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Trends in Hospital Volume and Operative Mortality for High-Risk Surgery
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Journal Article
Trends in Hospital Volume and Operative Mortality for High-Risk Surgery
2011
Overview
Operative mortality is lower at hospitals with a high volume of certain surgical procedures. In this analysis of Medicare data, operative mortality declined for eight surgical procedures studied over a decade. Higher hospital volumes explained much of the decline for three of the operations.
Fueled by a growing number of studies reporting inverse relationships between hospital volume and surgical mortality,
1
–
3
there was considerable interest in the United States during the previous decade in concentrating selected operations in high-volume hospitals. The Leapfrog Group, a consortium of large corporations and public agencies that purchase health care, has been among the most prominent advocates of volume-based referral. In 2000, it established minimum volume standards for several surgical procedures as part of a broader, value-based purchasing initiative.
4
Private payers and professional organizations in the United States have also established minimum volume standards as part of Centers of . . .
Publisher
Massachusetts Medical Society
Subject
/ Aging
/ Biological and medical sciences
/ Cancer
/ Cardiovascular Surgical Procedures - mortality
/ Cardiovascular Surgical Procedures - trends
/ Hospitals - statistics & numerical data
/ Humans
/ Medicare
/ Pancreas
/ Patients
/ Public health. Hygiene-occupational medicine
/ Surgeons
/ Surgery
/ Surgical Procedures, Operative - mortality
/ Surgical Procedures, Operative - trends
/ Trends
