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UW Surgeon: New Approaches Needed to Improve Surgical Care

Madison, Wisconsin - In the Journal of the American Medical Association (JAMA), Dr. Caprice Greenberg notes that better methods are needed to assess the quality of care delivered by surgeons.

 

Greenberg, an associate professor of surgery at the University of Wisconsin School of Medicine and Public Health, and an expert in surgical quality, wrote the editorial based on a study, also published in JAMA, showing that Centers of Excellence (COE) for bariatric surgery did not have measurably better outcomes than other hospitals that were not designated as COEs.

 

This has important policy and fiscal ramifications. Since 2006, the Centers for Medicare & Medicare Services have paid for weight loss surgery only at COE hospitals.

 

Greenberg notes that better measures of surgical quality are likely on the horizon, with the improved use of electronic health records and the focus on comparative-effectiveness research mandated by the Affordable Care Act of 2010. She suggests that better regional data collection and sharing through surgical collaboratives could offer a way forward.

           

As the medical system rethinks the COE policy in bariatric surgery, Greenberg writes, “There is an opportunity for them to be creative; to catapult surgical outcomes science forward through scalable approaches to data sharing, measurement, collaborative networks, and comparative-effectiveness research; and to design a program that can not only identify high-quality hospitals, but also provide a sustained mechanism for quality improvement.”

 

Greenberg’s editorial is available online in the Journal of the American Medical Association.



Date Published: 02/28/2013

News tag(s):  researchsurgerycaprice c greenberg

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UW Surgeon: New Approaches Needed to Improve Surgical Care

Last updated: 03/04/2013
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