Sheridan Healthcare: Great blog posts and content-based marketing from a leading national provider

1. Sheridan has evolved over the years into one of the largest and most respected providers of anesthesiology services to hospitals and surgery centers.  By Staff -

Best-in-Class Perioperative Care: Optimization for Accountable Care

  Efficient and effective perioperative care can make a huge impact on a hospital's bottom line, especially as healthcare moves toward accountable and value-based care.  By Laura Dyrda -

Washington University Appoints Robert Gereau as Dr. Seymour and Rose T. Brown Professor of Anesthesiology

Washington University in St. Louis announced that Robert W. Gereau IV, PhD, has been named the Dr. Seymour and Rose T. Brown Professor of Anesthesiology at its school of medicine in St. Louis.  By Anuja Vaidya -

Medical College of Wisconsin Names Dr. William Clarke Director of Research Commercialization

Medical College of Wisconsin in Milwaukee announced the appointment of William Clarke, MD, as director of research commercialization.  By Anuja Vaidya -

Dr. Vikram Appannagari Travels to Nicaragua on Medical Mission Trip

Anesthesiologist Vikram Appannagari, MD, of Porter Regional Hospital in Valparaiso, Ind., traveled to Nicaragua on a volunteer medical mission trip, according to a LaPorte County Life report.  By Anuja Vaidya -

3 Protocols for Healthcare Facilities to Identify Difficult to Intubate Patients

Here are three difficult-airway protocols for healthcare facilities to identify difficult-to-intubate patients across different departments and teams, developed by anesthesiologists at Sunrise, Fla.-based Sheridan Healthcare:  By Anuja Vaidya -

Analogic's Anesthesia Needle Kit Receives FDA 510(k) Clearance

Analogic announced that it has received 510(k) clearance from the U.S. Food and Drug Administration for the SonixGPS Nerve Block Needle Kit, according to a Street Insider report.  By Anuja Vaidya -

Top 5 States With Highest Annual Mean Wages for Nurse Anesthetists

According to the U.S. Bureau of Labor Statistics, the national annual mean wage for nurse anesthetists is $154,390.  By Anuja Vaidya -

Indiana Governor Signs Anesthesiologist Assistant Licensure Bill Into law

Indiana Governor Mike Pence signed into law a bill that authorizes licensure for anesthesiologist assistants.  By Anuja Vaidya -

Dr. Lorne Sheren Joins University Healthcare's Jefferson Medical Center

  University Healthcare's Jefferson Medical Center in Ranson, W.Va., announced the addition of Lorne Sheren, MD, JD, a board-certified anesthesiologist, to its physician team, according to a Herald-Mail Media report.  By Anuja Vaidya -

Dr. Christian Eby Joins Sanford Aberdeen Medical Center

    Sanford Aberdeen (S.D.) Medical Center has added anesthesiologist Christian Eby, MD, to its medical staff, according to an Aberdeen News report.  By Anuja Vaidya -

Surgical Directions Sponsors Association of Anesthesia Clinical Directors Perioperative Leadership Summit

Surgical Directions will attend the Association of Anesthesia Clinical Directors Perioperative Leadership Summit next week.  By Laura Dyrda -

How Remote Video Auditing Can Improve OR Operations

Increasing operating room efficiencies is an uphill task, as there is an almost constant flow of activity in this area. Coordination among teams of surgeons, nurses and support staff is essential for an optimal surgical environment as well as efficient turnover times. There are a number of practices and processes that can improve efficiencies and utilization by increasing engagement in the OR. However, these only work if every staff member is 100 percent compliant. But how can a healthcare organization ensure this compliance without resorting to rigorous accountability and  punitive measures? According to John Di Capua, MD, CEO of North American Partners in Anesthesia and senior vice president of anesthesiology services for the North Shore-Long Island Jewish Health System in Manhasset, N.Y., the answer lies in remote video auditing technology. "For the first time, we are collecting unbiased information about activities in the OR," says Dr. Di Capua. "With RVA capturing data on 100 percent of these activities, the statistical power of the data that is gathered is unquestionable — allowing us to implement strategies that deliver better care through enhancements to overall performance, operating efficiencies and patient safety." Origins of RVA for the OR In 2007, NAPA introduced the concept of surgical safety checklists in a North Shore-Long Island Jewish hospital and then subsequently deployed the tool in all NAPA hospitals. "But we were still seeing mistakes in the OR," says Dr. Di Capua. "In this pressurized environment, it's easy for the team to miss a step in the checklist process. So we started thinking not only about how to deploy the checklist, but also how to make sure that every team member was engaged with it. RVA technology presented itself as an option to accomplish this.” Dr. Di Capua saw that RVA was being used at North Shore University Hospital in Manhasset, N.Y., to ensure hand washing compliance in the intensive care unit. Cameras were placed near hand washing stations. The feed was monitored and data was collected. Real-time OR status information and OR performance feedback was posted to wall-mounted, digital scoreboards. With the scores streaming directly onto the boards  — and without mentioning any individual names — compliance quickly zoomed from less than 10 percent to nearly 100 percent. This success led NAPA to partner with Arrowsight, a company focused on providing operational improvement solutions, in order to develop proprietary RVA technology for the OR, called NAPA Peak Performance². "We adapted remote video auditing for the OR to improve compliance with checklists, increase OR efficiency and productivity and ultimately, enhance the quality of care that was being delivered," says Dr. Di Capua. Pilot Program The program to introduce RVA technology in the OR was deployed in early 2013 at Forest Hills (N.Y.) Hospital. According to Dr. Di Capua, the program involved setting up LED boards wherever the departmental leaders wanted them — at the nurses' stations, in the anesthesia department as well as in the waiting rooms. These boards displayed the status of the surgery and made that information available to everyone, including patients' families. An auditor was also assigned to monitor the system and communicate with the surgeons and support team. For example, as soon as the auditor saw that a procedure in the OR was complete, he would alert all the team members who were affected by turnover times. The information displayed on the boards was also made available via a smartphone application. Surgeons could download the app and thus be informed as soon as a procedure in the OR was complete, in addition to knowing when the room was ready for the next procedure. The system was introduced to the senior management first and then to the staff. "Educating and training senior management prior to the staff was important as it equipped them with the proper tools and knowledge to guide their staff on this new initiative," says Dr. Di Capua. NAPA and Arrowsight collaborated to customize the system according to the insights they gleaned from management and staff feedback. The Changes RVA Brought About in the OR According to Dr. Di Capua, RVA has led to drastic changes in the OR at Forest Hills Hospital. Previously, they took staff at their word on task completion. "For example, if I asked whether the surgical safety checklist had been completed, every staff member would say 'yes.' Once we implemented RVA, we actually found that the compliance rate was 24 percent," he says. Data objectivity and constant monitoring are two key aspects of the system that make it effective. Previously, compliance was measured by a third-party coming into the OR to ensure that all the steps were being followed. "But when someone is in the room, everyone is extra careful," says Dr. Di Capua.  "You need to see what happens when nobody is in the room to get an accurate representation of actions." RVA also led to greater satisfaction among physicians, patients, staff and even healthcare facility administration. "We started tracking OR metrics, such as turnover time, and made that information known to the medical and administrative staff. The results showed that we saved 50 minutes per OR per day," says Dr. Di Capua. This allowed surgeons and staff members to leave work on time. It also increased patient satisfaction due to fewer delays. Healthcare facility leaders were happy because they could offer more blocks of time to more surgeons and thereby increase caseload and revenue, says Dr. Di Capua. In addition, the monitoring system confirms whether ORs have been cleaned thoroughly and properly, both in between cases and overnight, thereby reducing the risk of infections. Once implemented, the RVA system and the changes it brought about have been easy to maintain. "What typically happens when the champion of a new project leaves is that the team goes back to behaving the way they did before the project was implemented," says Dr. Di Capua. "But with RVA, the results keep on coming. Once the system is in place and the auditors have been assigned, the program can run without burdening facility resources. The program results in improved compliance, which can be maintained, leading to more efficient and effective OR processes." Click here for more information on NAPA’s Peak Performance² program. More Articles on Anesthesia: Crystal Clear Solutions Develops Anesthesia Guide App for Surgical ProceduresAllCare Clinical Associates Appoints Dr. Frank Sutton as PartnerUniversity of Michigan Health Startup Receives FDA Clearance for Patient Monitoring Software  By Anuja Vaidya -

Why Anesthesiologists in Bundled Payment Programs Should Look to Increasing Implant Price Transparency

Studies have shown that the cost of the implant accounts for a large portion of the total cost of knee or hip replacement surgery and anesthesiologists who are participating in joint replacement bundled payment programs or gainsharing programs have a clear interest in containing spending on procedures, according to an Anesthesia Business Consultants blog post.  By Anuja Vaidya -

NAPA Launches Healthcare Blog to Further Education, Discussion

North American Partners in Anesthesia announced the launch of its educational blog aimed at sharing ideas to advance conversation about healthcare in the U.S. and beyond.  By Anuja Vaidya -

Ultrasound-Guided Paravertebral Blocks May Improve Quality of Recovery After Breast Surgery, Study Finds

The use of ultrasound-guided paravertebral blocks during breast cancer surgery can improve the quality of recovery and decrease recovery time, according to a study published in the March edition of Anesthesiology.  By Anuja Vaidya -

NAPA, FOAA Anesthesia Services Announce Merger

North American Partners in Anesthesia and FOAA Anesthesia Services announced a merger of the two organizations, effective immediately.  By Anuja Vaidya -

Poll: Public Prefers Physician-Supervised Anesthesia Care

Ninety two percent of registered voters throughout the state of Florida said they prefer to have an anesthesiologist directing anesthetic care and supervising nurse anesthetists, according to a poll released by The Florida Society of Anesthesiologists.  By Anuja Vaidya -

ASA: AHRQ Asks for Feedback on Pain Management Injections for Low Back Pain

The Agency for Healthcare Research and Quality is asking for feedback to a series of questions that will help it assess the clinical utility of pain management injections for low back pain, according to an American Society of Anesthesiologists report.  By Anuja Vaidya -

Plexus Information Systems, Codonics Partner for Safer Anesthesia Processes in OR

Plexus Information Systems announced its partnership with Codonics, a provider of patient safety and image documentation solutions.   By Anuja Vaidya -

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