The American Journal of Surgery
Volume 200, Issue 1 , Pages 105-110 , July 2010

Virtual partnerships: aligning hospital and surgeon incentives

Presented at the Symposium on Quality Improvement in Specialty Surgery in Smaller Hospitals, October 20, 2009, Louisville, KY.

  • Donald E. Fry, M.D., F.A.C.S.

      Affiliations

    • Michael Pine and Associates, 5020 S. Lake Shore Dr, 304N, Chicago, IL 60615, USA
    • Department of Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA
    • Corresponding Author InformationCorresponding author: Tel.: +1-773-643-1700; fax: +1-773-643-6601
    • ,
  • Michael Pine, M.D., M.B.Ch.B.

      Affiliations

    • Michael Pine and Associates, 5020 S. Lake Shore Dr, 304N, Chicago, IL 60615, USA
    • Department of Medicine, University of Chicago School of Medicine, Chicago, IL, USA
    • ,
  • Gregory Pine, B.A.

      Affiliations

    • Michael Pine and Associates, 5020 S. Lake Shore Dr, 304N, Chicago, IL 60615, USA

Received 1 April 2010 ,Revised 16 April 2010

References 

  1. Organization for economic cooperation and development (OECD) health expenditures 2007. http://stats.oecd.org/Index.aspx?DataSetCode=CSP2009Accessed: February 5, 2010
  2. Congressional Budget Office. Technological change and the growth of health care spending. http://www.cbo.gov/ftpdocs/89xx/doc8947/01-31-TechHealth.pdfAccessed: February 5, 2010
  3. Institute of Medicine of the National Academies. To Err Is Human: Building a Safer Health System (Institute of Medicine of the National Academies). Washington DC: The National Academies Press; 1999;
  4. Institute of Medicine of the National Academies. Crossing the Quality Chasm: A New Health System for the 21st Century (Institute of Medicine of the National Academies). Washington DC: The National Academies Press; 2001;
  5. Rosenthal MB, Frank RG, Li Z, et al. Early experience with pay-for-performance: from concept to practice. JAMA. 2005;294:1788–1793
  6. Centers for Medicare and Medicaid Services. CMS improves patient safety for Medicare and Medicaid by addressing never events. http://www.cms.hhs.gov/apps/media/press/factsheet.asp?Counter=3224&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=false&cboOrder=dateAccessed: February 5, 2010
  7. Casale AS, Paulus RA, Selna MJ, et al. Proven care: a provider-driven pay-for-performance program for acute episodic cardiac surgical care. Ann Surg. 2007;246:613–623
  8. Hackbarth G, Reischauer R, Mutti A. Collective accountability for medical care-toward bundled Medicare payments. N Engl J Med. 2008;359:3–5
  9. Center for Medicare and Medicaid. Services: Medicare acute care episode demonstration. 2009;http://www.cms.hhs.gov/DemoProjectsEvalRpts/MD/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=3&sortOrder=descending&itemID=CMS1204388&intNumPerPage=10Accessed: February 5, 2010
  10. Fisher ES, Staiger DO, Bynum JPW, et al. Creating accountable care organizations: the extended hospital medical staff. Health Aff. 2006;26:w44–w57
  11. Fry DE, Pine M, Jones BL, et al. Adverse outcomes in surgery: redefinition of post-operative complications. Am J Surg. 2009;197:479–484
  12. Michael Pine and Associates. GlobalPRIME™: the mpa approach to healthcare payment reform. http://www.consultmpa.com/globalprimeAccessed: February 5, 2010
  13. Pine M, Jordan HS, Elixhauser A, et al. Enhancement of claims data to improve risk adjustment of hospital mortality. JAMA. 2007;297:71–76
  14. Fry DE, Pine M, Jordan HS, et al. Combining administrative and clinical data to stratify surgical risk. Ann Surg. 2007;246:875–885
  15. Gosfield AG. A new payment model for quality (Why care now?). Am J Med Qual. 2007;22:145–147
  16. Goldfield N, Averill R, Fuller R, et al. A response to the Prometheus proposal—well intentioned but impossible to implement. Am J Med Qual. 2008;23:85–89

PII: S0002-9610(10)00167-4

doi: 10.1016/j.amjsurg.2010.04.002

The American Journal of Surgery
Volume 200, Issue 1 , Pages 105-110 , July 2010

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