Skip to main content
Top
Published in: World Journal of Surgery 10/2005

01-10-2005

Measuring Surgical Quality: What’s the Role of Provider Volume?

Authors: Justin B. Dimick, M.D., John D. Birkmeyer, M.D., Gilbert R. Upchurch Jr, M.D.

Published in: World Journal of Surgery | Issue 10/2005

Login to get access

Abstract

Although not ideal for all situations, provider volume is particularly suited for measuring surgical quality in certain contexts. Specifically, we believe that for uncommon operations with a strong volumes–outcome effect, provider volume may be the most informative performance measure. Because of the relative ease of determining provider volume, it will continue to be used in value-based purchasing and public reporting efforts. With increasing momentum from outside the profession of surgery, it is particularly important for surgeons to participate in making decisions regarding situations where volume may be an appropriate measure of quality.
Literature
1.
go back to reference Halm EA, Lee C, Chassin MR. Is volume related to outcome in health care? A systematic review and methodologic critique of the literature. Ann. Intern. Med. 2002;137:511–520PubMed Halm EA, Lee C, Chassin MR. Is volume related to outcome in health care? A systematic review and methodologic critique of the literature. Ann. Intern. Med. 2002;137:511–520PubMed
2.
go back to reference Dudley RA, Johansen KL, Brand R, et al. Selective referral to high-volume hospitals: estimating potentially avoidable deaths. J.A.M.A. 2000;283:1159–1166PubMed Dudley RA, Johansen KL, Brand R, et al. Selective referral to high-volume hospitals: estimating potentially avoidable deaths. J.A.M.A. 2000;283:1159–1166PubMed
3.
go back to reference Birkmeyer JD, Siewers AE, Finlayson EV, et al. Hospital volume and surgical mortality in the United States. N. Engl. J. Med. 2002;346:1128–1137CrossRefPubMed Birkmeyer JD, Siewers AE, Finlayson EV, et al. Hospital volume and surgical mortality in the United States. N. Engl. J. Med. 2002;346:1128–1137CrossRefPubMed
4.
go back to reference Birkmeyer JD, Dimick JB. Potential benefits of the 2003 Leapfrog standards: effect of process and outcomes measures. Surgery. 2004;135:569–575CrossRefPubMed Birkmeyer JD, Dimick JB. Potential benefits of the 2003 Leapfrog standards: effect of process and outcomes measures. Surgery. 2004;135:569–575CrossRefPubMed
5.
go back to reference Khuri SF. Invited commentary: surgeons, not General Motors, should set standards for surgical care. Surgery 2001;130:429–431CrossRefPubMed Khuri SF. Invited commentary: surgeons, not General Motors, should set standards for surgical care. Surgery 2001;130:429–431CrossRefPubMed
6.
go back to reference Khuri SF, Daley J, Henderson W, et al. Relation of surgical volume to outcome in eight common operations: results from the VA National Surgical Quality Improvement Program. Ann. Surg. 1999;230:414–429CrossRefPubMed Khuri SF, Daley J, Henderson W, et al. Relation of surgical volume to outcome in eight common operations: results from the VA National Surgical Quality Improvement Program. Ann. Surg. 1999;230:414–429CrossRefPubMed
7.
go back to reference Hannan EL, Kilburn H Jr, Bernard H, et al. Coronary artery bypass surgery: the relationship between inhospital mortality rate and surgical volume after controlling for clinical risk factors. Med. Care 1991;29:1094–1107PubMed Hannan EL, Kilburn H Jr, Bernard H, et al. Coronary artery bypass surgery: the relationship between inhospital mortality rate and surgical volume after controlling for clinical risk factors. Med. Care 1991;29:1094–1107PubMed
8.
go back to reference Edwards EB, Roberts JP, McBride MA, et al. The effect of the volume of procedures at transplantation centers on mortality after liver transplantation. N. Engl. J. Med 1999;341:2049–2053CrossRefPubMed Edwards EB, Roberts JP, McBride MA, et al. The effect of the volume of procedures at transplantation centers on mortality after liver transplantation. N. Engl. J. Med 1999;341:2049–2053CrossRefPubMed
9.
go back to reference Chen J, Radford MJ, Wang Y, et al. Do “America’s Best Hospitals” perform better for acute myocardial infarction? N. Engl. J. Med. 1999;340:286–292CrossRefPubMed Chen J, Radford MJ, Wang Y, et al. Do “America’s Best Hospitals” perform better for acute myocardial infarction? N. Engl. J. Med. 1999;340:286–292CrossRefPubMed
10.
go back to reference Birkmeyer JD, Stukel TA, Siewers AE, et al. Surgeon volume and operative mortality in the United States. N. Engl. J. Med. 2003;349:2117–2127CrossRefPubMed Birkmeyer JD, Stukel TA, Siewers AE, et al. Surgeon volume and operative mortality in the United States. N. Engl. J. Med. 2003;349:2117–2127CrossRefPubMed
11.
go back to reference AHRQ Quality Indicators—Guide to Inpatient Quality Indicators: Quality of Care in Hospitals—Volume, Mortality, and Utilization, Rockville. MD, Agency for Healthcare Research and Quality, 2002, AHRQ pub. No. 02-R0204 AHRQ Quality Indicators—Guide to Inpatient Quality Indicators: Quality of Care in Hospitals—Volume, Mortality, and Utilization, Rockville. MD, Agency for Healthcare Research and Quality, 2002, AHRQ pub. No. 02-R0204
12.
go back to reference Romano PS, Zhou H. Do well-publicized risk-adjusted outcomes reports affect hospital volume? Med. Care 2004;42367–42377 Romano PS, Zhou H. Do well-publicized risk-adjusted outcomes reports affect hospital volume? Med. Care 2004;42367–42377
13.
go back to reference Marshall MN, Romano PS, Davies HT. How do we maximize the impact of the public reporting of quality of care? Int. J. Qual. Health Care 2004;16(Suppl 1):I57–I63 Marshall MN, Romano PS, Davies HT. How do we maximize the impact of the public reporting of quality of care? Int. J. Qual. Health Care 2004;16(Suppl 1):I57–I63
14.
go back to reference Marshall MN, Shekelle PG, Leatherman S, et al. The public release of performance data: what do we expect to gain? A review of the evidence. J.A.M.A. 2000;283:1866–1874PubMedCrossRef Marshall MN, Shekelle PG, Leatherman S, et al. The public release of performance data: what do we expect to gain? A review of the evidence. J.A.M.A. 2000;283:1866–1874PubMedCrossRef
15.
go back to reference Birkmeyer JD, Dimick JB, Birkmeyer NJ. Measuring quality in surgery: structure, process, or outcomes? J. Am. Coll. Surg. 2004;198:626–632CrossRefPubMed Birkmeyer JD, Dimick JB, Birkmeyer NJ. Measuring quality in surgery: structure, process, or outcomes? J. Am. Coll. Surg. 2004;198:626–632CrossRefPubMed
16.
go back to reference Rathore SS, Epstein AJ, Volpp KG, et al. Hospital coronary artery bypass graft surgery volume and patient mortality, 1998–2000. Ann. Surg. 2004;239:110–117PubMed Rathore SS, Epstein AJ, Volpp KG, et al. Hospital coronary artery bypass graft surgery volume and patient mortality, 1998–2000. Ann. Surg. 2004;239:110–117PubMed
Metadata
Title
Measuring Surgical Quality: What’s the Role of Provider Volume?
Authors
Justin B. Dimick, M.D.
John D. Birkmeyer, M.D.
Gilbert R. Upchurch Jr, M.D.
Publication date
01-10-2005
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 10/2005
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-005-7989-4

Other articles of this Issue 10/2005

World Journal of Surgery 10/2005 Go to the issue