P A Taheri

Summary

Affiliation: University of Michigan
Country: USA

Publications

  1. pmc Academic health systems management: the rationale behind capitated contracts
    P A Taheri
    Division of Trauma, Burn, and Emergency Surgery, University of Michigan Health System, Ann Arbor, MI 48109 0033, USA
    Ann Surg 231:849-59. 2000
  2. ncbi request reprint Health care as a fixed-cost industry: implications for delivery
    Paul A Taheri
    Center for Health Care Economics, University of Michigan, Ann Arbor, MI 48109, USA
    Surg Innov 12:365-71. 2005
  3. ncbi request reprint Trauma center downstream revenue: the impact of incremental patients within a health system
    Paul A Taheri
    Department of Surgery, University of Michigan Health System, MI 48109 0033, USA
    J Trauma 62:615-9; discussion 619-21. 2007
  4. ncbi request reprint The cost of trauma center readiness
    Paul A Taheri
    Department of Surgery, Division of Trauma Burn and Emergency Surgery, University of Michigan Health System, 1c421 University Hospital, Box 0033, Ann Arbor, MI 48109 0033, USA
    Am J Surg 187:7-13. 2004
  5. ncbi request reprint How DRGs hurt academic health systems
    P A Taheri
    Division of Trauma Burn and Emergency Surgery, University of Michigan Health System, Ann Arbor, USA
    J Am Coll Surg 193:1-8; discussion 8-11. 2001
  6. doi request reprint Angioembolization reduces operative intervention for blunt splenic injury
    Benjamin Wei
    Department of Surgery, Henry Ford Health System Detroit, Michigan, USA
    J Trauma 64:1472-7. 2008
  7. ncbi request reprint Aeromedical service: how does it actually contribute to the mission?
    Barry L Rosenberg
    Center for Health Care Economics, University of Michigan Health System, Ann Arbor 48109 0033, USA
    J Trauma 54:681-8. 2003
  8. ncbi request reprint Hospital volume outcome and discharge disposition of burn patients
    Salvatore J Pacella
    Division of Trauma, Burns and Emergency Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI 48109, USA
    Plast Reconstr Surg 117:1296-305; discussion 1306-7. 2006
  9. ncbi request reprint Medical liability-the crisis, the reality, and the data: the University of Michigan story
    Paul A Taheri
    Division of Trauma Burn and Critical Care, University of Michigan Health System, Ann Arbor, MI 48109 0033, USA
    J Am Coll Surg 203:290-6. 2006
  10. ncbi request reprint Broken bodies, broken hearts? Limitations of the trauma system as a model for regionalizing care for ST-elevation myocardial infarction in the United States
    Brahmajee K Nallamothu
    Health Services Research and Development Center of Excellence, VA Medical Center, Ann Arbor, MI, USA
    Am Heart J 152:613-8. 2006

Detail Information

Publications26

  1. pmc Academic health systems management: the rationale behind capitated contracts
    P A Taheri
    Division of Trauma, Burn, and Emergency Surgery, University of Michigan Health System, Ann Arbor, MI 48109 0033, USA
    Ann Surg 231:849-59. 2000
    ..The authors' hypothesis is that hospitals coordinate contracts to keep beds full and that in principal, capitated contracts reflect sound capacity management...
  2. ncbi request reprint Health care as a fixed-cost industry: implications for delivery
    Paul A Taheri
    Center for Health Care Economics, University of Michigan, Ann Arbor, MI 48109, USA
    Surg Innov 12:365-71. 2005
    ..Elements include flexing intensive care unit beds, improving operating room efficiencies, and rationalizing health care capacity...
  3. ncbi request reprint Trauma center downstream revenue: the impact of incremental patients within a health system
    Paul A Taheri
    Department of Surgery, University of Michigan Health System, MI 48109 0033, USA
    J Trauma 62:615-9; discussion 619-21. 2007
    ..The purpose of this study is to assess the downstream clinical and financial impact of a trauma, burn, and emergency surgery service at an academic Level I trauma center...
  4. ncbi request reprint The cost of trauma center readiness
    Paul A Taheri
    Department of Surgery, Division of Trauma Burn and Emergency Surgery, University of Michigan Health System, 1c421 University Hospital, Box 0033, Ann Arbor, MI 48109 0033, USA
    Am J Surg 187:7-13. 2004
    ..The purpose of this study was to quantify the costs associated with the preparation of the capacity to provide trauma care at trauma centers within the State of Florida...
  5. ncbi request reprint How DRGs hurt academic health systems
    P A Taheri
    Division of Trauma Burn and Emergency Surgery, University of Michigan Health System, Ann Arbor, USA
    J Am Coll Surg 193:1-8; discussion 8-11. 2001
    ..The application of our proposed reimbursement methodology better distributes risk between payers and providers, and reduces adverse selection and incentive problems ("moral hazard")...
  6. doi request reprint Angioembolization reduces operative intervention for blunt splenic injury
    Benjamin Wei
    Department of Surgery, Henry Ford Health System Detroit, Michigan, USA
    J Trauma 64:1472-7. 2008
    ..We postulated that splenic AE for BSI would have superior outcomes compared with operation and increase our splenic salvage rate...
  7. ncbi request reprint Aeromedical service: how does it actually contribute to the mission?
    Barry L Rosenberg
    Center for Health Care Economics, University of Michigan Health System, Ann Arbor 48109 0033, USA
    J Trauma 54:681-8. 2003
    ..Aeromedical services are important but poorly understood elements of many health systems. The purpose of this study is to describe the value of aeromedical transportation to our health system...
  8. ncbi request reprint Hospital volume outcome and discharge disposition of burn patients
    Salvatore J Pacella
    Division of Trauma, Burns and Emergency Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI 48109, USA
    Plast Reconstr Surg 117:1296-305; discussion 1306-7. 2006
    ..e., in-hospital mortality, length of stay) and discharge disposition of burn patients using a large nationally representative database...
  9. ncbi request reprint Medical liability-the crisis, the reality, and the data: the University of Michigan story
    Paul A Taheri
    Division of Trauma Burn and Critical Care, University of Michigan Health System, Ann Arbor, MI 48109 0033, USA
    J Am Coll Surg 203:290-6. 2006
    ..The goal is to gain an understanding of what our claims experience has been, what services are highest risk, and where the financial exposure lies...
  10. ncbi request reprint Broken bodies, broken hearts? Limitations of the trauma system as a model for regionalizing care for ST-elevation myocardial infarction in the United States
    Brahmajee K Nallamothu
    Health Services Research and Development Center of Excellence, VA Medical Center, Ann Arbor, MI, USA
    Am Heart J 152:613-8. 2006
    ..In this article, we briefly review the current status of trauma systems in the United States and describe why the regionalization of STEMI care may require different methods of healthcare organization...
  11. ncbi request reprint Use of computerized ICU documentation to capture ICU core measures
    Wendy Lynn Wahl
    Trauma Burn Center, University of Michigan Health System, Ann Arbor, Mich, USA
    Surgery 140:684-9; discussion 690. 2006
    ..We hypothesized that use of our current computerized ICU flowsheet could provide timely, accurate data on ICU core measures without additional personnel dedicated to data capture...
  12. ncbi request reprint Financial impact of hand surgery programs on academic medical centers
    Jafar S Hasan
    Section of Plastic Surgery, Surgery Finance Office, University of Michigan Medical School, Ann Arbor, Mich 48109 0340, USA
    Plast Reconstr Surg 119:627-35. 2007
    ..This analysis can serve as a reference for other medical centers in the financial evaluation of a hand surgery program...
  13. pmc Detecting the blind spot: complications in the trauma registry and trauma quality improvement
    Mark R Hemmila
    Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI 48109 0033, USA
    Surgery 142:439-48; discussion 448-9. 2007
    ..We sought to apply the NSQIP methodology to collect comorbidity and outcome data for trauma patients. Data were compared to the NTDB to determine the benefit and validity of using the NSQIP methodology for trauma...
  14. ncbi request reprint Perioperative issues: myocardial ischemia and protection--beta-blockade
    Paul M Maggio
    Department of Surgery, University of Michigan Health System, University Hospital, Room 1C421, 1500 East Medical Center Drive, Ann Arbor, MI 48109 0033, USA
    Surg Clin North Am 85:1091-102, viii. 2005
    ..Because of the lower complication rate in intermediate- and low-risk patients and the absence of large randomized controlled trials, the role of beta-blockers in this population is less well-defined...
  15. ncbi request reprint Referral patterns and severity distribution of burn care: implications for burn centers and surgical training
    Salvatore J Pacella
    University of Michigan Health System, Department of Surgery, Section of Plastic Surgery, Ann Arbor, MI 48109, USA
    Ann Plast Surg 54:412-9. 2005
    ..A wide variation in patient distribution occurs throughout the United States. Matching the patient and resident distribution is essential for effective training of surgical residents...
  16. pmc Real money: complications and hospital costs in trauma patients
    Mark R Hemmila
    Department of Surgery, University of Michigan Medical School, Ann Arbor, MI 48109 5033, USA
    Surgery 144:307-16. 2008
    ..We used the National Surgical Quality Improvement Program (NSQIP) methodology to evaluate hospital costs, duration of stay, and payment associated with complications in trauma patients...
  17. ncbi request reprint Antiplatelet therapy: an alternative to heparin for blunt carotid injury
    Wendy L Wahl
    Division of Trauma Burn and Emergency Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109 0033, USA
    J Trauma 52:896-901. 2002
    ..In a retrospective review, we identified 22 patients who presented with BCI and assessed neurologic and survival outcomes on the basis of injury grade and treatment with anticoagulation or antiplatelet therapy...
  18. ncbi request reprint A comparison of prehospital and hospital data in trauma patients
    Saman Arbabi
    Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan, USA
    J Trauma 56:1029-32. 2004
    ..We hypothesized that ED and Fd physiologic parameters are equally valid predictors of outcomes. In addition, we hypothesized that early field intubation will improve survival compared with later ED intubation...
  19. ncbi request reprint Beta-blocker use is associated with improved outcomes in adult burn patients
    Saman Arbabi
    Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109 0033, USA
    J Trauma 56:265-9; discussion 269-71. 2004
    ..However, beta-blockers decrease cardiac output and may decrease oxygen delivery, and theoretically may increase mortality. What is the effect of beta-blockers on healing time and mortality in burn patients?..
  20. ncbi request reprint Delayed repair for blunt thoracic aortic injury: is it really equivalent to early repair?
    Mark R Hemmila
    Department of Surgery, University of Michigan Health System, Ann Arbor, 48109 0033, USA
    J Trauma 56:13-23. 2004
    ....
  21. ncbi request reprint The need for early angiographic embolization in blunt liver injuries
    Wendy L Wahl
    Division of Trauma Burn and Emergency Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109 0033, USA
    J Trauma 52:1097-101. 2002
    ..Although nonoperative management of blunt liver injury (BLI) has become standard practice, adjuncts to nonoperative therapy, such as angiographic embolization, have not been well characterized...
  22. ncbi request reprint The cushion effect
    Saman Arbabi
    Department of Surgery, University of Michigan Health System, Ann Arbor, USA
    J Trauma 54:1090-3. 2003
    ..Human body characteristics such as height and weight may play an important role. We hypothesized that body mass index (BMI) will influence crash injury patterns...
  23. ncbi request reprint The added cost of urgent cholecystectomy to health systems
    Steven L Chen
    Department of Surgery, Division of Trauma, Burn, and Emergency Surgery, Center for Health Care Economics, University of Michigan Health System, Ann Arbor, USA
    J Am Coll Surg 197:16-21. 2003
    ..The purpose of this study is to assess the cost and reimbursement differential between elective and urgent laparoscopic cholecystectomy...
  24. ncbi request reprint Decreased juvenile arson and firesetting recidivism after implementation of a multidisciplinary prevention program
    Glen A Franklin
    Department of Surgery, Division of Trauma, Burn and Emergency Surgery, University of Michigan, Ann Arbor, Michigan, USA
    J Trauma 53:260-4; discussion 264-6. 2002
    ..The purpose of this study was to determine the value of this trauma burn center prevention program from a financial, clinical, and recidivism perspective...
  25. ncbi request reprint Endovascular abdominal aortic aneurysm repair is more profitable than open repair based on contribution margin per day
    Barry L Rosenberg
    Department of Surgery and Radiology, University of Michigan Health System, USA
    Surgery 137:285-92. 2005
    ..VDCs capture incremental resources tied directly to individual patients' activity (eg, invoice price of endograft device, nursing labor). Overhead costs factor into total margin, but not contribution margin...
  26. ncbi request reprint Hospital costs associated with surgical complications: a report from the private-sector National Surgical Quality Improvement Program
    Justin B Dimick
    Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, NH, USA
    J Am Coll Surg 199:531-7. 2004
    ..The objective of the current study was to calculate hospital costs associated with postoperative complications, because reducing morbidity may offset the costs of using the NSQIP...