Clinical Benchmark for Gastric Stapling Procedures |
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Authors: | Herschel A Graves Jr MD |
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Institution: | (1) Department of Surgery, Vanderbilt University Medical Center and the Surgical Service of the Centennial Medical Center, Nashville, TN, USA |
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Abstract: | To help answer the call to cut costs of surgical care, hospitals and physicians have joined to compare methods of care for
the more common Diagnosis Related Group (DRG) diagnoses to form a Benchmark. Since many bariatric surgeons are the only ones
performing this surgery in their primary hospitals, they do not have two or more surgical routines for comparison. This presentation
compares data for the preoperative work-up, operating-room, and methods of postoperative care used by 29 members of the American
Society for Bariatric Surgery (ASBS). There was representation of both academic and private surgeons and hospitals. To target
areas for possible savings, the hospital bills of 16 patients without complication were compared. The synthesis of this information
revealed significant differences in the extent and cost of preoperative work-up, antibiotic coverage, other postoperative
care, and length of stay. These differences are examined under the assumption that patient outcome was the same. |
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Keywords: | Quality care cost method of peers capitation benchmark |
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