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Health Services Information: Data-driven Improvements in Surgical Quality: Structure, Process, and Outcomes

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Data and Measures in Health Services Research

Part of the book series: Health Services Research ((HEALTHSR))

Abstract

The barriers to surgical quality improvement in the United States are significant. Fee-for-service reimbursement approach does not encourage provider communication and drives volume, not value. Quality report cards and pay-for-performance strategies have been implemented to reflect performance of individual providers at specific healthcare settings, but they have not been very effective at enforcing continuity of care and integration. In this chapter we describe how, using Donabedian approach to quality assessment, one can develop reliable and useful quality indicators for surgical services. We review main sources of relevant data and discuss practical implications of working with each of the databases. Finally, we provide an overview of current knowledge gaps and challenges affecting surgical care delivery and provide recommendation for future research and quality improvement interventions.

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Noyes, K., Fleming, F.J., Iannuzzi, J.C., Monson, J.R.T. (2015). Health Services Information: Data-driven Improvements in Surgical Quality: Structure, Process, and Outcomes. In: Sobolev, B., Levy, A., Goring, S. (eds) Data and Measures in Health Services Research. Health Services Research. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7673-4_8-1

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