PMID: 9431794Jan 31, 1998Paper

Reducing costs and length of stay and improving efficiency and quality of care in cardiac surgery

The Annals of Thoracic Surgery
L H CohnJ Fernandez

Abstract

The present era of health care places major emphasis on significantly reducing cost and resource utilization while maintaining quality of care and patient satisfaction. Clinicians are being challenged to achieve this within the framework of a patient subset that is increasing in severity of disease and risk-adjusted mortality. The Brigham and Women's Cardiac Surgical Services Management Group was formed in 1987 to help accomplish these goals. The principles we have followed involve protocols and people. The multidisciplinary group includes the chiefs of cardiac surgery and anesthesia, chief residents, physician assistants, perfusionists, intensive care unit nursing personnel, and case managers. Weekly meetings address every aspect of problems arising in the cardiac surgical service; separate weekly morbidity and mortality conferences are held. The Care Coordination Team establishes and monitors clinical pathways and recommends ways of improving all aspects of the service through a process of daily review on an individual patient basis. The volume of cardiac surgery at Brigham and Women's Hospital has increased steadily. The length of stay overall has decreased about 15%, and similarly, cost and total charges have also decreased...Continue Reading

Citations

Jul 16, 2003·The American Journal of Cardiology·Mary E PlomondonA Laurie W Shroyer
Jan 5, 2000·The Annals of Thoracic Surgery·R AscioneG D Angelini
Jun 13, 2001·Journal of the American College of Surgeons·M G CanalesT Krummel
Dec 10, 1999·Journal of the American College of Surgeons·H L FrankelC W Schwab
Jul 8, 2008·Annals of Cardiac Anaesthesia·Kanchi MuralidharR Dinesh
Dec 12, 2007·Journal of Evaluation in Clinical Practice·Noha El BazSijmen A Reijneveld
Apr 8, 2016·Journal of Shoulder and Elbow Surgery·Eric M PadegimasSurena Namdari
Jun 14, 2006·American Journal of Surgery·H David ReinesKristen Aulenbach
Feb 29, 2008·Journal of Cardiac Surgery·Rony AtouiJean-Francois Morin
Apr 19, 2015·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Annalise UnsworthStephen Edward Asha
Apr 28, 2001·The Journal of Thoracic and Cardiovascular Surgery·H L LazarR J Shemin
Sep 1, 1999·Journal of Cardiothoracic and Vascular Anesthesia·S L LarsonB K Foy
Mar 1, 2005·Seminars in Cardiothoracic and Vascular Anesthesia·Paul S Myles, David McIlroy
Jul 13, 2000·Critical Care Medicine·P E Marik, L Hedman
Nov 11, 2003·The Journal of Trauma·Richard P DuttonThomas M Scalea
Dec 23, 2017·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M NakagawaK Kojima
Aug 19, 2007·The Journal of Trauma·James M HaanThomas M Scalea
Feb 5, 2019·Obesity Surgery·Max MeneveauPeter T Hallowell
Sep 6, 2012·Journal of Korean Neurosurgical Society·Sang-Bong ChungWhan Eoh

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