Does Anesthesia Quality Improvement Participation Lead to Incremental Savings in a Surgical Quality Collaborative Population? A Retrospective Observational Study
Main finding · Total episode paymentsResult — go to the resultDifference-in-differences -$719 95% CI -$1340 to -$97Authors' conclusion
Participation in an anesthesiology CQI, ASPIRE, is associated with lower total episode payments for selected major, high-volume procedures.
Study context
- Population
- Patients with major, high-volume surgery (colectomy, colorectal cancer resection, gastrectomy, esophagectomy, pancreatectomy, hysterectomy, knee and hip replacement, hip fracture repair) in the Michigan Value Collaborative (MVC) registry, insured by BCBS of Michigan PPO, Blue Care Network HMO or Medicare Fee-for-Service; pre-ASPIRE 2014 vs post-ASPIRE June 2016 to July 20178 vs 8 hospitals
- Exposure
- Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE) vs non-ASPIRE
- ASPIREn = 17,852 cases
- non-ASPIREn = 12,987 casesreference
- Outcome
- Total episode payments (price-standardized, risk-adjusted), difference-in-differences
Methodological detailsdifference-in-differences analysis, matched control hospitals
- Difference-in-differences analysis
- Matched control hospitals
Main finding
Total episode payments
Difference-in-differences
-$719
95% CI -$1340 to -$97
P = 0.023
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Difference-in-differences (95% CI) | P value |
|---|---|---|
| 30-day postdischarge payments | -$354 (-$582 to -$126) | P = 0.002 |
| Total episode payments, joint replacements (subgroup) | -$860 (-$1222 to -$499) | P < 0.001 |
Sensitivity analyses with patient-level covariates
- Consistent results
Original publication
Does Anesthesia Quality Improvement Participation Lead to Incremental Savings in a Surgical Quality Collaborative Population? A Retrospective Observational Study. Anesth Analg. Published 6 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →