Use of severity-adjusted length of stay to modify physician practice patterns.

P. A. Gross; P. E. Yost-Cataruozolo; P. DeMauro; L. Passaglia; P. Eason; B. Hopkins; M. Fiallo; S. Wallenstein; J. Levine; J. Boscamp

Use of severity-adjusted length of stay to modify physician practice patterns.

P. A. Gross
, P. E. Yost-Cataruozolo
, P. DeMauro
, L. Passaglia
, P. Eason
, B. Hopkins
, M. Fiallo
, S. Wallenstein
, J. Levine
, J. Boscamp

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

OBJECTIVE: To compare inpatient length of stay among physicians by testing a new method for severity adjusting length of stay. DESIGN: A retrospective validation study with prospective follow-up after an intervention. SETTING: A 531-bed community teaching hospital. PATIENTS: Three hundred randomly selected patients from the 30,861 patients discharged in 1990. INTERVENTION: A physician with a significantly prolonged severity-adjusted length of stay was counseled and then monitored for three months. RESULTS: The correlation between the number of comorbidities, complications, and manifestations of disease processes (CCMDPs) was R2 = 0.658, t = 23.96 (p = .001). One physician had an unusually high severity-adjusted length of stay, but lowered it after he was counseled and monitored for three months. CONCLUSIONS: The number of CCMDPs recorded on the hospital discharge abstract can be used as a severity index to adjust a patient's length of stay for illness severity. Using linear regression analysis, a picture of the severity-adjusted length of stay can be derived for physicians. Through counseling and monitoring, individual physicians' lengths of stay patterns may be reduced.

Original language	English
Pages (from-to)	23-28
Number of pages	6
Journal	Clinical performance and quality health care
Volume	1
Issue number	1
State	Published - 1993
Externally published	Yes

Cite this

@article{c3dfaf6885d045168349c6ad389a557a,

title = "Use of severity-adjusted length of stay to modify physician practice patterns.",

abstract = "OBJECTIVE: To compare inpatient length of stay among physicians by testing a new method for severity adjusting length of stay. DESIGN: A retrospective validation study with prospective follow-up after an intervention. SETTING: A 531-bed community teaching hospital. PATIENTS: Three hundred randomly selected patients from the 30,861 patients discharged in 1990. INTERVENTION: A physician with a significantly prolonged severity-adjusted length of stay was counseled and then monitored for three months. RESULTS: The correlation between the number of comorbidities, complications, and manifestations of disease processes (CCMDPs) was R2 = 0.658, t = 23.96 (p = .001). One physician had an unusually high severity-adjusted length of stay, but lowered it after he was counseled and monitored for three months. CONCLUSIONS: The number of CCMDPs recorded on the hospital discharge abstract can be used as a severity index to adjust a patient's length of stay for illness severity. Using linear regression analysis, a picture of the severity-adjusted length of stay can be derived for physicians. Through counseling and monitoring, individual physicians' lengths of stay patterns may be reduced.",

author = "Gross, \{P. A.\} and Yost-Cataruozolo, \{P. E.\} and P. DeMauro and L. Passaglia and P. Eason and B. Hopkins and M. Fiallo and S. Wallenstein and J. Levine and J. Boscamp",

year = "1993",

language = "English",

volume = "1",

pages = "23--28",

journal = "Clinical performance and quality health care",

issn = "1063-0279",

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}

TY - JOUR

T1 - Use of severity-adjusted length of stay to modify physician practice patterns.

AU - Gross, P. A.

AU - Yost-Cataruozolo, P. E.

AU - DeMauro, P.

AU - Passaglia, L.

AU - Eason, P.

AU - Hopkins, B.

AU - Fiallo, M.

AU - Wallenstein, S.

AU - Levine, J.

AU - Boscamp, J.

PY - 1993

Y1 - 1993

N2 - OBJECTIVE: To compare inpatient length of stay among physicians by testing a new method for severity adjusting length of stay. DESIGN: A retrospective validation study with prospective follow-up after an intervention. SETTING: A 531-bed community teaching hospital. PATIENTS: Three hundred randomly selected patients from the 30,861 patients discharged in 1990. INTERVENTION: A physician with a significantly prolonged severity-adjusted length of stay was counseled and then monitored for three months. RESULTS: The correlation between the number of comorbidities, complications, and manifestations of disease processes (CCMDPs) was R2 = 0.658, t = 23.96 (p = .001). One physician had an unusually high severity-adjusted length of stay, but lowered it after he was counseled and monitored for three months. CONCLUSIONS: The number of CCMDPs recorded on the hospital discharge abstract can be used as a severity index to adjust a patient's length of stay for illness severity. Using linear regression analysis, a picture of the severity-adjusted length of stay can be derived for physicians. Through counseling and monitoring, individual physicians' lengths of stay patterns may be reduced.

AB - OBJECTIVE: To compare inpatient length of stay among physicians by testing a new method for severity adjusting length of stay. DESIGN: A retrospective validation study with prospective follow-up after an intervention. SETTING: A 531-bed community teaching hospital. PATIENTS: Three hundred randomly selected patients from the 30,861 patients discharged in 1990. INTERVENTION: A physician with a significantly prolonged severity-adjusted length of stay was counseled and then monitored for three months. RESULTS: The correlation between the number of comorbidities, complications, and manifestations of disease processes (CCMDPs) was R2 = 0.658, t = 23.96 (p = .001). One physician had an unusually high severity-adjusted length of stay, but lowered it after he was counseled and monitored for three months. CONCLUSIONS: The number of CCMDPs recorded on the hospital discharge abstract can be used as a severity index to adjust a patient's length of stay for illness severity. Using linear regression analysis, a picture of the severity-adjusted length of stay can be derived for physicians. Through counseling and monitoring, individual physicians' lengths of stay patterns may be reduced.

UR - https://www.scopus.com/pages/publications/0027341754

M3 - Article

C2 - 10135605

AN - SCOPUS:0027341754

SN - 1063-0279

VL - 1

SP - 23

EP - 28

JO - Clinical performance and quality health care

JF - Clinical performance and quality health care

IS - 1

ER -

Use of severity-adjusted length of stay to modify physician practice patterns.

Abstract

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