Controlling costs without compromising quality: paying hospitals for total knee replacementMichael Pine
Michael Pine and Associates, Chicago, IL 60615, USA
Med Care 48:862-8. 2010
..An alternative payment structure, especially for high volume, high cost episodes of care (eg, total knee replacement), is needed to reward high quality care and reduce costs...
- Modifying ICD-9-CM coding of secondary diagnoses to improve risk-adjustment of inpatient mortality rates
Michael Pine
Michael Pine and Associates, Inc, 1210 Chicago Avenue, Evanston, IL 60202, USA
Med Decis Making 29:69-81. 2009
..Data Sources. Claims and abstracted clinical data on patients hospitalized for 5 medical conditions and 3 surgical procedures at 188 Pennsylvania hospitals from July 2000 through June 2003...
Enhancement of claims data to improve risk adjustment of hospital mortalityMichael Pine
Michael Pine and Associates Inc, Chicago, Ill, USA
JAMA 297:71-6. 2007
..Risk-adjustment equations used in these analyses must contain sufficient clinical detail to ensure accurate measurements of hospital quality...
- Combining administrative and clinical data to stratify surgical risk
Donald E Fry
Michael Pine and Associates, Inc, Chicago, Illinois 60615, USA
Ann Surg 246:875-85. 2007
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- Adverse outcomes in surgery: redefinition of postoperative complications
Donald E Fry
Michael Pine and Associates, Chicago, IL 60615, USA
Am J Surg 197:479-84. 2009
..We propose that excess risk-adjusted, postoperative length of stay (poLOS) is a valid indicator of an adverse outcome...
- The impact of ineffective and inefficient care on the excess costs of elective surgical procedures
Donald E Fry
Michael Pine and Associates, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
J Am Coll Surg 212:779-86. 2011
..The identification of cost-effective hospitals permits objective measurement of excessive surgical costs and development of strategies to improve outcomes and efficiency...
- Control charts to identify adverse outcomes in elective colon resection
Donald E Fry
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
Am J Surg 203:392-6; discussion 396. 2012
..Control charts have been proposed for the measurement of quality in surgical care...
- Surgical warranties to improve quality and efficiency in elective colon surgery
Donald E Fry
Michael Pine and Associates, 5020 S Lake Shore Drive, Chicago, IL 60615, USA
Arch Surg 145:647-52. 2010
..Uncomplicated surgical care has highly variable costs. High costs of complications have led payers to deny additional payments even for predictable complications...
- Inefficiency as the major driver of excess costs in lung resection
Donald E Fry
Michael Pine and Associates, Chicago, IL 60615, USA
J Thorac Cardiovasc Surg 142:1418-22. 2011
..Risk-adjusted outcomes of surgical care are important for quality and cost assessments. Although cardiac surgery is commonly studied, risk-adjusted analysis of excess costs of lung resection has not been pursued...
- Comparative effectiveness and efficiency in peripheral vascular surgery
Donald E Fry
Michael Pine and Associates, Chicago, IL 60615, USA
Am J Surg 201:363-7; discussion 367-8. 2011
..Elective peripheral vascular surgery provides quality outcomes that are of great benefit to patients, but have complications that result in severe morbidity and excessive costs...
- Patient characteristics and the occurrence of never events
Donald E Fry
Michael Pine and Associates, 5020 S Lake Shore Drive, Chicago, IL 60615, USA
Arch Surg 145:148-51. 2010
..To determine whether the occurrence of "never events" after major surgical procedures is affected by patient and disease characteristics and by the type of operation performed...
- Virtual partnerships: aligning hospital and surgeon incentives
Donald E Fry
Michael Pine and Associates, 5020 S Lake Shore Drive, Chicago, IL 60615, USA
Am J Surg 200:105-10. 2010
..A fundamental reorganization will be required if care is to be broadened and sensible economies achieved...
- Linking processes and outcomes to improve surgical performance: a new approach to morbidity and mortality peer review
Michael Pine
Michael Pine and Associates, Inc. Chicago, Illinois 60615, USA
Am Surg 72:1115-9; discussion 1126-48. 2006
..A simulated scenario is analyzed in detail to illustrate the ability of this technique to correctly determine best practices when other approaches fail to do so...
- Female gender is an independent predictor of operative mortality after coronary artery bypass graft surgery: contemporary analysis of 31 Midwestern hospitals
Ron Blankstein
Department of Medicine, University of Chicago Hospitals, Chicago, IL 60610, USA
Circulation 112:I323-7. 2005
..We attempted to determine whether, all other factors being equal, there is a significant difference in OM between men and women undergoing CABG...
