Possible consequences of regionally based bundled payments for diabetic amputations for safety net hospitals in Texas Karina Newhall, MD, David Stone,

Slides:

Advertisements

Similar presentations

Without prejudice Journal of Vascular Surgery

Advertisements

Incidence, risk factors, and treatment patterns for deep venous thrombosis in hospitalized children: An increasing population at risk John A. Sandoval,

Revenue cycle management

A patient with multiple paradoxical emboli

Philip P. Goodney, MD, MS, Benjamin S

Jennifer Perri, MD, MBA, Gretchen Rutherford, MBA, BA, Philip P

Toe and flow: Essential components and structure of the amputation prevention team Lee C. Rogers, DPM, George Andros, MD, Joseph Caporusso, DPM, Lawrence.

Bryan C. Morse, MD, David L. Cull, MD, Corey Kalbaugh, MS, Anna L

Comparison of carotid endarterectomy and stenting in real world practice using a regional quality improvement registry Brian W. Nolan, MD, MS, Randall.

Regional use of combined carotid endarterectomy/coronary artery bypass graft and the effect of patient risk Douglas W. Jones, MD, David H. Stone, MD,

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients Philip P. Goodney,

Smoking cessation is associated with decreased mortality and improved amputation- free survival among patients with symptomatic peripheral artery disease

Randall R. De Martino, MD, MS, Philip P. Goodney, MD, MS, Brian W

Unplanned return to operating room after lower extremity arterial bypass is an independent predictor for hospital readmission Faisal Aziz, MD, FACS,

National Trends and Geographic Variation in Bilateral Internal Mammary Artery Use in the United States Alexander Iribarne, MD, MS, Philip P. Goodney,

Open bypass and endovascular procedures among diabetic foot ulcer cases in the United States from 2001 to 2010 Grant H. Skrepnek, PhD, David G. Armstrong,

IP081. Patient-Tailored Postsurgical Survival Information from CARAT (the Carotid Risk Assessment Tool) Did Not Change Surgeons' Recommendations for Carotid.

Joshua B. Goldberg, MD, Philip P. Goodney, MD, MS, Jack L

Breakthrough: Arthur Blakemore and Arthur Voorhees, Jr

Nicholas H. Osborne, MD, MS, Clifford Y. Ko, MD, MS, Gilbert R

National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice Salvatore.

Micah E. Girotti, MD, Clifford Y. Ko, MD, MS, MSHS, Justin B

Louis L. Nguyen, MD, MBA, MPH Journal of Vascular Surgery

Jesse A. Columbo, Louise Davies, Ravinder Kang, J

Long-term safety of cilostazol in patients with peripheral artery disease: The CASTLE study (Cilostazol: A Study in Long-term Effects) William R. Hiatt,

Lowell S. Kabnick, MD Journal of Vascular Surgery

Without prejudice Journal of Vascular Surgery

Malcolm O. Perry, MD, Richard Kempczinski, MD

Gary R. Seabrook, MD Journal of Vascular Surgery

Variation in thromboembolic complications among patients undergoing commonly performed cancer operations Randall R. De Martino, MD, MS, Philip P. Goodney,

Racial and ethnic differences in patterns of treatment for acute peripheral arterial disease in the United States, Vincent L. Rowe, MD, Fred.

Infected aneurysm of the thoracic aorta

Kerianne H. Holman, MD, Peter K. Henke, MD, Justin B

Changing demographics in patients with vascular disease

Philip P. Goodney, MD, MS, Kerianne Holman, MD, MPH, Peter K

Philip P. Goodney, MD, Donald S. Likosky, PhD, Jack L. Cronenwett, MD

The best of times, the worst of times…

Alexis Carrel's historic leap of faith

The adverse effects of race, insurance status, and low income on the rate of amputation in patients presenting with lower extremity ischemia Mohammad.

Vincent L. Rowe, MD, William Lee, MD, Fred A

Outcomes of infrainguinal bypass determined by age in the Vascular Study Group of New England Meghan Dermody, MD, MS, Christopher Homsy, MD, Yuanyuan.

Shadi J. Abu-Halimah Journal of Vascular Surgery

The future of vascular surgery

Low rehospitalization rate for vascular surgery patients

Jesse A. Columbo, MD, Pablo Martinez-Camblor, PhD, Todd A

James T. McPhee, MD, Philip P

Reply Journal of Vascular Surgery

Physician specialty and variation in carotid revascularization technique selected for Medicare patients Jessica B. Wallaert, MD, MS, Brian W. Nolan,

Prior contralateral amputation predicts worse outcomes for lower extremity bypasses performed in the intact limb Donald T. Baril, MD, Philip P. Goodney,

Reviewer Acknowledgment

Philip P. Goodney, MD, MS, Adam W. Beck, MD, Jan Nagle, MS, RPh, H

Jessica B. Wallaert, MD, Philip P. Goodney, MD, MS, John J

David L. Dawson, MD, Jennifer Meyer, RCIS, Eugene S

Jessica P. Simons, MD, MPH, Andres Schanzer, MD, Brian W

The Society for Vascular Surgery's objective performance goals for lower extremity revascularization are not generalizable to many open surgical bypass.

Regarding “Lunar cycles and abdominal aortic aneurysm rupture”

Journal of Vascular Surgery

Impact of practice patterns in shunt use during carotid endarterectomy with contralateral carotid occlusion Philip P. Goodney, MD, MS, Jessica B. Wallaert,

The Prevalence and Regional Variation of Major Depressive Disorder Among Patients With Peripheral Arterial Disease Jesse A. Columbo, Christine T. Finn,

Impact of Dual Antiplatelet Therapy on Superficial Femoral Artery Stent Patency in the Vascular Study Group of New England Ryan M. Svoboda, Karina A.

The care of the patient with vascular disease

Variation in Smoking Cessation After Vascular Operations

Incidence, risk factors, and treatment patterns for deep venous thrombosis in hospitalized children: An increasing population at risk John A. Sandoval,

Emily L. Spangler, MD, MS, Philip P

Emily Spangler, Robert W. Chang, Philip P. Goodney

J. David Neel, MD, Robin L. Kruse, PhD, Viktor Y

IP167. Patency at the Cost of Major Bleeding—the Dual-Antiplatelet Dilemma Following Lower Extremity Endovascular Intervention Ryan M. Svoboda, MD, Carly.

Patrick A. Stone, MD, Ali F. AbuRahma, MD, Sarah K. Flaherty, BS

Prior failed ipsilateral percutaneous endovascular intervention in patients with critical limb ischemia predicts poor outcome after lower extremity bypass

Results of a single center vascular screening and education program

Presentation transcript:

Possible consequences of regionally based bundled payments for diabetic amputations for safety net hospitals in Texas Karina Newhall, MD, David Stone, MD, Ryan Svoboda, MD, Philip Goodney, MD, MS Journal of Vascular Surgery Volume 64, Issue 6, Pages 1756-1762 (December 2016) DOI: 10.1016/j.jvs.2016.06.098 Copyright © 2016 Terms and Conditions

Fig 1 Burden of diabetes-related amputation in patients aged (left) <65 and (right) >65, by proportion of safety net hospitals within hospital referral region (HRR). Journal of Vascular Surgery 2016 64, 1756-1762DOI: (10.1016/j.jvs.2016.06.098) Copyright © 2016 Terms and Conditions

Fig 2 Variation in charges for diabetes-related admission at safety net and nonsafety net hospitals in Texas. Journal of Vascular Surgery 2016 64, 1756-1762DOI: (10.1016/j.jvs.2016.06.098) Copyright © 2016 Terms and Conditions

Fig 3 Approximate financial losses of regional-based reimbursement for diabetes-related amputation admissions. Journal of Vascular Surgery 2016 64, 1756-1762DOI: (10.1016/j.jvs.2016.06.098) Copyright © 2016 Terms and Conditions