100 hospitals with great orthopedic programs | 2015

November 25, 2015

Becker’s Hospital Review has named the following organizations to the 2015 edition of its list, “100 hospitals and health systems with great orthopedic programs.”

The hospitals on this list are national leaders when it comes to several aspects of orthopedic care. They have received recognition for excellence from various reputable organizations in orthopedic areas like joint replacements, orthopedic surgeries and general orthopedic care.

To develop this list, the Becker’s Hospital Review editorial team examined several ranking and award agencies, including U.S. News & World Report national and regional rankings for orthopedics, U.S. News’ common care ratings for hip and knee replacement, CareChex rankings for orthopedic care and major orthopedic surgery, Blue Distinction Centers for Knee and Hip Replacement, Healthgrades orthopedic awards and Magnet designation for nursing excellence.

Note: Hospitals cannot pay for inclusion on the list. This list is not a ranking. Organizations are presented in alphabetical order.


Abbott Northwestern Hospital (Minneapolis). Each year, surgeons at the Orthopaedic Institute at Abbott Northwestern Hospital perform more than 4,000 orthopedic procedures. [READ MORE]

Advocate Lutheran General Hospital (Park Ridge, Ill.). Surgeons within Advocate Lutheran General Hospital’s Orthopedic Institute perform over 4,500 orthopedic surgeries every year. [READ MORE]

AtlantiCare Regional Medical Center (Atlantic City, N.J.). The AtlantiCare Regional Medical Center Joint Institute has earned numerous awards and accolades. [READ MORE]

Banner-University Medical Center Phoenix. Banner-University Medical Center Phoenix, formerly Banner Good Samaritan Hospital, provides orthopedic care through Banner CORE Center for Orthopedics, which is a partnership between Banner Health and The CORE Institute. [READ MORE]

Baptist Health Care (Pensacola, Fla.). Baptist Health Care includes five hospitals and the Andrews Institute for Orthopaedics & Sports Medicine in Gulf Breeze, Fla. [READ MORE]

Barnes-Jewish Hospital/Washington University (St. Louis, Mo.). Because Barnes-Jewish is an affiliated teaching hospital of Washington University School of Medicine, the hospital’s physicians are involved in the latest orthopedic science and clinical research. [READ MORE]

Baylor Orthopedic and Spine Hospital at Arlington (Texas). Baylor Orthopedic and Spine Hospital at Arlington specializes in comprehensive outpatient and inpatient treatment of orthopedic and spine disorders. [READ MORE]

Beaumont Hospital (Royal Oak, Mich.). The Department of Orthopedic Surgery at Beaumont Hospital is comprised of more than 40 board-certified specialists and subspecialists, encompassing every field of orthopedics, and a fully accredited residency program with 20 residents — five per year for five years. [READ MORE]

Bethesda North Hospital (Cincinnati). Surgeons at Bethesda North Hospital perform more orthopedic surgeries than any other system in the greater Cincinnati area. [READ MORE]

Boone Hospital Center (Columbia, Mo.). Boone Hospital Center has received numerous awards and recognitions for its orthopedic care. [READ MORE]

Boston Children’s Hospital. Boston Children’s Hospital’s orthopedic program dates back to 1903. [READ MORE]

Brigham and Women’s Hospital (Boston). Brigham and Women’s Department of Orthopedic Surgery staff of more than 40 physicians provides patients with expert, comprehensive care over four locations in the greater Boston area. [READ MORE]

Carilion Roanoke (Va.) Memorial Hospital. With roughly 30 physicians, Carilion Clinic has one of the largest orthopedics group for an academic medical center in the Commonwealth of Virginia. [READ MORE]

Cedars-Sinai Medical Center (Los Angeles). The board-certified and fellowship-trained physicians of Cedars-Sinai’s Orthopaedic Center work to efficiently diagnosis and effectively treat some of the most complex cases involving orthopedic disorders and injuries. [READ MORE]

CLICK HERE to read the entire list

Philips lands large Canadian order

November 24, 2015

By AuntMinnie.com staff writers

November 10, 2015Philips Healthcare has inked an 18-year managed equipment services agreement valued at $300 million Canadian ($226.2 million U.S.) with Mackenzie Health in Ontario, Canada.

Under the agreement, Philips will manage and service medical equipment, including radiology systems, at Mackenzie Health and also guide equipment acquisition under a single payment structure. The value of the contract covers the purchase of Philips equipment, but Mackenzie can also acquire equipment from other vendors.

The deal covers procurement, installation, systems integration, maintenance, and updates, according to Philips. Room design, cloud-based predictive analytics, and diagnostic technologies are also included.

Mackenzie will also have early access to Philips’ advances in areas such as systems interoperability, imaging equipment utilization, radiology practice management, patient-centric design, and alarm management, Philips said. The contract covers the existing Mackenzie Richmond Hospital and the future Mackenzie Vaughan Hospital, which is scheduled to be completed in 2019.

Philips Healthcare swings back into black for Q3 2015
Dutch industrial conglomerate Royal Philips Electronics reported third-quarter financial results that saw its Philips Healthcare division swing back into…
Former Philips CEO joins Mirada Medical
Mirada Medical announced that Gene Saragnese, former CEO of the imaging business at Philips Healthcare, has joined its board of directors as nonexecutive…
Philips to unveil new radiation oncology tools at ASTRO
Philips Healthcare plans to highlight new tools and services for integrated imaging and treatment planning for radiation oncology at the upcoming American…
Philips, Nuance partner on radiation dose
Philips Healthcare and Nuance Communications are collaborating to help monitor radiation dose.
Elekta, Philips install MR linac at MD Anderson
Radiation oncology firm Elekta and Philips Healthcare have installed a 1.5-tesla MRI-guided linear accelerator (MR linac) at the University of Texas MD…

Copyright © 2015 AuntMinnie.com

The price is wrong? Residents unclear on cost of imaging

November 23, 2015

By Kate Madden Yee, AuntMinnie.com staff writer

November 6, 2015 — Bob Barker might be horrified, but radiology trainees have limited knowledge of the costs of commonly performed imaging studies. The finding is bad news in a healthcare environment in which physicians are increasingly expected to help curb expenditures, according to a new study in the American Journal of Roentgenology.

A 2013 report published in the Journal of the American Medical Association showed that physicians influence approximately two-thirds of healthcare spending, wrote a team led by Dr. Arvind Vijayasarathi of Emory University. However, plenty of studies have shown that their knowledge of the cost of the services they order and provide is inadequate. In fact, when Vijayasarathi and colleagues conducted their study, they found that almost half of the radiology trainees incorrectly estimated the costs of five commonly ordered exams.

Dr. Arvind Vijayasarathi of Emory University.

Part of the problem is that radiology training rarely covers the costs of imaging, Vijayasarathi told AuntMinnie.com.

“I know I was never specifically taught the cost of various imaging exams, and if residents don’t know the relative costs between studies, it’s hard to assess what kind of value we’re providing,” he said. “Across medicine, resources have become more limited, and payment models are changing. It’s important that we know what these exams cost.”

Who knows what?

In 2014, Vijayasarathi’s group distributed an online survey to 5,325 U.S. radiology residents and fellows who were members of the American College of Radiology (ACR). A total of 1,066 responded, for a response rate of 20%.

The survey asked participants to provide information about their year of training, any relevant advanced degrees (such as Master of Public Health), and the number of hours of formal healthcare economics education they had received. It also asked them to estimate Medicare fees for five imaging exams: two-view chest x-ray, contrast-enhanced CT of the abdomen and pelvis, unenhanced MR of the lumbar spine, complete abdominal ultrasound, and unenhanced CT of the brain (AJR, November 2015, Vol. 205:5, pp. 929-935).

Survey participants were spread fairly equally from the second year of residency to the postgraduate level, according to the authors. About 11% had relevant advanced degrees.

Only 17.1% of all responses correctly estimated exam costs, while 65.3% were overestimations and 17.6% were underestimations. Forty-five percent of survey participants inaccurately estimated the cost of each of the five exams.

The trainees’ knowledge of costs did not improve even as they proceeded through their program, participated in education about healthcare economics, or earned additional degrees, the researchers found.

Costs of imaging exams vs. resident estimates
Exam Actual Medicare fee Survey participants’ median estimate
2-view chest x-ray $31.17 $50
Contrast-enhanced CT of abdomen and pelvis $327.42 $400
Unenhanced MR of lumbar spine $246.10 $1,000
Unenhanced CT of brain $125.02 $300
Complete abdominal ultrasound $142.94 $200

Ninety-one percent of survey participants reported an inadequate knowledge of imaging costs, and 89.7% said they wanted more focused education on the topic, the authors wrote.

“This indicates that currently available educational programs — whether advanced degree programs or formal education embedded in diagnostic radiology residencies and fellowships — are not adequately educating radiologists in this area,” they wrote. “[We] believe that more targeted education is warranted, and our survey indicates that such education would be well received.”

Radiologists as stewards

Radiologists are well-positioned to serve as consultants on the use of imaging and, therefore, as stewards of healthcare resources, according to study co-author Dr. Richard Duszak.

“As society increasingly expects physicians to be good stewards of finite healthcare resources, we all need at least some understanding of costs of services so we can help our patients make informed decisions about getting the best bang for their healthcare buck,” he told AuntMinnie.com. “And if radiologists really want to take on a greater role as consultants, particularly with regard to guiding the most appropriate use of imaging, knowledge of the costs of those studies will be imperative.”

How can trainee education on imaging exam costs be improved? It may be fairly easy, Duszak said.

“We need to incorporate information about costs into our trainees’ clinical curriculum, and that’s actually pretty easy to do,” he said. “For example, every time we lecture about a particular service, a simple slide about national average Medicare pricing would go a long way. For practicing radiologists, including such material in [continuing medical education (CME)] programs would be similarly useful. And as we roll out new clinical decision-support tools, Medicare prices could supplement current information on appropriateness criteria scores and radiation dose.”

Knee MRI prices can vary almost 8-fold across the U.S.
The price of an outpatient noncontrast MRI scan of the knee can vary across the U.S. by almost eightfold, according to a new study in the May issue of…
CMS data show wide variations in CT, MR use across U.S.
Newly available data from the U.S. Centers for Medicare and Medicaid Services (CMS) show that wide variations in the use of brain CT and lumbar MR imaging…
ACR says OIG will scrutinize imaging in 2015
The U.S. Department of Health and Human Services’ Office of Inspector General (OIG) has included three imaging-related projects in its work plan for the…
Regional variation in imaging not best gauge for policy-making
Curbing geographic variation in imaging use and costs has been a major target of policy efforts in recent years. But it’s unclear whether focusing on…
Adding dose, cost info to decision support sways exam ordering
Educating referring physicians about radiation dose and the cost of imaging exams can prompt as many as half of them to change their orders for imaging…

Copyright © 2015 AuntMinnie.com

Last Updated np 11/5/2015 6:43:08 PM

Dirty endoscopes top ECRI’s list of 10 health technology hazards for 2016

November 20, 2015
 The ECRI Institute has released the 2016 version of its annual list of the top 10 health technology hazards, listing technologies commonly used in healthcare settings and the risks they can cause when not used properly.

This year’s list has a new hazard on top: inadequate cleaning of endoscopes prior to disinfection and the resulting increased risk of infection spread. Previously, the No. 1 hazard had been safety risks from clinical alarms.

The ECRI Institute puts together its list to “help hospitals prioritize safety efforts that warrant their attention and to reduce risks to patients.” A staff of engineers, scientists, nurses, physicians and safety analysts form the list each year.

Sign up for our FREE E-Weekly for more coverage like this sent to your inbox!

The Institute’s report includes the following 10 health technology hazards:

1. Flexible endoscopes: Inadequate cleaning before disinfection can spread germs

2. Alarms: Missed alarms can have fatal consequences

3. Monitoring postoperative patients for opioid-induced respiratory depression: Failure to do so effectively can lead to brain injury or death

4. Monitoring patients in telemetry setting: Inadequate surveillance can put patients at risk

5. Operating room technology: Insufficient clinician training puts patients at risk

6. Healthcare IT configurations and facility workflow: Errors can arise when they don’t support each other

7. Syringes: Unsafe injection practices can lead to possible patient exposure to pathogens

8. Gamma cameras: Mechanical failures can lead to injury or death

9. Intensive care ventilators: Failure to operate them properly can cause ventilator-induced lung injuries

10. USB ports: Misuse can cause medical device malfunction

Access the full “2016 Top 10 Health Technology Hazards” list here.

© Copyright ASC COMMUNICATIONS 2015.

AAMI Kicks Off ‘Reliability-Centered Maintenance’ Project for HTM Field

November 20, 2015

 AAMI is set to begin exploring whether an approach known as reliability-centered maintenance, or RCM, is a feasible strategy that could be adopted on a wide scale throughout the field of healthcare technology management (HTM). After longtime clinical engineer Malcolm Ridgway approached AAMI with the idea, AAMI enlisted the guidance of HTM consultant Ken Maddock to help explore the possibilities.

“In the 1950s, the civil aviation industry pioneered a means of maintaining aircraft based upon analyzing the exact nature of the failures that actually occur, then focusing their maintenance activities on areas where they would be truly beneficial,” Ridgway said. “They called this method reliability-centered maintenance. Other high-reliability industries quickly followed suit, and during the latter part of the last century, military aviation, the entire aerospace industry, the nuclear submarine industry, and the nuclear power industry, among others, all adopted the RCM approach. HTM is the only high-reliability industry that has not yet adopted these very effective and highly efficient practices.”

For this to become a reality in the HTM world, Ridgway said that a scientifically solid, but simple-to-understand and credible, RCM-based method must be developed for determining which specific types of medical devices can truly be made safer through periodic scheduled maintenance. He added that time spent “performing inefficient and ineffective maintenance” should instead be spent on activities that truly improve patient safety.

Maddock stressed that the approach must be “clear, specific, and achievable” and must meet regulatory guidelines. With some exceptions, the Centers for Medicare & Medicaid Services (CMS) allows a hospital to “adjust its maintenance, inspection, and testing frequency and activities for facility and medical equipment from what is recommended by the manufacturer, based on a risk-based assessment by qualified personnel.”

CMS further notes that “hospitals electing to adjust facility or medical equipment maintenance must develop policies and procedures and maintain documentation supporting their alternate equipment management (AEM) program” and that “they must adhere strictly to the AEM activities and/or frequencies they establish.”

As a result, a scientifically sound RCM approach could presumably fit within the allowances on equipment maintenance offered by CMS. Maddock has proposed establishing a task force “to review materials in terms of their practicality and ability to be implemented across different business units.” The task force would also “help the plan to gain momentum and credibility.”

Individuals with questions or suggestions related to the RCM project should contact Patrick Bernat, AAMI’s director of HTM, at pbernat@aami.org.


About RCM

The goal of RCM is to determine the most critical functions and then optimize maintenance strategies to minimize system failures, ultimately increasing equipment reliability and availability.

There are seven basic questions used during RCM to help identify the causes of system failures and develop activities designed to prevent them.

  1. What are the functions and associated performance standards of each asset?

2. How can each asset fail to fulfill its functions?

3. What is the cause of each functional failure?

4. What happens when each failure occurs?

5. What are the consequences of each failure?

6. What can and/or should be done to predict or prevent each failure?

7. What should be done if a suitable proactive task cannot be found?

See more at: http://www.aami.org/productspublications

You May Be Swallowing a Capsule Robot in the Near Future

November 19, 2015
Addisu Taddese, National Science Foundation Graduate Fellowship recipient, holds a medical capsule robot. (Credit: Heidi Hall, Vanderbilt University)

Researchers around the globe who want to customize medical capsule robots won’t have to start from scratch – a team from Vanderbilt University School of Engineering did the preliminary work for them and is ready to share.

Through a website and a paper revealed at a pair of Institute of Electrical and Electronics Engineers (IEEE) conferences, Assistant Professor of Mechanical Engineering Pietro Valdastri, Associate Professor of Computer Engineering Akos Ledeczi and their team made the capsule hardware and software open-source.

The paper, titled “Systematic Design of Medical Capsule Robots,” ran in a special issue of IEEE Design & Test magazine dedicated to cyber-physical systems for medical applications. Within years, Vanderbilt’s capsule robots, made small enough to be swallowed, could be used for preventative screenings and to diagnose and treat a number of internal diseases.

“We’ve done custom capsule design – one for the colon, one for the stomach, another one with a surgical clip to stop bleeding – but we saw we were basically reusing the same components,” said Valdastri, director of Vanderbilt’s Science and Technology of Robotics in Medicine (STORM) Lab. “Like it is with Lego bricks, you can reassemble them for different functions. We wanted to provide the people working in this field with their own Lego bricks for their own capsules.”

Now research groups with hypotheses about how to use the capsules won’t have to redesign boards and interfaces from scratch, which means they can get to the prototyping stage faster.

Medical capsule robots differ from the PillCam, put on the market in 2001, because they can be manipulated to perform internal tasks rather than just passing through the body and recording video.

The paper explains the hardware modules available, which handle computation, wireless communication, power, sensing and actuation. Each is designed to interface easily with new modules contributed from other research groups.

On the software side, Vanderbilt engineers used TinyOS — a free, open-source, flexible operating system — to develop reusable components.

Ledeczi, senior research scientist at Vanderbilt’s Institute for Software Integrated Systems, said a medical capsule robot is the ideal example of a cyber-physical system.

It must work inside the challenging physical environment of the human body, sense its environment and move through it effectively, and then complete tasks such as release a drug, take a tissue sample or deploy a clamp. Finally, it must constantly communicate with a base station through the entire process.

“Our focus is the design environment, not the software per se, with the goal of easing the learning curve for new researchers and engineers who start in this field,” Ledeczi said. “Designing a capsule from scratch requires deep hardware, software and domain expertise.”

By providing a hardware and software component library and the tools to make their composition easy, Vanderbilt opens up the field of medical capsule robots to engineers and scientists who have great ideas but aren’t hardware or software experts, plus makes development costs far more affordable, he said.

Already, the Royal Infirmary of Edinburg in Scotland, Chinese University of Hong Kong, Chonnam National University in South Korea and a number of other institutions have demonstrated an interest in using the technology.

The team presented its work at the IEEE/RSJ International Conference on Intelligent Robots and Systems in Hamburg, Germany, in September and the IEEE International Conference on Robotics and Automation in Seattle, Washington, in May.

Novant to build $60M orthopedic hospital in North Carolina: 5 things to know

November 18, 2015

 Written by  Megan Wood | Thursday, 29 October 2015 00:00

Social sharing

Novant Health plans to break ground on its new $60 million orthopedic hospital in Charlotte, N.C., in early 2016, according to Charlotte Business Journal.

Here are five things to know:

1. The hospital will be 174,000 square feet.  

2. Novant plans to finish the hospital by November 2018.

3. The hospital will be equipped with seven inpatient operating rooms and 32 inpatient beds.

4. The project also includes renovations of an existing 85,000-square-foot orthopedic hospital.

5. These renovations will result in the creation of an outpatient surgery center.


Get every new post delivered to your Inbox.

Join 607 other followers