Regional availability of high-volume hospitals for major surgery

Health Affairs

Volumn 23, Issue SUPPL., 2004, Pages

  Dimick, Justin B ^a   Finlayson, Samuel R G ^a   Birkmeyer, John D ^b  

^a VA MEDICAL CENTER   (United States)

^b UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANEURYSM SURGERY; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; HEALTH CARE AVAILABILITY; HEALTH CARE DELIVERY; HOSPITAL DEPARTMENT; HOSPITAL UTILIZATION; HUMAN; MAJOR SURGERY; MEDICARE; PANCREAS RESECTION; PATIENT REFERRAL; SURGERY; SURGICAL RISK; UTILIZATION REVIEW;

HEALTH SERVICES ACCESSIBILITY; HUMANS; MEDICARE; REFERRAL AND CONSULTATION; SUPPLY AND DISTRIBUTION; SURGERY DEPARTMENT, HOSPITAL; SURGICAL PROCEDURES, OPERATIVE; UTILIZATION;

EID: 8844259772     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.var.45     Document Type: Article

References (33)

1. R. Galvin and A. Milstein, "Large Employers' New Strategies in Health Care," New England Journal of Medicine 347, no. 12 (2002): 939-942; and A Milstein et al., "Improving the Safety of Health Care: The Leapfrog Initiative," Effective Clinical Practice 3, no. 6 (2000): 313-316.
2. R. Galvin and A. Milstein, "Large Employers' New Strategies in Health Care," New England Journal of Medicine 347, no. 12 (2002): 939-942; and A Milstein et al., "Improving the Safety of Health Care: The Leapfrog Initiative," Effective Clinical Practice 3, no. 6 (2000): 313-316.
3. HealthGrades Inc., "How to Choose a Hospital: HealthGrades' Guidelines for Choosing a High-Quality Hospital," www.healthgrades.com/ public/index.cfm?fuseaction=mod&modtype=Content&modact= HowToChoose&re_modtype=HRC (30 July 2004); Center for Medical Consumers, "2002 Reported Volume for Selected Procedures Performed in New York State Licensed Hospitals and Ambulatory Surgery Centers," www.medicalconsumers. org/index.html#introduction (30 July 2004); and R. Mishra, "Study Cites Risks of Low-Volume Surgeries," Boston Globe, 1 March 2003.
4. HealthGrades Inc., "How to Choose a Hospital: HealthGrades' Guidelines for Choosing a High-Quality Hospital," www.healthgrades.com/ public/index.cfm?fuseaction=mod&modtype=Content&modact= HowToChoose&re_modtype=HRC (30 July 2004); Center for Medical Consumers, "2002 Reported Volume for Selected Procedures Performed in New York State Licensed Hospitals and Ambulatory Surgery Centers," www.medicalconsumers. org/index.html#introduction (30 July 2004); and R. Mishra, "Study Cites Risks of Low-Volume Surgeries," Boston Globe, 1 March 2003.
5. HealthGrades Inc., "How to Choose a Hospital: HealthGrades' Guidelines for Choosing a High-Quality Hospital," www.healthgrades.com/ public/index.cfm?fuseaction=mod&modtype=Content&modact= HowToChoose&re_modtype=HRC (30 July 2004); Center for Medical Consumers, "2002 Reported Volume for Selected Procedures Performed in New York State Licensed Hospitals and Ambulatory Surgery Centers," www.medicalconsumers. org/index.html#introduction (30 July 2004); and R. Mishra, "Study Cites Risks of Low-Volume Surgeries," Boston Globe, 1 March 2003.
6. J.D. Birkmeyer et al., "Hospital Volume and Surgical Mortality in the United States," New England Journal of Medicine 346, no. 15 (2002): 1128-1137.
7. I b i d.
8. J.E. Wennberg and M.M. Cooper, eds., The Quality of Medical Care in the United States: A Report on the Medicare Program, The Dartmouth Atlas of Health Care 1999 (Chicago: AHA Press, 1999). Complete descriptions of the methods and previous research can be found on the Dartmouth Atlas Web site, www.dartmouthatlas.org.
9. Milstein et al., "Improving the Safety of Health Care."
10. Leapfrog Group, "Evidence-Based Hospital Referral Fact Sheet," www.leapfroggroup.org/FactSheets/EHR_FactSheet.PDF (30 July 2004).
11. For a more detailed description of the method used to convert Medicare volume to total, all-payer volume, see Birkmeyer et al., "Hospital Volume and Surgical Mortality."
12. Wennberg and Cooper, eds., The Quality of Medical Care in the United States.
13. J.E. Wennberg and M.M. Cooper, eds., The Dartmouth Atlas of Health Care 1996 (Chicago: AHA Press, 1996).
14. This geographic variation can be seen in Supplemental Online Exhibits 1-3, available at content .healthaffairs.org/cgi/content/full/hlthaff.var.45/ DC2.
15. J.D. Birkmeyer and J.B. Dimick, "Potential Benefits of the 2003 Leapfrog Standards: Effect of Process and Outcomes Measures," Surgery 135, no. 6 (2004): 569-575.
16. J.D. Birkmeyer, "Should We Regionalize Major Surgery? Potential Benefits and Policy Considerations," Journal of the American College of Surgeons 190, no. 3 (2000): 341-349.
17. Wennberg and Cooper, eds., The Dartmouth Atlas of Health Care 1996.
18. J.D. Birkmeyer et al., "Regionalization of High-Risk Surgery and Implications for Patient Travel Times," Journal of the Amencan Medical Association 290, no. 20 (2003): 2703-2708.
19. S.R. Finlayson et al., "Patient Preferences for Location of Care: Implications for Regionalization," Medical Care 37, no. 2 (1999): 204-209.
20. Mishra, "Study Cites Risks"; A. Comarow, "Higher Volume, Fewer Deaths," U.S. News and World Report (17 July 2000): 68-70; and L. Marsa, "Not Every Hospital Is Created Equal," Los Angeles Times, 25 September 2000.
21. Mishra, "Study Cites Risks"; A. Comarow, "Higher Volume, Fewer Deaths," U.S. News and World Report (17 July 2000): 68-70; and L. Marsa, "Not Every Hospital Is Created Equal," Los Angeles Times, 25 September 2000.
22. M.N. Marshall et al., "The Public Release of Performance Data: What Do We Expect to Gain? A Review of the Evidence," Journal of the American Medical Association 283, no. 14 (2000): 1866-1874.
23. E.C. Schneider and A.M. Epstein, "Influence of Cardiac-Surgery Performance Reports on Referral Practices and Access to Care: A Survey of Cardiovascular Specialists," New England Journal of Medicine 335, no. 4 (1996): 251-256.
24. P.S. Romano and H. Zhou, "Do Well-Publicized Risk-Adjusted Outcomes Reports Affect Hospital Volume?" Medical Care 42, no. 4 (2004): 367-377; and E.C. Schneider and A.M. Epstein, "Use of Public Performance Reports: A Survey of Patients Undergoing Cardiac Surgery," Journal of the American Medical Association 279, no. 20 (1998): 1638-1642.
25. P.S. Romano and H. Zhou, "Do Well-Publicized Risk-Adjusted Outcomes Reports Affect Hospital Volume?" Medical Care 42, no. 4 (2004): 367-377; and E.C. Schneider and A.M. Epstein, "Use of Public Performance Reports: A Survey of Patients Undergoing Cardiac Surgery," Journal of the American Medical Association 279, no. 20 (1998): 1638-1642.
26. D.R. Urbach and N.N. Baxter, "Does It Matter What a Hospital Is 'High Volume' For? Specificity of Hospital Volume-Outcome Associations for Surgical Procedures: Analysis of Administrative Data," British Medical Journal 328, no. 7442 (2004): 737-740.
27. D.A. Alter et al., "Long-Term Myocardial Infarction Outcomes at Hospitals With or Without On-Site Revascularization," Journal of the Amencan Medical Association 285, no. 16 (2001): 2101-2108; L.H. Aiken et al., "Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction," Journal of the American Medical Association 288, no. 16 (2002): 1987-1993; and P.J. Pronovost et al., "Physician Staffing Patterns and Clinical Outcomes in Critically Ill Patients: A Systematic Review," Journal of the Amencan Medical Association 288, no. 17 (2002): 2151-2162.
28. D.A. Alter et al., "Long-Term Myocardial Infarction Outcomes at Hospitals With or Without On-Site Revascularization," Journal of the Amencan Medical Association 285, no. 16 (2001): 2101-2108; L.H. Aiken et al., "Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction," Journal of the American Medical Association 288, no. 16 (2002): 1987-1993; and P.J. Pronovost et al., "Physician Staffing Patterns and Clinical Outcomes in Critically Ill Patients: A Systematic Review," Journal of the Amencan Medical Association 288, no. 17 (2002): 2151-2162.
29. D.A. Alter et al., "Long-Term Myocardial Infarction Outcomes at Hospitals With or Without On-Site Revascularization," Journal of the Amencan Medical Association 285, no. 16 (2001): 2101-2108; L.H. Aiken et al., "Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction," Journal of the American Medical Association 288, no. 16 (2002): 1987-1993; and P.J. Pronovost et al., "Physician Staffing Patterns and Clinical Outcomes in Critically Ill Patients: A Systematic Review," Journal of the Amencan Medical Association 288, no. 17 (2002): 2151-2162.
30. J.D. Birkmeyer et al., "Surgeon Volume and Operative Mortality in the United States," New England Journal of Medicine 349, no. 22 (2003): 2117-2127; and B.E. Hillner et al., "Hospital and Physician Volume or Specialization and Outcomes in Cancer Treatment: Importance in Quality of Cancer Care," Journal of Clinical Oncology 18, no. 11 (2000): 2327-2340.
31. J.D. Birkmeyer et al., "Surgeon Volume and Operative Mortality in the United States," New England Journal of Medicine 349, no. 22 (2003): 2117-2127; and B.E. Hillner et al., "Hospital and Physician Volume or Specialization and Outcomes in Cancer Treatment: Importance in Quality of Cancer Care," Journal of Clinical Oncology 18, no. 11 (2000): 2327-2340.
32. J.B. Dimick et al., "Surgical Mortality as an Indicator of Hospital Quality: The Problem with Small Sample Size," Journal of the American Medical Association (forthcoming)
33. A. Wibe and the Norwegian Rectal Cancer Group, "Total Mesorectal Excision for Rectal Cancer - What Can Be Achieved by a National Audit?" Colorectal Disease 5, no. 5 (2003): 471-477.