Search Results

You are looking at 1 - 10 of 10 items for :

  • "quality improvement" x
  • By Author: Guan, Jian x
Clear All
Free access

Spencer Twitchell, Michael Karsy, Jared Reese, Jian Guan, William T. Couldwell, Andrew Dailey and Erica F. Bisson

O ngoing discussions about using patient registries to improve understanding of disease subtypes and costs, along with new regulations from the US Centers for Medicare and Medicaid Services governing reimbursement strategies, have emphasized the importance of cost reduction and quality improvement in health care. To address these issues, the University of Utah created the Value Driven Outcomes (VDO) database to analyze direct cost, evaluate cost drivers, and identify opportunities for improvement. 10 , 11 , 13 The advantage of the VDO database is the ability to

Restricted access

Brandon Sherrod, Michael Karsy, Jian Guan, Andrea A. Brock, Ilyas M. Eli, Erica F. Bisson and Andrew T. Dailey

(2011, 2012) compared with earlier epochs (2001, 2002). Interhospital transfers represent an area for quality improvement as numerous hospital systems have consolidated treatment centers and neurosurgical coverage has developed into narrowed networks because of insurance restrictions on physician accessibility. 6 , 21 , 36 In addition, the efficiency of the US trauma system is crucial in the timely treatment of spine injuries. Numerous questions remain regarding the effect that hospital transfers have on patients. The Utah hospital system is a unique environment with

Full access

Jian Guan, Michael Karsy, Andrea A. Brock, William T. Couldwell, John R. W. Kestle, Randy L. Jensen, Andrew T. Dailey, Erica F. Bisson and Richard H. Schmidt

-sector National Surgical Quality Improvement Program . J Am Coll Surg 199 : 531 – 537 , 2004 6 Gani F , Hundt J , Daniel M , Efron JE , Makary MA , Pawlik TM : Variations in hospitals costs for surgical procedures: inefficient care or sick patients? Am J Surg 213 : 1 – 9 , 2017 7 Guan J , Brock AA , Karsy M , Couldwell WT , Schmidt MH , Kestle JRW , : Managing overlapping surgery: an analysis of 1018 neurosurgical and spine cases . J Neurosurg 127 : 1096 – 1104 , 2017 8 Guan J , Cole CD , Schmidt MH , Dailey AT

Free access

Praveen V. Mummaneni, Mohamad Bydon, Mohammed Ali Alvi, Andrew K. Chan, Steven D. Glassman, Kevin T. Foley, Eric A. Potts, Christopher I. Shaffrey, Mark E. Shaffrey, Domagoj Coric, John J. Knightly, Paul Park, Michael Y. Wang, Kai-Ming Fu, Jonathan R. Slotkin, Anthony L. Asher, Michael S. Virk, Panagiotis Kerezoudis, Jian Guan, Regis W. Haid and Erica F. Bisson

Act of 2010, providers and hospitals have increasingly prioritized patient-centered outcomes in an effort to adapt the “value”-based healthcare model that is geared toward increasing access and quality of healthcare while simultaneously controlling cost. 22 In its annual report to Congress on National Quality Strategy for Quality Improvement, the Department of Health and Human Services listed “patient satisfaction” as one of the metrics of public reporting to improve quality. 2 Low-back pain and spinal surgery have been increasingly targeted for quality

Restricted access

Praveen V. Mummaneni, Mohamad Bydon, John Knightly, Mohammed Ali Alvi, Anshit Goyal, Andrew K. Chan, Jian Guan, Michael Biase, Andrea Strauss, Steven Glassman, Kevin T. Foley, Jonathan R. Slotkin, Eric Potts, Mark Shaffrey, Christopher I. Shaffrey, Regis W. Haid Jr., Kai-Ming Fu, Michael Y. Wang, Paul Park, Anthony L. Asher and Erica F. Bisson

BMI to be at risk of a nonroutine discharge after surgery for grade I spondylolisthesis. This is also consistent with previously published results investigating discharge disposition after a lumbar surgery. 20 Karhade et al. investigated 26,364 patients undergoing elective lumbar surgery for degenerative disorders by using the National Surgical Quality Improvement Program (NSQIP) database and found that patients with higher BMI were more likely to be discharged to an SNF. We also found that patients with depression were more likely to have a nonroutine discharge

Restricted access

Praveen V. Mummaneni, Mohamad Bydon, John Knightly, Mohammed Ali Alvi, Anshit Goyal, Andrew K. Chan, Jian Guan, Michael Biase, Andrea Strauss, Steven Glassman, Kevin T. Foley, Jonathan R. Slotkin, Eric Potts, Mark Shaffrey, Christopher I. Shaffrey, Regis W. Haid Jr., Kai-Ming Fu, Michael Y. Wang, Paul Park, Anthony L. Asher and Erica F. Bisson

BMI to be at risk of a nonroutine discharge after surgery for grade I spondylolisthesis. This is also consistent with previously published results investigating discharge disposition after a lumbar surgery. 20 Karhade et al. investigated 26,364 patients undergoing elective lumbar surgery for degenerative disorders by using the National Surgical Quality Improvement Program (NSQIP) database and found that patients with higher BMI were more likely to be discharged to an SNF. We also found that patients with depression were more likely to have a nonroutine discharge

Full access

rates and patient risk factors were assessed in patients undergoing elective PLF from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) data years 2011–2014. Results: From the survey, there were 53 responses (response rate of 82%) from attending physicians at LSRS. From NSQIP, there were 16,589 patients who met the inclusion criteria. Adverse event rates estimated by the surgeons at LSRS were close to those determined by NSQIP data (no greater than 2.81% different, Figure 1). Surgeons overestimated the rate of 13 out of 17

Free access

Surgeons. You may not sell, republish, or systematically distribute any published materials without written permission from JNSPG. 2016 Background/Introduction: The Surgical Care and Outcomes Assessment Program (SCOAP) developed a spine surgery quality improvement module, Spine SCOAP, in 2010. The purpose of this study is to review challenges encountered in developing Spine SCOAP, the strategies deployed in sustaining the program and to report measurable improvements in quality of care in the first 3 years. Materials/Methods: Spine SCOAP

Full access

, republish, or systematically distribute any published materials without written permission from JNSPG. 2017 Introduction: Resection of lumbar spinal tumors is challenging and carries risk. Knowledge of modifiable risk factors are important in minimizing postoperative morbidity and mortality. Here the authors perform an analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) registry to assess predictors of morbidity and mortality in patients undergoing resection of epidural tumors of the lumbar spine. Methods

Free access

Introduction: Corticosteroids have numerous systemic effects. The effects of chronic corticosteroid therapy on rates of complications, readmission, and reoperation after posterior lumbar fusion remains under-investigated. Methods: We analyzed 8492 patients who underwent posterior lumbar fusion, of whom 353 were steroid users from the National Surgery Quality Improvement Program database (NSQIP) undergoing single and multilevel posterior lumbar spinal fusions. Data was collected on patient demographics, comorbid disease burden, and outcomes. Patients taking steroids