title: Measuring cardiac waste: the premier cardiac waste measures.
abstract: The authors developed 8 measures of waste associated with cardiac procedures to assist hospitals in comparing their performance with peer facilities. Measure selection was based on review of the research literature, clinical guidelines, and consultation with key stakeholders. Development and validation used the data from 261 hospitals in a split-sample design. Measures were risk adjusted using Premier's CareScience methodologies or mean peer value based on Medicare Severity Diagnosis-Related Group assignment. High variability was found in resource utilization across facilities. Validation of the measures using item-to-total correlations (range = 0.27-0.78), Cronbach α (.88), and Spearman rank correlation (0.92) showed high reliability and discriminatory power. Because of the level of variability observed among hospitals, this study suggests that there is opportunity for facilities to design successful waste reduction programs targeting cardiac-device procedures.
authors.affiliation: 1Premier Inc, Charlotte, NC.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Lowe
authors.forename: Chohreh
authors.initials: C
authors.lastname: Partovian
authors.forename: Eugene
authors.initials: E
authors.lastname: Kroch
authors.forename: John
authors.initials: J
authors.lastname: Martin
authors.forename: Richard
authors.initials: R
authors.lastname: Bankowitz
mesh_terms: D002318:Cardiovascular Diseases / Q000628:therapy*; D016208:Databases, Factual; D017598:Efficiency, Organizational / Q000191:economics; D004864:Equipment and Supplies / Q000191:economics; D006295:Health Resources / Q000706:statistics & numerical data; D006740:Hospital Administrators; D017721:Hospital Costs; D006769:Hospitals, General / Q000191:economics; D006801:Humans; D008505:Medical Staff, Hospital; D036301:Qualitative Research; D011785:Quality Assurance, Health Care / Q000379:methods; D014481:United States; D019564:Unnecessary Procedures / Q000191:economics*
keywords: health care cost; measurement; overutilization; waste