Risk Factors for 30-Day Readmission of Otolaryngology Patients

Nearly 2 decades have passed since the 2001 publication ofCrossing the Quality Chasm by the Institute of Medicine. This effort helped define the framework of understanding health care quality in the United States: level A, the experience of patients; level B, the microsystem that delivers care; level C, the organization that houses and supports these microsystems; and level D, the regulatory, policy, accreditation, and payment system that regulates and controls level C organizations. In addition, the 6 aims for improvement were defined as safety, timeliness, equity, efficacy, efficiency, and patient centeredness. Efficacy strives to avoid the overuse of care known to be ineffective and maximize care known to be effective, ie, evidence-based medicine. The past several years have seen explosive growth of this idea with the alliance of the American Board of Internal Medicine andConsumer Reports and theChoosing Wisely campaign, which now has over 70 specialty societies, over a million clinicians, meaning nearly every American who sees a physician is covered by the campaign. Similarly, efficiency is the reduction of waste, with a decrease in total cost of care, and waste may include: supplies, equipment, space, capitals, ideas, and human spirit.
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research