OR Manager - September 2019 - 7

Salary/Career Survey
Managing care
A total of 313 respondents provided usable
data for the question on how surgical
volume has changed over the past
12 months. In all, 18% reported volume
has decreased, the same as in 2018,
with the percentage of decrease ranging
from 1% to 75%.
The percentage of increased volume
ranged from 2% to 50%. Of those who
provided a percentage for the increase,
67% said it was 10% or less. (Most OR
leaders reporting an increase did not
provide a percentage, so that figure
should be interpreted cautiously.)
ERAS was the most popular of the
care model options in the survey, with
more than half of participants (53%)
saying it has been implemented or
planned to be implemented in the next
6 months. (For those planning to implement
ERAS, watch for an upcoming series
of articles on this topic.)
The next highest was Accountable
Care Organizations (33%), followed by
clinically integrated networks (20%) and
the Perioperative Surgical Home (12%).
Optimal care delivery depends on
reimbursement, and more than 300
of respondents shared their " biggest
concern " in this area. Payer mix topped
the list, with more than 75 mentions.
For example, one person noted, " Payer
mix for our population is a concern as a
large portion of the population surrounding
our small community hospital has
Medicaid. "
Bundled payments and documentation
requirements weren't far behind.
Most respondents believe bundled payments
are insufficient to cover costs,
and loss of reimbursement can occur
with the increasingly complex documentation
requirements. " My biggest
concern about reimbursement today is
meeting documentation requirements, "
one respondent noted.
Another respondent summed up the
situation by saying, " Reimbursement
Continued on page 9
0%
20%
40%
60%
80%
How has the percentage
of open positions changed
for RNs compared with
12 months ago?
42%
Stayed
the same
37%
Increased
How has the percentage
of open positions changed
for STs compared with
12 months ago?
47%
Stayed
the same
34%
Increased
How has recruiting changed for the
following positions compared with 12
months ago?
68%
46%
27%
5%
Experienced OR nurses New/inexperienced OR
nurses
Easier
More difficult
Unchanged
How has the turnover rate changed in the
past 12 months for RNs and STs?
RNs
50%
Stayed
the same
34%
Increased
53%
Stayed
the same
STs
29%
Increased
18%
Decreased
28% 26%
9%
STs
51%
40%
www.ormanager.com
OR Manager | September 2019 7
19%
Decreased
21%
Decreased
16%
Decreased

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OR Manager - September 2019

Table of Contents for the Digital Edition of OR Manager - September 2019

OR Manager - September 2019 - 1
OR Manager - September 2019 - 2
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