Jay J. Idrees

The impact of a malignant diagnosis on the pattern and outcome of readmission after liver and pancreatic surgery: An analysis of the nationwide readmissions database

Reducing readmissions is an important quality improvement metric. We sought to investigate patterns of 90‐day readmission after hepato‐pancreatic (HP) procedures.

Hospital Teaching Status and Medicare Expenditures for Hepato-Pancreato-Biliary Surgery

BackgroundThe association of hospital teaching status and overall expenditures has not been studied among patients undergoing hepato-pancreato-biliary (HPB) surgery. We sought to define the impact of hospital teaching intensity on payments and charges associated with (HPB) surgery from the payer perspective.MethodsSurgical patients undergoing HPB procedures were identified using 2013–2015 Medicare Provider Analysis and Review (MEDPAR) data. Hospital teaching intensity was categorized based on hospital resident-to-bed ratio: non-teaching (NTH: 0), minor teaching (minor-TH: 0–0.363), and major teaching (major-TH: u2009>u20090.363). Risk-adjusted price-standardized Medicare payments were assessed and compared among HPB surgical patients at NTH versus major-TH.ResultsA total of 8863 patients underwent HPB (NTH: nu2009=u20091239, 14.0%; minor-TH: nu2009=u20093202, 36.1%; major-TH: nu2009=u20094422, 49.9%). Patient comorbidities did not vary across hospital according to teaching intensity (pu2009=u20090.27). Mean risk-adjusted Medicare payment at a major-TH was

Impact of Post-Discharge Disposition on Risk and Causes of Readmission Following Liver and Pancreas Surgery

29,541 versus

Time to Readmission and Mortality Among Patients Undergoing Liver and Pancreatic Surgery

19,345 at a NTH (Δ-payment:u2009+u2009

Surgical Procedures in Health Professional Shortage Areas: Impact of a Surgical Incentive Payment Plan

10,195; pu2009<u20090.001). Differences in Medicare payments associated with hospital teaching status persisted when the risk-adjusted price was standardized to remove social subsidies and regional variation in costs (NTH:

Influence of English proficiency on patient-provider communication and shared decision-making

19,760 vs. major-TH:

Variation in Medicare Payments and Reimbursement Rates for Hepatopancreatic Surgery Based on Quality: Is There a Financial Incentive for High-Quality Hospitals?

28,382; Δ-payment: u2009+u2009

The Cost of Failure: Assessing the Cost-Effectiveness of Rescuing Patients from Major Complications After Liver Resection Using the National Inpatient Sample

8623). Major-TH had higher total charges submitted to Medicare versus NTH (NTH:

The Impact of Discharge Timing on Readmission Following Hepatopancreatobiliary Surgery: a Nationwide Readmission Database Analysis

100,583 vs. major-TH:

Synergistic Effects of Perioperative Complications on 30-Day Mortality Following Hepatopancreatic Surgery

120,498; Δ-chargeu2009=u2009+u2009