Association of Practitioner Interfacility Triage Performance With Outcomes for Severely Injured Patients With Fee-for-Service Medicare Insurance

Abstract

IMPORTANCE Despite evidence that treatment of severely injured patients at trauma centers is associated with reduced mortality, nearly half of all such patients are treated at nontrauma centers (undertriaged). Little is known about whether interfacility undertriage occurs because of practitioner decision-making or institutional and regional factors. OBJECTIVES To assess the associations between variation in triage practitioners at nontrauma centers and between practitioner-level variation and patient outcomes after injury. DESIGN, SETTING, AND PARTICIPANTS This retrospective cohort study used Medicare claims data from severely injured patients presenting to nontrauma centers and the practitioners who evaluated them in the emergency department from

Managers’ Competences in Private Hospitals for Investment Decisions during the COVID-19 Pandemic

“…The strategic administration of hospital resources involves different aspects, such as the creation and sharing of knowledge [55], which can lower the cost of medicine [56], increase customer satisfaction [29], improve service cycle times [57], reduce the demands on professionals [58] and generate services of excellence [59]. Today, the use of indicators in integrated information systems has improved hospitals' financial results, promoting transparency in actions [60,61].…”