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Identifying Centers of Excellence in Efficiency and Quality in coronary revascularization: an exploratory approach
Shadi S Saleh1, Edward Hannan, Mike Racz
1Department of Health Policy, Management and Behavior, School of Public Health, State University of New York at Albany, USA. ssaleh@albany.edu
Abstract:
The advent of the value-based purchasing (VBP) concept in which efficiency and quality are considered prompted an interest in exploring approaches that incorporate both. This study examined a hospital classification method, Centers for Excellence in Efficiency and Quality (CEEQs), for coronary revascularization procedures. The results identified select hospitals (two [out of 33] in coronary artery bypass graft surgery (CABG) and seven in percutaneous coronary intervention (PCI)) that can be classified as CEEQs. Furthermore, an investigation of hospitals' efficiency and quality revealed great variation in efficiency among high-quality hospitals. The study demonstrated the possibility of employing service- or disease-specific approaches to VBP and pay-for-performance (P4P) programs.
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