The Utility of PRO Data on Surgical Volume: The Example of Carotid Endarterectomy
| Autor: | Herbert E. Segal, Beny Wu, Lisa Rummel |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
Leadership and Management medicine.medical_treatment Professional Review Organizations Workload Carotid endarterectomy Medicare Credentialing Patient Readmission Claims data Outcome Assessment Health Care medicine Humans Hospital Mortality Practice Patterns Physicians' Quality of care Health care financing Insurance Claim Reporting Endarterectomy Carotid business.industry Data Collection Pennsylvania medicine.disease United States Surgery Fees and Charges Small-Area Analysis Practice Guidelines as Topic Utilization Review Medicine Health Services Research Medical emergency business Specialization Volume (compression) Health care quality |
| Zdroj: | QRB - Quality Review Bulletin. 19:152-157 |
| ISSN: | 0097-5990 |
| Popis: | As part of a small-area analysis of carotid endarterectomy (CE) surgery, this review of Medicare claims data for a 26-month period addresses variations in surgical volume, mortality, readmissions, and charges. A surprisingly high percentage of surgeons performing CE did few procedures, and surgical volume appeared to be associated with higher mortality and charges. The implications of these data for both hospital credentialing committees and management and for purchasers and consumers of care, as well as the ways in which the Health Care Financing Organization's (HCFA) Health Care Quality Improvement Initiative (HCQII) will reorder their relationships with peer review organizations (PROs), are discussed. This study is useful in addressing the potential of efforts by PROs to increase the quality of care under the HCQII. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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