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  • June 2021
  • Article
  • Journal of Surgical Research

Developing a Value Framework: Utilizing Administrative Data to Assess an Enhanced Care Initiative

By: Casey J. Allen, Jarrod S. Eska, Nikhil G. Thaker, Thomas W. Feeley, Robert S. Kaplan, Ryan W. Huey, Ching-Wei D. Tzeng, Jeffrey E. Lee, Steven J. Frank, Thomas A. Aloia, Vijaya Gottumukkala and Matthew H.G. Katz
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Abstract

We used national administrative data to assess multiple domains of value associated with enhanced recovery pathways for patients undergoing pancreatic surgery. Value metrics included in-hospital mortality, complication rates, length of stay (LOS), 30-day readmission rates, and institutional costs. We compared performance at MD Anderson with other hospitals both before and after implementation of the pathways. Metrics were graphed on radar charts to assess overall value.
Results: 22,660 cases were assessed. Overall, length of stay and other institutional costs were reduced at MD Anderson after implementation of the enhanced clinical care pathways. Our costs were higher than comparators before implementation, but lower than comparators after implementation.

Keywords

Value-based Health Care; Health Care and Treatment; Data and Data Sets; Outcome or Result; Measurement and Metrics; Performance Improvement

Citation

Allen, Casey J., Jarrod S. Eska, Nikhil G. Thaker, Thomas W. Feeley, Robert S. Kaplan, Ryan W. Huey, Ching-Wei D. Tzeng, Jeffrey E. Lee, Steven J. Frank, Thomas A. Aloia, Vijaya Gottumukkala, and Matthew H.G. Katz. "Developing a Value Framework: Utilizing Administrative Data to Assess an Enhanced Care Initiative." Journal of Surgical Research 262 (June 2021): 115–120.

About The Author

Robert S. Kaplan

Accounting and Management
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