Charges and reimbursement at a rural level I trauma center: A disparity between effort and reward among professionals

Journal of Trauma

Volumn 54, Issue 1, 2003, Pages 9-15

  Rogers, Frederick B ^a   Osler, Turner ^a   Shackford, Steven R ^a   Healey, Mark A ^a   Wells, Susannah K ^a  

^a UNIVERSITY OF VERMONT   (United States)

Author keywords

Excess revenue over expenses; Relative value unit; Subspecialists; Trauma surgeon

Indexed keywords

ADULT; CONFERENCE PAPER; EMERGENCY HEALTH SERVICE; HEALTH CARE COST; HOSPITAL BILLING; HOSPITAL CHARGE; HOSPITAL FINANCE; HUMAN; MAJOR CLINICAL STUDY; MEDICAL FEE; MEDICAL PRACTICE; ORTHOPEDICS; PRIORITY JOURNAL; PROFESSIONAL PRACTICE; RADIOLOGY; REIMBURSEMENT; RURAL HEALTH CARE; SURGEON; TRAUMATOLOGY;

ADULT; CAREER CHOICE; DIRECT SERVICE COSTS; FEES, MEDICAL; HEALTH SERVICES RESEARCH; HOSPITAL CHARGES; HOSPITAL MORTALITY; HOSPITALS, RURAL; HUMANS; INJURY SEVERITY SCORE; INSURANCE, HEALTH, REIMBURSEMENT; LENGTH OF STAY; MEDICAL STAFF, HOSPITAL; MOTIVATION; MULTIPLE TRAUMA; RELATIVE VALUE SCALES; TIME FACTORS; TRAUMA CENTERS; TRAUMATOLOGY; VERMONT; WORKLOAD;

EID: 0037239895     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005373-200301000-00002     Document Type: Article

References (26)

1. American College of Surgeons, Committee on Trauma. Resources for the Optimal Care of the Injured Patient. Chicago, IL: American College of Surgeons; 1999.
2. Baker SP, O'Neill B, Haddon W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974; 14: 187-197.
3. Boyd CR, Tolson MA, Copes WS. Evaluating trauma care: the TRISS method. J Trauma. 1987; 27: 370-378.
4. Thal ER, Rochon RB. Inner-city trauma centers: financial burdens or community saviors? Surg Clin North Am. 1991; 71: 209-219.
5. Curreri PW. Academic consequences of a trauma system failure. J Trauma. 1990; 30: 834-835.
6. Fischer RP, Pepe PE, Reed RL II, Parks DH, Prentice FD, Mattox KL. Academic consequences of a trauma system failure. J Trauma. 1990; 30: 784-791.
7. Cooper MA, Borst C, Flint L, Thomas D. Financial analysis of an inner city trauma center: charges vs. collections. Ann Emerg Med. 1985; 14: 331-334.
8. Legoretta AP, Johnmikos M, Sullivan A, Delkey HM. The high cost of hospital trauma care: an analysis of hospital length of stay, Injury Severity Score, case mix index, and reimbursement to cost ratio. J Assoc Acad Minn Phys. 1993; 4: 52-55.
9. Schwab CW, Young G, Civil I, et al. DRG reimbursement for trauma: the demise of the trauma center (the use of ISS grouping as an early predictor of total hospital cost). J Trauma. 1988; 28: 939-946.
10. Jacobs LM, Schwartz RJ. The impact of prospective reimbursement on trauma centers: an alternative payment plan. Arch Surg. 1986; 121: 479-483.
11. Siegel JH, Shafi S, Goodarzi S, Dischinger PC. A quantitative method for cost reimbursement and length of stay quality assurance in multiple trauma patients. J Trauma. 1994; 37: 928-937.
12. Shapito MJ, Keegan M, Copeland J. The misconception of trauma reimbursement. Arch Surg. 1989; 124: 1237-1240.
13. Trauma Care: Lifesaving System Threatened by Unreimbursed Cost and Other Factors. General Accounting Office Report to the Chairman, Subcommittee on Health for Families and the Uninsured, Committee on Finance, United States Senate, May 1991.
14. Rogers FB, Osler TM, Shackford SR, Cohen M, Camp L. Financial outcome of treating trauma in a rural environment. J Trauma. 1997; 43: 65-73.
15. Taheri PA, Butz DA, Watts CM, Griffes LC, Greenfield LJ. Trauma service: a profit center? J Am Coll Surg. 1999; 188: 349-354.
16. Taheri PA, Butz DA, Greenfield LJ. Paying a premium: how patient complexity affects costs and profit margins. Ann Surg. 1999; 229: 807-811.
17. Tran D, Frankel H, Rabinovic R. The profile of Level I trauma center directors. J Trauma. 2002; 52: 835-839.
18. Englehardt S, Hoyt D, Coimbra R, Fortlage D, Holbrook D. The IS evolution of an urban trauma center: what does the future hold for the trauma surgeon? J Trauma. 2001; 51: 633-638.
19. Grossman MD, Schwab W, Chu-Rogers J, Kestner M. Time and motion: a study of trauma surgeons' work around the bedside during the first 24 hours of blunt trauma care. J Trauma. 1999; 46: 757-764.
20. Hammond JS, Breckenridge MD. Longitudinal analysis of the impact of a Level I trauma designation at a University hospital. J Am Coll Surg. 1999; 188: 217-224.
21. Schinco MA, Tepas JJ III, Johnson K, Griffen MM, Veldenz HC. Two careers in one: an analysis of the earning power of certification in surgical critical care. J Trauma. 2002; 52: 1087-1090.
22. National Residency Matching Program NRMP Data Warehouse (database). Washington, DC: National Registry Match Program; 2001.
23. Britt LD. "Halstedian 2" residency training: bridging the generation gap. Arch Surg. 2002; 137: 271-273.
24. Bland KI, Issacs G. Contemporary trends in student selection of medical specialties: potential impact on general surgery. Arch Surg. 2002; 137: 259-267.
25. Hemmingsen J. Why the numbers are dropping in general surgery: the answer no one wants to hear—lifestyle! Arch Surg. 2002; 137: 255-256.
26. Evans S, Sarani B. The modern medical school graduate and general surgical training: are they compatible? Arch Surg. 2002; 137: 274-277.