Orthopaedic traumatology: The hospital side of the ledger, defining the financial relationship between physicians and hospitals

Journal of Orthopaedic Trauma

Volumn 22, Issue 4, 2008, Pages 221-226

  Vallier, Heather A ^a   Patterson, Brendan M ^a   Meehan, Cynthia J ^a   Lombardo, Thomas ^a  

^a MetroHealth ^*  (United States)

Author keywords

Cost; Finance; Orthopaedic trauma; Trauma center; Traumatologist

Indexed keywords

ACETABULUM FRACTURE; ADOLESCENT; ADULT; COST OF ILLNESS; EMERGENCY HEALTH SERVICE; EMPLOYMENT; HOSPITAL BILLING; HOSPITAL CHARGE; HOSPITAL FINANCE; HUMAN; INJURY SCALE; LEG FRACTURE; MEDICAL FEE; MEDICAL RECORD; PATIENT CARE; PELVIS FRACTURE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; REVIEW; SURGEON;

COSTS AND COST ANALYSIS; FEES, MEDICAL; FINANCIAL MANAGEMENT, HOSPITAL; HUMANS; INSURANCE, HEALTH, REIMBURSEMENT; MEDICAL STAFF, HOSPITAL; ORTHOPEDICS; RETROSPECTIVE STUDIES; TRAUMA CENTERS;

EID: 42049105790     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/BOT.0b013e31815e92e5     Document Type: Review

References (42)

1. Cales RH, Trunkey DD. Preventable trauma deaths: a review of trauma care systems development. JAMA. 1985;254:1059-1063.
2. Guss DA, Meyer FT, Neuman TS, et al. Impact of a regionalized system in San Diego County. Ann Emerg Med. 1989;18:1141-1145.
3. Kane G, Wheeler NC, Cook S, et al. Impact of the Los Angeles County Trauma System on survival of seriously injured patients. J Trauma. 1992;32:576-583.
4. Shackford SR, Hollingworth-Fridlund P, Cooper GF, et al. The effect of regionalization upon the quality of trauma care as assessed by concurrent audit before and after institution of a trauma system: a preliminary report. J Trauma. 1986;26:812-820.
5. West JG, Cales RH, Gazzaniga AB. Impact of regionalization: the Orange County experience. Arch Surg. 1983;118:740-744.
6. Abernathy JH 3rd, McGwin G Jr, Acker JE 3rd, et al. Impact of a voluntary trauma system on mortality, length of stay, and cost at a level I trauma center. Am Surg. 2002;68:182-192.
7. Barquist E, Pizzutiello M, Tian L, et al. Effect of trauma system maturation on mortality rates in patients with blunt injuries in the Finger Lakes region of New York State. J Trauma. 2000;49:63-70.
8. Bernstein J. Topics in medical economics II: Specialization. J Bone Joint Surg Am. 2002;84:1882-1885.
9. Cayten CJ, Quervalu I, Argawal N. Fatality analysis reporting system demonstrates association between trauma system initiatives and decreasing death rates. J Trauma. 1999;46:751-756.
10. Champion HR, Sacco WJ, Copes WS. Improvement in outcome from trauma center care. Arch Surg. 1992;127:333-338.
11. Cohen MM, Fath JA, Chung RS, et al. Impact of a dedicated trauma service on the quality and cost of care provided to injured patients at an urban teaching hospital. J Trauma. 1999;46:1114-1119.
12. Demetriades D, Berne TV, Belzberg H, et al. The impact of a dedicated trauma program on outcome in severely injured patients. Arch Surg. 1995;130:216-220.
13. DiRusso S, Holly C, Kamath R, et al. Preparation and achievement of American College of Surgeons Level 1 trauma verification raises hospital performance and improves patient outcome. J Trauma. 2001;51:294-299.
14. Haas NP. The trauma centre: Now and in the future. J Bone Joint Surg Br. 2002;84:627-630.
15. Mullins RJ, Veum-Stone J, Hedges JR, et al. Influence of a statewide trauma system on location and hospitalization and outcome of trauma patients. J Trauma. 1996;40:536-546.
16. Park CA, McGwin G Jr, Smith DR, et al. Trauma-specific intensive care units can be cost effective and contribute to reduced hospital length of stay. Amer Surg. 2001;67:665-670.
17. Sampalis JS, Lavoie A, Boukas S, et al. Trauma center designation: initial impact on trauma-related mortality. J Trauma. 1995;39:232-239.
18. Stewart T, Lane P, Stefnis T. An evaluation of patients outcomes before and after trauma center designation using trauma and injury score analysis. J Trauma. 1995;39:1036-1040.
19. Evans SA, Airey MC, Chell SM, et al. Disability in young adults following major trauma: 5 year follow up of survivors. BMC Public Health. 2003;3:1-8.
20. Finkelstein EA, Fiebelkorn IC, Corso PS, et al. Medical Expenditures Attributable to Injuries - United States, 2000. MMWR. 2004;53:1-4.
21. Brackston M, Doig GS, Girotti MJ. Surgical case coating: trauma is underfunded according to resource intensity weights. Can J Surg. 2002;45:57-62.
22. Cohen JW, Krauss NA. Spending and service use among people with the fifteen most costly medical conditions. Health Aff. 2003;22:129-138.
23. Eastman AB, Rice CL, Bishop GS, et al. An analysis of the critical problem of trauma center reimbursement. J Trauma. 1991;31:920-926.
24. Eastman AB, Bishop GS, Walsh JC, et al. The economic status of trauma centers on the eve of health care reform. J Trauma. 1994;36:835-846.
25. Enderson BL. Can trauma surgeons survive business medicine? J Trauma. 2003;55:215-221.
26. Lanzarotti S, Cook CS, Porter JM, et al. The cost of trauma. Am Surg. 2003;69:766-770.
27. Miller TR, Levy DT. The effect of regional trauma care systems on costs. Arch Surg. 1995;130:188-193.
28. Rodriguez JL, Peterson DJ, Muehlstedt SG, et al. The impact of managed care and current governmental policies on an urban health care center. Surgery. 2001;130:539-544.
29. Selzer D, Gomez G, Jacobson L, et al. Public hospital-based level I trauma centers: financial survival in the new millennium. J Trauma. 2001;51:301-307.
30. Thal ER, Rochon RB. Inner-city trauma centers: financial burden or community saviors? Surg Clin North Am. 1991;71:209-219.
31. Baker SP, O'Neill B, Haddon W Jr, et al. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14:187-196.
32. Lavoie A, Moore L, LeSage N, et al. The new injury severity score: a more accurate predictor of in-hospital mortality than the injury severity score. J Trauma. 2004;56:1312-1320.
33. Devers KJ, Brewster LR, Ginsburg PB. Specialty hospitals: focused factories or cream skimmers? Issue Brief Center Stud Health Syst Change. 2003;62:1-4.
34. Herndon JH, Davidson SM, Apazidis A. Recent socioeconomic trends in orthopaedic practice. J Bone Joint Surg Am. 2001;83:1097-1105.
35. Brinker MR, O'Connor DP, Woods GW, et al. The effect of payer type on orthopaedic practice expenses. J Bone Joint Surg Am. 2002;84:1816-1822.
36. Shen YC. Changes in hospital performance after ownership conversions. Inquiry. 2003;40:217-234.
37. Resnick AS, Corrigan D, Mullen JL, et al. Surgeon contribution to the hospital bottom line. Not all are created equal. Ann Surg. 2005;242:530-539.
38. Rogers FB, Osler T, Shackford SR, et al. Charges and reimbursement at a rural level I trauma center: a disparity between effort and reward among professionals. J Trauma. 2003;54:9-14.
39. Bergeron E, Lavoie A, Moore L, et al. Comorbidity and age are both independent predictors of length of hospitalization in trauma patients. Can J Surg. 2005;48:361-366.
40. Breedlove LL, Fallon WA, Cullado M, et al. Dollars and sense: Attributing value to a level 1 trauma center in economic terms. J Trauma. 2005;58:668-673.
41. Bhandari M, Sprague S, Ayeni OR, et al. A prospective cost analysis following operative treatment of unstable ankle fractures: 30 patients followed for 1 year. Acta Orthop Scand. 2004;75:100-105.
42. James LA, Sookhan N, Subar D. Timing of operative intervention in the management of acutely fractured ankles and the cost implications. Injury. 2001;32:469-472.