tag:blogger.com,1999:blog-2760353953251845523.post4320812683668416431..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Quality Assurance--- A combination of clinical excellence and cost effectivenessJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-2760353953251845523.post-71908750192380974912009-06-09T07:59:42.834-04:002009-06-09T07:59:42.834-04:00It would have to have much more infrastructure tha...It would have to have much more infrastructure than the current QA panels. To have a true understanding of cost effectiveness you must measure it against outcomes. At the very least you would need 30 day outcomes. Additionally, you would have to have a clinical database of patient diagnoses and co-morbidities that has been validated (in other words, the tendency of the system would be to use administrative data as a surrogate to real clinical information). Fortunately for general surgeons this clinical database has been created (albeit not perfected). The NSQIP (national surgical quality improvement program) could be linked with cost data to implement your proactive thoughtful idea. Its worth exploring.<br /><br />JFSJoseph Sucher, MD FACShttps://www.blogger.com/profile/09187702675709935451noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-26692142527491892082009-06-08T20:17:33.723-04:002009-06-08T20:17:33.723-04:00The only trip up I see is that superfluous tests a...The only trip up I see is that superfluous tests are often frolicking hand in hand with defensive tests. Now if said cost effectiveness committee also offered an additional blanket of protection in malpractice, now that would be something. If the committee could review a case and stand behind the physician, saying the with the pre-test probability, cost/need of the test didn't warrant the extra expenditure, and as a result the prosecuting attorney could not bring that forth as evidence in court. Could you imagine, being able to step back and think "do I really need to order this?" and then not having to worry about liability if you decide to NOT order the test? Now that would be something.MedZaghttps://www.blogger.com/profile/12369686516173224979noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-64651021183270363722009-06-07T19:44:49.665-04:002009-06-07T19:44:49.665-04:00Yes! Excellent idea.Yes! Excellent idea.Bianca Castafiore?https://www.blogger.com/profile/07088130255223709497noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-85734416985995493912009-06-07T17:12:15.198-04:002009-06-07T17:12:15.198-04:00Great post, Doc.Great post, Doc.HMShttps://www.blogger.com/profile/17168620011502808236noreply@blogger.com