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An Effective Program to Reduce Malpractice Claims and Payments in a Large Orthopaedic Practice.

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The Patient Advocacy Reporting System (PARS) intervention significantly reduced malpractice claims costs in an orthopaedic practice. Successful implementation involved dedicated staff, clear communication, and defined practice values, leading to reduced risk and improved patient care outcomes.

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Area of Science:

  • Healthcare management
  • Patient safety
  • Medical malpractice

Background:

  • Healthcare reliability balances system design and professional accountability.
  • Addressing clinicians with high patient complaint rates is crucial for accountability.
  • The Patient Advocacy Reporting System (PARS) is a tiered intervention to mitigate clinician-related patient complaints.

Purpose of the Study:

  • To evaluate the impact of the Patient Advocacy Reporting System (PARS) on reducing patient complaints and malpractice claims.
  • To assess the successful adoption and effectiveness of PARS within a surgical specialty group.

Main Methods:

  • A retrospective cohort study analyzed malpractice claims data from 2004 to 2020.
  • The study focused on a southeastern U.S. orthopaedic group practice.
  • Assessed the implementation of the PARS program and its correlation with claims data.

Main Results:

  • PARS implementation correlated with an 83% reduction in malpractice claims cost per high-risk clinician (p=0.05).
  • The practice group saw an 87% decrease in mean annual malpractice claims cost per clinician (p=0.007).
  • Key success factors included PARS champions, peer messengers, an Office of Patient Affairs, and clear professionalism expectations.

Conclusions:

  • The PARS program was successfully adopted in a large, single-specialty orthopaedic practice.
  • The post-PARS period showed a significant reduction in malpractice claim costs.
  • PARS is an effective risk prevention and management strategy, associated with reduced malpractice costs.