Outpatient Surgery Magazine

Helping Hand - July 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 57 of 128

2. Spinal stimulator implants. If you want to try your hand at minimally invasive spine procedures, you might want to follow in the footsteps of Gadsden (Ala.) Surgery Center. The ASC recently began per- forming spinal cord stimu- lators (SCSs) — also known as dorsal column stimulators (DCSs) — as a pain management option for patients with chronic back pain. In a nutshell, the SCS pro- cedure involves an implantable neuromodulation device that sends mild electrical signals to select areas of the spinal cord to reduce pain. "When CMS announced it was reimbursing the stimulator implant, we decided it was a good opportunity for us to move into spine proce- dures," says Harriet Willoughby, RN, BSN, Gadsden's CEO. Indeed, CMS just started reimbursing for this procedure in 2018, which is a major incentive when you consider the stimulator implant itself costs $25,000. And the implant isn't the only high-ticket item associated with this procedure. If you're not already outfitted for spine, instrumentation is a significant investment. You'll need a Jackson table with a Wilson frame, a cooling vest, a basic laminectomy tray and at least 2 electro- cautery machines, says Pat Daniel, RN, the manager at Gadsden Surgery Center. From a staff perspective, Gadsden conducts the approximately hour-long procedure (not including the 20 to 30 min- utes of prone positioning) with both a physician and PA in addition to 2 circulators, 2 OR techs, 1 X-ray tech or someone who's well-versed in fluoroscopy. 5 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 9 • NEW ADDITION CMS just started reimbursing facilities for spinal cord stimulator surgeries, a procedure that uses a neuromodulation implant to send a mild electric current to the spinal cord to reduce pain. Mayo Clinic

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