Fig. 7.1 States adjusted bypass surgery 30-day mortality rate vs. adjusted average yearly decline in bypass surgery mortality risk (1987–1992), controlling for age, gender, race, admission for acute myocardial infarction,…
Policy option CMS adoption Selective referral National coverage decisions for selected procedures Refer patients to specific providers, i.e., “centers of excellence” Example: Bariatric surgery coverage linked to “center of excellence…
Fig. 5.1 Factors contributing to health care disparities. Size of font reflects perceived relative importance of factor (Reproduced from Haider et~al. [35]) 5.3.3.2 Hospital Volume Surgical outcomes are directly affected…
Program Name Established Scope Target audience Surgery-specific Financial incentives Level of reporting Data type VA NSQIP 1994 National – VA VA hospitals Yes No Hospital Clinical registry ACS NSQIP 2001/2005…
Recommendation Strategy Pursue patient safety initiatives that prevent medical injury Strengthen oversight and accountability mechanisms to better ensure the competencies of physicians and nurses Allow health care researcher access to…
Fig. 33.1 Michael 20 months old, always smiling Fig. 33.2 Michael at age 2 ½ years, being his ‘silly self’ Fig. 33.3 Michael 11 years old, with his younger cousin…
“When patients die in other areas of medicine the question is ‘what happened?’ However, when a patient dies during or after surgery, the question is, ‘what did you do?’”—Peter Angelos…
Fig. 13.1 Department of Health and Human Services organizational chart [7] The federal government works in partnership with state and local agencies, national quality and safety organizations, accrediting organizations, insurers…
Fig. 25.1 Errors (incidents) are not the same as adverse events. Only a part of all adverse events are preventable Every undesired outcome of care is a complication, irrespective of…
Fig. 8.1 Oxyhemoglobin dissociation curve Conventional Wisdom Can Be Harmful The Oxyhemoglobin Dissociation Curve (ODC), discovered in 1903 by Christian Bohr, was changed substantially in the mid 1980s because of…
