TY - JOUR
T1 - Financial implications of pancreas transplant complications: a business case for quality improvement.
AU - MJ, Englesbe
AU - YM, Ads
AU - JL, Paruch
AU - SJ, Pelletier
AU - TH, Welling
AU - CJ, Sonnenday
AU - JC, Magee
AU - JD, Punch
AU - DA, Campbell
AU - RS, Sung
AU - Cohn, Joshua
PY - 2007/6
Y1 - 2007/6
N2 - We quantified the financial implications of surgical complications following pancreas transplantation. We reviewed medical and financial records of 49 pancreas transplant recipients at the University of Michigan Health System (UMHS) between 1/6/2002 and 11/22/2004. The association of donor, transplant recipient and financial variables was assessed. The median costs to UMHS of procedures and follow-up were $92,917 for recipients without surgical complications versus $108,431 when a surgical complication occurred, a difference of $15,514 (p = 0.03). Median reimbursement by the payer was $17,363 higher in patients with a surgical complication (p = 0.001). Similar trends (higher insurer costs) were noted when stratifying by payer (public and private) and specific procedure (SPK and PAK). All parties (patient, physician, payer and medical center) should benefit from quality improvement, with payers having a financial interest in pancreas transplant surgical quality initiatives.
AB - We quantified the financial implications of surgical complications following pancreas transplantation. We reviewed medical and financial records of 49 pancreas transplant recipients at the University of Michigan Health System (UMHS) between 1/6/2002 and 11/22/2004. The association of donor, transplant recipient and financial variables was assessed. The median costs to UMHS of procedures and follow-up were $92,917 for recipients without surgical complications versus $108,431 when a surgical complication occurred, a difference of $15,514 (p = 0.03). Median reimbursement by the payer was $17,363 higher in patients with a surgical complication (p = 0.001). Similar trends (higher insurer costs) were noted when stratifying by payer (public and private) and specific procedure (SPK and PAK). All parties (patient, physician, payer and medical center) should benefit from quality improvement, with payers having a financial interest in pancreas transplant surgical quality initiatives.
UR - http://www.scopus.com/inward/record.url?scp=34248654067&partnerID=8YFLogxK
U2 - 10.1111/j.1600-6143.2007.01791.x
DO - 10.1111/j.1600-6143.2007.01791.x
M3 - Article
C2 - 17425623
SN - 1600-6135
VL - 7
SP - 1656
EP - 1660
JO - American Journal of Transplantation
JF - American Journal of Transplantation
IS - 6
ER -