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Objective
To understand whether the Comprehensive Care for Joint Replacement (CJR) program induces participating hospitals to (1) preferentially select lower risk patients, (2) reduce 90‐day episode‐of‐care costs, (3) improve quality of care, and (4) achieve greater cost reduction during its second year, when downside financial risk was applied.
Data sources
We identified beneficiaries of age 65...
ObjectiveTo identify factors that account for variation in complication rates across hospitals and surgeons performing lumbar spinal fusion surgery.
Data SourcesDischarge registry including all nonfederal hospitals in Washington State from 2004 to 2007.
Study DesignWe identified adults (n = 6,091) undergoing an initial inpatient lumbar fusion for degenerative conditions. We identified whether each...
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