BACKGROUND: In creating the Merit-Based Incentive Payment System, Congress has
mandated pay-for-performance (P4P) for all physicians, including anesthesiologists. There …

BACKGROUND: One of every 150 hospitalized patients experiences a lethal adverse event;
nearly half of these events involves surgical patients. Although variations in surgeon …

OUTCOMES IN MEDICINE are one of the most important measures of performance and
quality—outcome being the truest distillation of the entire healthcare process. Common …

It is widely accepted that the performance of the operating surgeon affects outcomes, and
this has led to the publication of surgical results in the public domain. However, the effect of …

Objective To determine the impact of anesthesiologists, surgeons, and their monthly
caseload volume on mortality after cardiac surgery. Design Ten-year audit of prospectively …

Background Public reporting of cardiac surgery ratings has been advocated to inform patient
selection of hospitals. Although Society of Thoracic Surgeons (STS) ratings are based on …

BACKGROUND: Anesthesiologists face increasing pressure to demonstrate the value of the
care they provide, whether locally or nationally through public reporting and payor …

After the release of the Institute of Medicine (IOM) report To Err Is Human, 1 improving the
quality of health care in the United States (US) has become a national priority. 2 There is …

Measuring surgeon performance has become an essential professional responsibility for
surgeons. 1 Professional societies have incorporated performance measurement and …

BACKGROUND: It is a widely held belief that detailed risk-adjustment is always necessary in
comparative reports of surgical performance. We sought to evaluate the importance of risk …