Chief CRNA

Effective Leadership

by admin on May 21, 2016 · 0 comments

By Thomas Davis, CRNA For centuries, leaders in both the Military and civilian world have attempted to identify and define the perfect leadership style. As far back as 500BC Lao-Tzu wrote in the Tao Te Ching, “The highest type of ruler is one of whose existence the people are barely aware….when the task is accomplished […]

Getting the Right Match

by admin on February 24, 2016 · 0 comments

  By Thomas Davis, CRNA “What counts in making a happy marriage is not so much how compatible you are but how you deal with incompatibility.”  ― Leo Tolstoy Neil Clark Warren is a name that you may not know, however, when you see his face and hear his voice you will say, “Oh yeah, that […]

Chief CRNAs are Team Builders

by admin on February 14, 2016 · 0 comments

Chief CRNAs are Team Builders By Thomas Davis, CRNA “Never doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has.”  ― Margaret Mead As CRNAs we live and work in a rapidly changing healthcare environment.   The mandate to provide more care for more people […]

As healthcare workers, CRNAs have an interest in the future of healthcare.  In an era where the healthcare industry is tasked with producing better patient outcomes at a lower cost, it is becoming more apparent that the status quo is not working.   In the October 2013 issue of the Harvard Business Review, Authors Michael Porter […]

The model for Healthcare delivery in the United States has evolved from a paternalistic, volume based approach through an era of shared responsibility and now into a consumer driven value based model.  To remain competitive in today’s healthcare market, hospitals and providers must strive for patient safety and satisfaction in the delivery of patient care.  […]

CRNAs work in many practice settings.  Those working in an office, clinic or small hospital often work as independent providers and work in collaboration with their surgeon.   CRNAs working in larger hospitals often work in an anesthesia team model and charges are made based on “supervision” by an anesthesiologist who is “immediately available”.   The definition […]

Do you ever get tired of listening to monitor alarms?   Many anesthesia providers who are confident in their vigilance and their ability to “know when something is wrong” mute the alarms when they feel that they are needlessly alarming.  Unfortunately, patients are injured or killed every years in anesthesia related mishaps which could have been […]

A Chief CRNA is seeking help from others across the country.  Specifically, the Chief is gathering information related to how CRNAs are compensated when taking call.  Please use the reply area on this web site or contact the Chief CRNA directly at the email address listed below. Please provide the following information: Are CRNAs at […]

We live in the age of instant access to information literally in the palm of your hand.  As more and more information becomes available on smartphones, notebooks and pads, their ligitimate use by healthcare workers has increased.   However, the device that delivers information can also create distractions. Lawyers know that distracted healthcare workers are more […]

Chief CRNA: Should You Use Social Media?

by admin on February 24, 2013 · 0 comments

We live in a turned-on, linked-in world where instant access to information is the norm.  Long gone are the days of reference books and extensive library searches.  The generation who grew up using web based technology is now entering the workplace and bringing their mobile devices with them.  As Chief CRNAs, it is to our […]

Chief CRNA: How to Motivate your Staff

February 21, 2013

Being an effective Chief CRNA involves multitasking to meet the needs of the patient, the institution, the regulatory agencies and the needs of your staff.  Staff engagement is a buzz word in corporate America.  According to Wikipedia, An “engaged employee” is one who is fully involved in, and enthusiastic about their work, and thus will […]

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Chief CRNA: Patient Safety and the Aging CRNA

February 8, 2013

We have all heard the stories of the super star who played one season too many leaving the sport at the bottom of his game rather than at the top.  The physical effects of aging are well documented in the literature and we are reminded of those changes every time we pre-op a geriatric patient.  As […]

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Chief CRNA: New HIPAA rules released

January 20, 2013

On January 17th, HHS Office for Civil Rights Director Leon Rodriguez issued a press release announcing the new HIPAA rules being published by the HHS Office of Civil Rights.  The 563 page document strengthen the requirements placed on providers and institutions to protect the privacy and health care information of the patient.  According to Rodriguez […]

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Chief CRNA: “Never Events” in Anesthesia

January 18, 2013

Never events are inexcusable actions in a health care setting, the things we talk about in the lounge and just can’t believe actually happened.   We wonder how somebody could have possibly made such a terrible mistake.  The National Quality Forum has formulated a list of 28 never events in the hospital setting.   In the Operating room, never […]

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Chief CRNA: The anesthesia team of the future

January 11, 2013

In the era of Healthcare reform, the practice of anesthesia is being redefined by both the advancement of technology and the impact of regulations.  As the scope of anesthesia care emerges from the head of the table to include care across the entire perioperative course, the anesthesia team must evolve to meet the new demands. […]

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Chief CRNA: Billing audits, Are You At Risk?

October 28, 2012

Every year the Department of Health and Human Services Office of the Inspector General conducts audits and on-site inspections of Health Care Facilities to ensure that billing and payment policies are being followed.   Recovery audit contractors are utilized to make the inspections and are reimbursed by collecting a percentage of the money saved due to […]

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Chief CRNA: Are your Electronic Records Secure?

September 16, 2012

Patient privacy and the security of protected health information is a hot issue throughout healthcare from the primary physician’s office through diagnostic testing and including  records of hospitalization.  The Federal Government is urging health care workers to move to total electronic records and have initiated bonus money to encourage compliance.  However, the move to electronic […]

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Chief CRNA: “Sterile Cockpit” and distracted workers.

September 11, 2012

Despite what the name suggests, a sterile cockpit is not an excessively clean area of an airplane. Rather it is a distraction-free cockpit–a time when the captain and crew engage only in flight-related conversation. “The Sterile Cockpit Rule is an FAA regulation requiring pilots to refrain from non-essential activities during critical phases of flight, normally […]

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Chief CRNA: 360 Degree Evaluations

August 20, 2012

As the regulatory requirements continue to increase, the need for 360 degree evaluations has emerged as a part of JCAHO certification.  The concept is that those who do evaluations of their staff should also be evaluated by their staff.  In the case of CRNAs it means that the anesthetist should be evaluating the supervising Anesthesiologist.  […]

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Chief CRNA: CRNA supervision requirement reviewed by CMS

July 20, 2012

Physician supervision of CRNAs has been an ongoing topic of debate within the Anesthesia community for decades.  Under current law, CRNAs are required to be supervised by a physician unless the individual State “opts out” of the requirement.   To date, 17 States (Kentucky the most recent) have opted out of the requirement. In a post […]

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Chief CRNA: Corporate takeover of your Department?

July 12, 2012

As Healthcare workers, we watch the reports on the evening news about corporate takeovers in the business community and are relieved that we don’t have to worry about things like that in our profession, but are we really safe?   An post on Anesthesia Reviews Blog by William Hass, MD, MBA explains why investors with venture […]

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Chief CRNA: How secure is your work group?

June 3, 2012

As Chief CRNAs, we are tasked with many roles and responsibilities.  In addition to clinical case management, we are tasked with additional duties that included personnel management, scheduling, recruiting, supplies, HR issues, and much more.   It is easy to become so involved in the daily work load that we lose sight of the looming threat […]

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Chief CRNA: CRNA vs MDA vs Capitalism

May 22, 2012

The controversy of CRNA vs. Anesthesiologist has been ongoing for decades.   Because of the overlapping clinical roles, turf battles have been ongoing with both CRNAs and Anesthesiologists in fear that the other group will one day take over.    Currently,  several models of practice are in place in the United States.   Although groups comprised solely of […]

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Chief CRNA: Coordinated care; Reduce Cost and Improve Care

May 16, 2012

Managing health care dollars in more important now than ever in the era of healthcare reform.  Limiting the use of extra supplies and running low gas flows is helpful but a coordinated approach involving the entire peri-operative team is needed to achieve maximum results. Tony Mira of MiraMed Global Services posted a web based article […]

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Chief CRNA: Automated Recordkeeping

May 4, 2012

Automated Anesthesia Recordkeeping (AARK) has been available for over 20 years and is being used in more and more operating rooms across America and around the world.   Despite becoming mainstream technology, AARK continues to generate controversy.   Is the advantage of automatic physiologic data capture offset by a loss of vigilence by the anesthesia provider?  Several […]

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