TY - JOUR
T1 - Evaluating and improving the delivery of heart care
T2 - The University of Michigan experience
AU - Eagle, Kim A.
AU - Moscucci, Mauro
AU - Kline-Rogers, Eva
AU - Chaffee, Bruce W.
AU - Barry, Patricia A.
AU - Roberts, Shirley
AU - Froehlich, James
PY - 1998/10/12
Y1 - 1998/10/12
N2 - With increasing pressure to curb escalating costs in medical care, there is particular emphasis on the delivery of cardiovascular services, which account for a substantial portion of the current healthcare dollar spent in the United States. A variety of tools were used to improve performance at the University of Michigan Health System, one of the oldest university-affiliated hospitals in the United States. The tools included initiatives to understand outcomes after coronary bypass operations and coronary angioplasty through use of proper risk-adjusted models. Critical pathways and guidelines were implemented to streamline care and improve quality in interventional cardiology, management of myocardial infarction, and preoperative assessment of patients undergoing vascular operations. Strategies to curb unnecessary costs included competitive bidding of vendors for expensive cardiac commodities, pharmacy cost reductions, and changes in nursing staff. Methods were instituted to improve guest services and partnerships with the community in disease prevention and health promotion.
AB - With increasing pressure to curb escalating costs in medical care, there is particular emphasis on the delivery of cardiovascular services, which account for a substantial portion of the current healthcare dollar spent in the United States. A variety of tools were used to improve performance at the University of Michigan Health System, one of the oldest university-affiliated hospitals in the United States. The tools included initiatives to understand outcomes after coronary bypass operations and coronary angioplasty through use of proper risk-adjusted models. Critical pathways and guidelines were implemented to streamline care and improve quality in interventional cardiology, management of myocardial infarction, and preoperative assessment of patients undergoing vascular operations. Strategies to curb unnecessary costs included competitive bidding of vendors for expensive cardiac commodities, pharmacy cost reductions, and changes in nursing staff. Methods were instituted to improve guest services and partnerships with the community in disease prevention and health promotion.
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M3 - Article
C2 - 10185980
AN - SCOPUS:0031668485
VL - 4
SP - 1300
EP - 1309
JO - American Journal of Managed Care
JF - American Journal of Managed Care
SN - 1088-0224
IS - 9 SUPPL.
ER -