Author: Dr. Clemens

Uncategorized Published - 2 October, 2014    By - Dr. Clemens
Anesthesia Management: 6 Cornerstones of Operating Room Efficiency: Best Practices for Each

Operating rooms are one of the most costly areas of hospital operations, and as hospitals face a range of mounting financial pressures, most are reexamining OR operations for any avoidable costs. Despite ORs being such a pillar for hospitals’ profitability, there is little published, formal data on true OR costs. For instance, there are far […]

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Uncategorized Published - 1 October, 2014    By - Dr. Clemens
Anesthesia Management: Gunshot wound victims may prove an opportunity for hospitals

I thought this was interesting so I wanted to share it with our readers. The United States lives to some degree under the specter of the gun, and by extension so do its medical providers. It is a sobering fact but also one that could mean an opportunity for hospitals. There are hundreds of emergency […]

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Uncategorized Published - 1 October, 2014    By - Dr. Clemens
Anesthesia Management: Hospital chain may outsource doctors

National hospital chain Tenet Healthcare is considering replacing local independent doctor groups with a large national physician staffing company at some or all of its 12 California facilities. Doctors in Orange County and across the state fret that bringing in an entirely new group from out of state to manage three different sets of physicians […]

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Uncategorized Published - 1 October, 2014    By - Dr. Clemens
Anesthesia Management: Survey finds lack of preparedness for ICD-10

Just 11 percent of healthcare organizations said they are fully ready to implement the new coding system, according to a survey by the College of Healthcare Information Management Executives (CHIME). The survey of 326 healthcare organizations conducted this summer stands in contrast to the “surprising reported from a poll of 349 providers by the American […]

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Uncategorized Published - 1 October, 2014    By - Dr. Clemens
Anesthesia Management: How the Most Successful People Prioritize

Here are a few tips that successful people follow to better prioritize. Give yourself a minute. It’s easier to say “yes” in the moment, only to realize later that you probably don’t have time. Instead of defaulting to “yes,” ask questions about the project (steps, due date, etc.) to gauge how long it might take. […]

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Uncategorized Published - 1 October, 2014    By - Dr. Clemens
Anesthesia Management: Federal judge rules against ACA subsidies

A federal judge in Oklahoma today ruled that Affordable Care Act federal subsidies cannot be issued to residents living in states that do not run their own exchanges. This marks the second ruling against ACA subsidies–in the July case of Halbig v. Burwell, the D.C. Circuit Court of Appeals ruled that subsidies are illegal on […]

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Uncategorized Published - 1 October, 2014    By - Dr. Clemens
Anesthesia Management: California’s Prop. 46 Could Lead to Mandatory Drug Testing of Physicians

A pair of commentaries in the Annals of Internal Medicine comes out strongly against California’s ballot measure, Proposition 46, which, among other things, would mandate hospitals to test physicians for drugs and alcohol. The problems laid out by the authors include: • the potential for false-positive test results; • positive results leading to immediate suspension of a […]

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Uncategorized Published - 1 October, 2014    By - Dr. Clemens
Anesthesia Management: Prescribing Opioids for Chronic Noncancer Pain: AAN Policy Statement

A position paper from the American Academy of Neurology on the prescription of opioids for noncancer pain outlines “best practices” clinicians should follow to reduce patients’ risk for opioid overdose. These practices, published in Neurology, are: • At each patient visit, track pain and function using a validated instrument, and document the dose of all […]

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Uncategorized Published - 30 September, 2014    By - Dr. Clemens
Anesthesia Management: Prognostic Significance of Premature Ectopic Beats

Authors: Qureshi W et al., Am J Cardiol 2014 Jul 1; 114:59 An incidental finding on a screening electrocardiogram might be worth taking seriously. To evaluate the prognostic implications of atrial premature complexes (APCs) and ventricular premature complexes (VPCs) detected on a single 12-lead electrocardiogram (ECG) in healthy individuals, investigators analyzed NHANES III data for […]

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Uncategorized Published - 30 September, 2014    By - Dr. Clemens
Anesthesia Management: CMS: Health spending slowdown is history

The slowdown in health spending growth may be near its end, with an improved economy and increased coverage likely to bring faster growth, according to a report from the Centers for Medicare & Medicaid Services Office of the Actuary published in Health Affairs. Expanded coverage under the Affordable Care Act (ACA) will cut the number […]

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