweaks all managers can put to use, for improved leadership outcomes. No one said it would easy, but does […]

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Uncategorized Published - 26 December, 2014    By - Dr. Clemens
Anesthesia Management: 3 strategies for winning physicians over for ICD-10

Physician involvement is an especially crucial element at several levels for hospitals transitioning to ICD-10, according to healthcare IT consultant D’Arcy Guerin Gue, writing in ICD10monitor.com. Not only does accurate physician documentation “drive the production of ICD-10 codes,” according to Guerin Gue, executive vice president of corporate services for Richardson, Texas-based Phoenix Health Systems, but […]

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