Regionalization of tertiary care: impact of safe cardiovascular volumes in Iowa

J E Rohrer; M S Vaughan; R P Wenzel

doi:10.1177/095148489701000101

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Regionalization of tertiary care: impact of safe cardiovascular volumes in Iowa

Journal article

Peer reviewed

Regionalization of tertiary care: impact of safe cardiovascular volumes in Iowa

J E Rohrer, M S Vaughan and R P Wenzel

Health services management research : an official journal of the Association of University Programs in Health Administration, Vol.10(1), pp.1-6

02/1997

DOI: 10.1177/095148489701000101

PMID: 10172923

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Abstract

The outcomes of cardiovascular care for individual patients are known to be better when treatment is provided in hospitals where the volume of such care is greater. We examined the impact of establishing safe volume thresholds on hospitals now performing such procedures in the state of Iowa by analysing the relationship between various volume thresholds and the number of hospitals that would continue to provide the service if the thresholds were enforced. Four procedures performed in hospitals in Iowa in 1990 were studied: coronary artery bypass graft surgery, vascular surgery, cardiac valve surgery, and cardiac catheterization. The analysis was conducted assuming current per capita procedure rates and repeated assuming reduced procedure rates. The study finds that the 12 hospitals now performing coronary artery bypass graft surgery in Iowa could be reduced to two, providers of vascular surgery could be reduced to as low as four from the current 33, the 10 providers of cardiac valve surgery might be reduced to one, and catheterization could be provided at two rather than 22 hospitals.

Cardiac Catheterization - utilization

Cardiology Service, Hospital - standards

Cardiology Service, Hospital - utilization

Coronary Artery Bypass - utilization

Health Services Research

Heart Valves - surgery

Humans

Iowa

Regional Health Planning - organization & administration

Treatment Outcome

Utilization Review

Vascular Surgical Procedures - utilization

Details

Title: Subtitle: Regionalization of tertiary care: impact of safe cardiovascular volumes in Iowa
Creators: J E Rohrer - University of Iowa
M S Vaughan - University of Iowa
R P Wenzel - University of Iowa
Resource Type: Journal article
Publication Details: Health services management research : an official journal of the Association of University Programs in Health Administration, Vol.10(1), pp.1-6
DOI: 10.1177/095148489701000101
PMID: 10172923
ISSN: 0951-4848
eISSN: 1758-1044
Language: English
Date published: 02/1997
Academic Unit: Health Management and Policy; General Internal Medicine; Internal Medicine
Record Identifier: 9984359909102771

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