Publications and Studies
“Revisting
Quality Implications of Efficiency-Based Clinician Profiling”
In an expanded and
enhanced re-examination of the 2004 study (see below), evidence-based
medicine is once again found to be poorly correlated with episodic cost
efficiency.
View full article (183 KB .pdf)
Authors:
Mark Rattray MD,
James Andrianos MBA, and Dorothy Stam BA.
“Quality Implications of Efficiency-Based Clinician Profiling”
Efforts to steer patients to cost-efficient clinicians may result in
reductions in recommended care. Short term savings may be offset by
acute care costs longer term, along with degradations in quality. Plans
and large employers should insist on measuring both efficiency and
quality when considering such products.
View full article (281 KB .pdf)
Authors:
Mark Rattray MD,
James Andrianos MBA, and Dorothy Stam BA.
“Study of Professional Episode Attribution Thresholds”
Physicians are understandably wary of being deemed the “responsible
clinician” for an episode of care — which by definition may include a
variety of health providers. In this study, nearly 90% of episodes for
non-Medicare patients were found to involve only one managing clinician.
Thus, the question of to whom an episode should be attributed is
unambiguous and trivial about nine time in ten.
View full article
(40 KB .pdf)
Authors: James Andrianos MBA and Dorothy
Stam BA.
“Using Cost Accounting Data to Improve Clinical Value”
In the early 1990s, a hospital-physician organization pioneered
patient-centered cost reporting by capturing both facility and
professional services. This work included experimental forays into
condition-related utilization over time — a precursor to the so-called
“episode” of care.
View full article online
Authors:
James Andrianos MBA and Mark Dykan RN. Healthcare Financial Management. Healthcare
Financial Management Association. May 1996.
“A Cost Analysis of Delayed Graft Function”
Authors: Thomas Hefty
MD, Mark Dykan RN, and James Andrianos MBA. Poster Session, Western Section, American
Urological Association, Scottsdale AZ. Nov 1995.
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