Orthopaedic traumatology: the hospital side of the ledger, defining the financial relationship between physicians and hospitals

Journal of Orthopaedic Trauma
Heather A VallierThomas Lombardo

Abstract

The purpose of the study was to determine the financial relationship between facility and professional revenue for care delivered by two orthopaedic surgeons in a Level I trauma center for patients with multiple orthopaedic injuries. Retrospective review of medical and financial records. Level 1 trauma center. Adult patients admitted with major multiple orthopaedic trauma were included if they had a significant pelvis/acetabulum injury associated with at least 2 extremity fractures, or if they had 3 or 4 extremities requiring surgical care. All patients had limited injury to other body systems, and all had completed their care related to the injury within the study period. We identified 68 patients who met the inclusion criteria. The mean Injury Severity Score was 22.6 (range, 9 to 57) and the mean New Injury Severity Score was 35.9 (range, 27 to 57). The trauma center has an integrated economy. The surgeons are employed by the hospital, and the information systems for facility and professional services are shared through a unified business structure. Inpatient hospital charges related to the initial trauma admission and subsequent hospital-based outpatient care were abstracted from the Trendstar billing system. All medical and...Continue Reading

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Citations

May 8, 2013·Injury·Christiaan N MamczakWilliam M Ricci
Oct 3, 2009·The Journal of Trauma·Mitchel B Harris, Barry Cayen
Jan 25, 2014·The Journal of Trauma and Acute Care Surgery·David A ForshPhilip R Wolinsky
Nov 22, 2016·Journal of Orthopaedic Trauma·Peter L AlthausenTimothy J Bray
Jun 12, 2014·Journal of Orthopaedic Trauma·Peter L AlthausenLisa Mead
Jun 12, 2014·Journal of Orthopaedic Trauma·Peter L Althausen
Feb 18, 2017·Orthopaedic Journal of Sports Medicine·Joanne Y ZhangKristofer J Jones
May 27, 2010·Journal of Orthopaedic Trauma·Peter L AlthausenTimothy J Bray
Oct 16, 2010·Annals of Plastic Surgery·Chad R GordonJames E Zins
Apr 11, 2013·Journal of Orthopaedic Trauma·Austin HillTimothy J Bray
May 1, 2019·The American Journal of Sports Medicine·Joseph D LamplotRobert H Brophy
Jan 10, 2012·Journal of Orthopaedic Trauma·Aaron G Osborne
Dec 14, 2011·Journal of Orthopaedic Trauma·Peter L Althausen
Dec 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Steven L FrickJ Michael Wattenbarger
Jul 27, 2012·Journal of Orthopaedic Trauma·Heather A VallierBrendan M Patterson
Jan 6, 2009·The Journal of Bone and Joint Surgery. American Volume·Peter L AlthausenTimothy J Bray
Aug 24, 2012·Journal of Orthopaedic Trauma·Peter L Althausen
Aug 26, 2014·Journal of Orthopaedic Trauma·Austin D Hill
Aug 26, 2014·Journal of Orthopaedic Trauma·Troy Caron
May 12, 2012·Journal of Orthopaedic Trauma·Peter L Althausen
Jul 28, 2012·The Journal of Trauma and Acute Care Surgery·Nickolas J NahmHeather A Vallier
Jun 27, 2012·Journal of Orthopaedic Trauma·Peter L AlthausenTimothy J Bray
Jun 21, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Alexander S RascoeHeather A Vallier
May 4, 2021·OTA International : the Open Access Journal of Orthopaedic Trauma·Alexander S RascoeHeather A Vallier

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