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Aligning Cost and Quality: Operational Standardization for Value-Based Care

Project Description

This project will measure value-based care using surgical data from two years (2012-2014) to 1) identify the top ten highest volume procedures for review within the Department of Surgery; 2) introduce a simple, easily accessible, and standardized database for reporting and analysis; and 3) analyze variation amongst surgeons around cost and associated patient outcomes (ICU Utilization, Mortality, Length of Stay (LOS), Severity, Complications/Hospital Acquired Complications (HACs), Hospital Cost, Direct Surgical Supply Cost, Readmission Rate, Central Line-Associated Bloodstream Infection (CLABSI), catheter-associated urinary tract infection (CAUTI), Surgical Site Infection (SSI), and Patient Safety Indicators (PSIs)).

In addition we will compare our institutional data to External Hospitals participating in academic medicine (University Health System Consortium).  To use the established performance score cards to facilitate the implementation of value based care models we will develop online scorecards for costs and associated outcomes for the common procedures for all surgeons. In addition we will identify and implement protocols to minimize practice variation and evaluate effect of quality outcomes with new system-wide implementation. Finally we will calculate hospital system savings after implementation.

Primary Contact: Susan Moffatt-Bruce, M.D., Ph.D.
Institution: The Ohio State University Wexner Medical Center

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