A method to report utilization for quality initiatives in medical facilities

M. A. Krousel-Wood, R. N. Re, A. Abdoh, N. Gomez, R. B. Chambers, D. Bradford, Andrew Nathan Kleit

Research output: Contribution to journalArticle

Abstract

Objective: We undertook this project to outline a methodology for quantifying aggregate health care utilization of medical "technologies" that could be rank ordered by volume. The identification of specific high-volume technologies could guide future efforts for quality initiatives such as program planning, preventive services implementation, quality improvement activities, and innovative and cost-effective technology development. Design: This study utilized a retrospective cross-sectional study design. Methods: We generated combined ranks for the top 200 high-volume procedures from three data sources that incorporated in- and outpatient procedures. Data were collected using primarily ICD-9 and CPT-4 codes; all codes were translated into CPT-4 codes and collapsed into categories using truncated three-digit CPT-4 codes. Frequencies for each collapsed code were determined with each dataset; procedures were reranked based on the mean rank of the three sources. Main Outcome Measures: We itemized the individual procedure codes making up each of the top 20 categories and reported the unique codes making up at least 80% of the procedure code category. Results: The top five procedure categories identified in this study were patient visits (inpatient and outpatient), chest x-rays, mammograms, ophthalmological services, and electrocardiograms. Conclusion: The methodology described provides a new way to combine and concisely report on utilization of procedures that is relevant to data obtained from different sources. This methodology may be of potential benefit to health care administrators, technology developers, and other planners as they contemplate ways to identify quality and technology development initiatives that can have a broad impact on populations served by health care organizations.

Original languageEnglish (US)
Pages (from-to)200-206
Number of pages7
JournalOchsner Journal
Volume3
Issue number4
StatePublished - Jan 1 2001

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Current Procedural Terminology
Inpatients
Outpatients
Preventive Health Services
Patient Acceptance of Health Care
Technology
Biomedical Technology
Information Storage and Retrieval
International Classification of Diseases
Quality Improvement
Administrative Personnel
Electrocardiography
Thorax
Cross-Sectional Studies
X-Rays
Outcome Assessment (Health Care)
Organizations
Delivery of Health Care
Costs and Cost Analysis
Population

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Krousel-Wood, M. A., Re, R. N., Abdoh, A., Gomez, N., Chambers, R. B., Bradford, D., & Kleit, A. N. (2001). A method to report utilization for quality initiatives in medical facilities. Ochsner Journal, 3(4), 200-206.
Krousel-Wood, M. A. ; Re, R. N. ; Abdoh, A. ; Gomez, N. ; Chambers, R. B. ; Bradford, D. ; Kleit, Andrew Nathan. / A method to report utilization for quality initiatives in medical facilities. In: Ochsner Journal. 2001 ; Vol. 3, No. 4. pp. 200-206.
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Krousel-Wood, MA, Re, RN, Abdoh, A, Gomez, N, Chambers, RB, Bradford, D & Kleit, AN 2001, 'A method to report utilization for quality initiatives in medical facilities', Ochsner Journal, vol. 3, no. 4, pp. 200-206.

A method to report utilization for quality initiatives in medical facilities. / Krousel-Wood, M. A.; Re, R. N.; Abdoh, A.; Gomez, N.; Chambers, R. B.; Bradford, D.; Kleit, Andrew Nathan.

In: Ochsner Journal, Vol. 3, No. 4, 01.01.2001, p. 200-206.

Research output: Contribution to journalArticle

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Krousel-Wood MA, Re RN, Abdoh A, Gomez N, Chambers RB, Bradford D et al. A method to report utilization for quality initiatives in medical facilities. Ochsner Journal. 2001 Jan 1;3(4):200-206.