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The outcome was CMS volume benchmark compliance.
Our exposure was hospital-level volume benchmark compliance.
Thus, Medicare's transplant experience allows us to examine the role of payer leverage in motivating hospital benchmark compliance.
We found that benchmark compliance varies by transplant type despite the fact that patients undergoing liver transplantation at volume compliant hospitals have lower odds of operative mortality.
In contrast, benchmark compliance was lowest for lung transplantation, a procedure where Medicare was the primary payer for only 28% of cases.
For this reason, we examined hospital transplant program compliance with Medicare's volume-based criteria, as well as the relationship between Medicare's market leverage and hospital benchmark compliance using national discharge data.
Similar(51)
Lastly, as process improvement is needed to sustain better outcomes, it is also important to measure and benchmark process compliance, which ACS NSQIP does not currently do.
It was for the UN to pass a second resolution setting out benchmarks for compliance; with an ultimatum that if they were ignored, action would follow.
Moreover, if the CSQI is to be used for operator contract development, benchmarking and compliance, a larger sample of bus users in particular will be required as it will be important to capture data effectively for each contract area.
Since 2011, the interim national benchmark for HH compliance has been 70%, and aggregate institution-level compliance has been reported publically online.
In order to demonstrate the effectiveness of our approach, we tested it by solving eight benchmark problems of compliance minimization with variations in load cases, boundary conditions and topological details.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com