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Average surgeon-level volume and hospital performance

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  • Stock, Gregory N.
  • McDermott, Christopher
  • Anand, Gopesh

Abstract

This study evaluates the relationships among the average number of procedures per surgeon, calculated across the entire hospital, and multiple dimensions of overall hospital operational performance. Hospital administrative data from 154 public and private hospitals in the state of New York were augmented by data from the Centers for Medicare and Medicaid Services. The data included administrative surgical records across all clinical areas for the year 2009. The study used maximum likelihood estimation path analysis to simultaneously test the relationships among average surgical volume and risk-adjusted length of stay, cost, and mortality, across all surgical procedures and clinical areas. The results showed that higher average volume per surgeon, computed across all surgical procedures in a hospital, was directly related to lower risk-adjusted length of stay, and indirectly related to lower risk-adjusted cost and mortality. A higher average number of procedures per surgeon may provide greater hospital-specific experience, including interactions among surgical teams and with other areas of the hospital, leading to better overall outcomes. This study advances the literature in health care operations management by examining the relationships among surgical volume, across all clinical areas and all types of surgeries, and three different dimensions of hospital performance.

Suggested Citation

  • Stock, Gregory N. & McDermott, Christopher & Anand, Gopesh, 2016. "Average surgeon-level volume and hospital performance," International Journal of Production Economics, Elsevier, vol. 182(C), pages 253-262.
    • Handle: RePEc:eee:proeco:v:182:y:2016:i:c:p:253-262
    DOI: 10.1016/j.ijpe.2016.08.022
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    References listed on IDEAS

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    1. Filippo Visintin & Paola Cappanera & Carlo Banditori, 2016. "Evaluating the impact of flexible practices on the master surgical scheduling process: an empirical analysis," Flexible Services and Manufacturing Journal, Springer, vol. 28(1), pages 182-205, June.
    2. Diwas Singh KC & Bradley R. Staats, 2012. "Accumulating a Portfolio of Experience: The Effect of Focal and Related Experience on Surgeon Performance," Manufacturing & Service Operations Management, INFORMS, vol. 14(4), pages 618-633, October.
    3. Dobrzykowski, David & Saboori Deilami, Vafa & Hong, Paul & Kim, Seung-Chul, 2014. "A structured analysis of operations and supply chain management research in healthcare (1982–2011)," International Journal of Production Economics, Elsevier, vol. 147(PB), pages 514-530.
    4. Marco D. Huesch & Mariko Sakakibara, 2009. "Forgetting the learning curve for a moment: how much performance is unrelated to own experience?," Health Economics, John Wiley & Sons, Ltd., vol. 18(7), pages 855-862, July.
    5. Gary P. Pisano & Richard M.J. Bohmer & Amy C. Edmondson, 2001. "Organizational Differences in Rates of Learning: Evidence from the Adoption of Minimally Invasive Cardiac Surgery," Management Science, INFORMS, vol. 47(6), pages 752-768, June.
    6. Robert S. Huckman & Gary P. Pisano, 2006. "The Firm Specificity of Individual Performance: Evidence from Cardiac Surgery," Management Science, INFORMS, vol. 52(4), pages 473-488, April.
    7. Dennis Epple & Linda Argote & Kenneth Murphy, 1996. "An Empirical Investigation of the Microstructure of Knowledge Acquisition and Transfer Through Learning by Doing," Operations Research, INFORMS, vol. 44(1), pages 77-86, February.
    8. Cappanera, Paola & Visintin, Filippo & Banditori, Carlo, 2014. "Comparing resource balancing criteria in master surgical scheduling: A combined optimisation-simulation approach," International Journal of Production Economics, Elsevier, vol. 158(C), pages 179-196.
    9. Robert S. Huckman & Bradley R. Staats & David M. Upton, 2009. "Team Familiarity, Role Experience, and Performance: Evidence from Indian Software Services," Management Science, INFORMS, vol. 55(1), pages 85-100, January.
    10. Mark Pagell & David Johnston & Anthony Veltri & Robert Klassen & Markus Biehl, 2014. "Is Safe Production an Oxymoron?," Production and Operations Management, Production and Operations Management Society, vol. 23(7), pages 1161-1175, July.
    11. Robert S. Huckman & Bradley R. Staats, 2011. "Fluid Tasks and Fluid Teams: The Impact of Diversity in Experience and Team Familiarity on Team Performance," Manufacturing & Service Operations Management, INFORMS, vol. 13(3), pages 310-328, July.
    12. Wang, Yu & Tang, Jiafu & Fung, Richard Y.K., 2014. "A column-generation-based heuristic algorithm for solving operating theater planning problem under stochastic demand and surgery cancellation risk," International Journal of Production Economics, Elsevier, vol. 158(C), pages 28-36.
    13. Ray Reagans & Linda Argote & Daria Brooks, 2005. "Individual Experience and Experience Working Together: Predicting Learning Rates from Knowing Who Knows What and Knowing How to Work Together," Management Science, INFORMS, vol. 51(6), pages 869-881, June.
    14. Guinet, Alain & Chaabane, Sondes, 2003. "Operating theatre planning," International Journal of Production Economics, Elsevier, vol. 85(1), pages 69-81, July.
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    1. Bichescu, Bogdan C. & Bradley, Randy V. & Smith, Antoinette L. & Wei, Wu, 2018. "Benefits and implications of competing on process excellence: Evidence from California hospitals," International Journal of Production Economics, Elsevier, vol. 202(C), pages 59-68.

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