Use, misuse, and underuse of work relative value units in a vascular surgery practice

Journal of Vascular Surgery
Bhagwan Satiani

Abstract

Health care reform is forcing "alignment" between hospitals and physicians. The acceleration of employment of physicians by hospitals is bringing into focus contractual terms where compensation is tied to clinical productivity. Physician productivity is being almost entirely defined by work relative value units (WRVUs). However, vascular surgeons may bring value to a health system in ways that are unique and separate from clinical revenue as measured by WRVUs. Incentives for physicians should also be tied to behaviors that are desired, such as quality of care, efficiency, patient outcomes, patient satisfaction scores, teaching, and research, depending on the specific environment. Vascular surgeons must be aware of proper use and misuse of WRVUs and have access to the most appropriate benchmarks in negotiations for employment. With increasing employment of physicians by hospitals and focus on "alignment," a more comprehensive measure of physician productivity is necessary.

References

Sep 29, 1988·The New England Journal of Medicine·W C HsiaoE R Becker

❮ Previous
Next ❯

Citations

Jul 30, 2014·Journal of Vascular Surgery·Nadia AwadNyali Taylor
Jun 24, 2014·The Journal of Surgical Research·Dhruvil R ShahRobert J Canter
Apr 12, 2014·Journal of Vascular Surgery·Bhagwan SatianiRussell H Samson
Oct 22, 2016·The Spine Journal : Official Journal of the North American Spine Society·Deven A KarvelasJeffrey G Jarvik
Apr 6, 2017·Australian Dental Journal·D N TeusnerD S Brennan
Apr 14, 2017·Gerontology & Geriatric Medicine·Laura S GoldJeffrey G Jarvik
Aug 6, 2019·JAMA : the Journal of the American Medical Association·Michael Nurok, Bruce Gewertz
Dec 26, 2013·The Journal of Trauma and Acute Care Surgery·Diane A SchwartzAdil H Haider
Apr 11, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Lloyd W KleinUNKNOWN Government Relations Committee and the Executive Committee of SCAI
Sep 6, 2020·Journal of the American Association of Nurse Practitioners·Kate G Sheppard, Cameron G Duncan
Jul 22, 2021·The International Journal of Health Planning and Management·Shuguang LinYing-Ming Wang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists
Brian J IsettsPharmacist Services Technical Advisory Coalition
PM & R : the Journal of Injury, Function, and Rehabilitation
William J Sullivan, Joseph P Zuhosky
AJNR. American Journal of Neuroradiology
William D Donovan
© 2021 Meta ULC. All rights reserved