2007
Detecting the blind spot: Complications in the trauma registry and trauma quality improvement
Hemmila MR, Jakubus JL, Wahl WL, Arbabi S, Henderson WG, Khuri SF, Taheri PA, Campbell DA. Detecting the blind spot: Complications in the trauma registry and trauma quality improvement. Surgery 2007, 142: 439-449. PMID: 17950334, PMCID: PMC2080842, DOI: 10.1016/j.surg.2007.07.002.Peer-Reviewed Original ResearchConceptsNational Trauma Data BankGeneral surgery patientsNational Surgical Quality Improvement ProgramSurgery patientsTrauma patientsNSQIP methodologyNTDB patientsTrauma centerOutcome dataLevel 1 trauma centerSurgical Quality Improvement ProgramVeterans Affairs Healthcare SystemRisk adjustmentRisk-adjusted mannerTrauma patient groupsTrauma quality improvementTrauma Data BankQuality Improvement ProgramHigh rateRisk-adjusted ratesImportant comorbidityAdult patientsPatient comorbiditiesTrauma registryMore complicationsTrauma Center Downstream Revenue: The Impact of Incremental Patients Within a Health System
Taheri PA, Maggio PM, Dougherty J, Neil C, Fetyko S, Harkins DR, Butz DA. Trauma Center Downstream Revenue: The Impact of Incremental Patients Within a Health System. Journal Of Trauma And Acute Care Surgery 2007, 62: 615-621. PMID: 17414337, DOI: 10.1097/ta.0b013e31802ee532.Peer-Reviewed Original ResearchConceptsEmergency surgery servicesSurgery serviceStudy periodEmergency surgical servicesInitial patient admissionsAcademic Level IProfessional revenueDownstream revenueClinic visitsInitial admissionPatient admissionsEmergent patientsOutpatient activitySurgical servicesLevel IService admissionsPatientsFiscal year 2002Health systemInpatient activityAdmissionTraumaInpatientsHospitalInpatient revenueFinancial Impact of Hand Surgery Programs on Academic Medical Centers
Hasan JS, Chung KC, Storey AF, Bolg ML, Taheri PA. Financial Impact of Hand Surgery Programs on Academic Medical Centers. Plastic & Reconstructive Surgery 2007, 119: 627-635. PMID: 17230099, DOI: 10.1097/01.prs.0000246528.28652.11.Peer-Reviewed Original ResearchConceptsFacility revenueOperating incomeProfessional revenueCost accounting systemTotal costFinancial dataNet revenueFinancial performanceFinancial evaluationRevenueClinic chargesIncomeDollarsFinancial impactAccounting systemDirect costsOverhead costsCollection rateCharge categoriesHospital cost accounting systemCostDepartment of SurgeryAcademic medical centerFacility costsMedical Center
2003
Aeromedical Service: How Does it Actually Contribute to the Mission?
Rosenberg B, Butz D, Comstock M, Taheri P. Aeromedical Service: How Does it Actually Contribute to the Mission? Journal Of Trauma And Acute Care Surgery 2003, 54: 681-688. PMID: 12707529, DOI: 10.1097/01.ta.0000054684.83538.45.Peer-Reviewed Original ResearchConceptsDiagnosis-related groupsSF patientsHealth systemAeromedical servicesIntensive care unit stayIntensive care unit daysMichigan Health SystemDownstream revenueAdmitting servicesUnit stayUnit daysClinical activityInpatient revenueInpatient daysPatientsPatient careAeromedical transportationProfessional feesStayDaysAdmissionHospitalOverall lengthCare
1999
Trauma services: a profit center?
Taheri P, Butz D, Watts C, Griffes L, Greenfield L. Trauma services: a profit center? Journal Of The American College Of Surgeons 1999, 188: 349-354. PMID: 10195717, DOI: 10.1016/s1072-7515(99)00021-6.Peer-Reviewed Original ResearchConceptsInjury Severity ScoreLength of stayGroup ATrauma centerGroup BProportion of costsTrauma serviceMean cost/patientLevel I trauma centerI trauma centerCost/patientCost of careFiscal year 1997Hospital cost accounting systemBlunt mechanism injuryMechanism injuriesTrauma registrySeverity scoreSick patientsInadequate reimbursementPatient basisPatientsPatient groupingsStayTotal service cost
1998
Trauma Service Cost
Taheri P, Wahl W, Butz D, Iteld L, Michaels A, Griffes L, Bishop G, Greenfield L. Trauma Service Cost. Annals Of Surgery 1998, 227: 720-725. PMID: 9605663, PMCID: PMC1191353, DOI: 10.1097/00000658-199805000-00012.Peer-Reviewed Original ResearchConceptsAverage Injury Severity ScoreLevel I trauma centerOperating roomEmergency room timeI trauma centerInjury Severity ScorePhysician-led teamsVariable direct costsHospital finance departmentCase management approachEmergency servicesLab drawsClinical pharmacistsEarly dischargeTrauma centerCost-containment strategiesSeverity scoreTrauma serviceTrauma careMean costRoom timeSurgeon involvementPatient volumeFiscal year 1996Study period
1997
Physician Resource Utilization after Geriatric Trauma
Taheri P, Iteld L, Michaels A, Edelstein S, Di Ponio L, Rodriguez J. Physician Resource Utilization after Geriatric Trauma. Journal Of Trauma And Acute Care Surgery 1997, 43: 565-569.. PMID: 9356049, DOI: 10.1097/00005373-199710000-00001.Peer-Reviewed Original ResearchConceptsTrauma serviceGlasgow Coma Scale scorePMR consultationGeriatric trauma patientsInjury Severity ScoreGeneral surgical serviceLong-term outcomesPatients' functional outcomeLength of stayNursing home placementSignificant differencesHealth care resourcesMultidisciplinary trauma teamPhysician resource utilizationPMR interventionGeriatric traumaTrauma patientsGeriatric patientsSignificant group differencesPhysician consultationFunctional outcomeMultiple traumaSeverity scoreSubgroup analysisEarly consultation
1995
Prehospital classification combined with an in-hospital trauma radio system response reduces cost and duration of evaluation of the injured patient
Gerndt S, Conley J, Lowell M, Holmes J, Marsh E, Larin L, Taheri P, Polley T, Rodriquez J. Prehospital classification combined with an in-hospital trauma radio system response reduces cost and duration of evaluation of the injured patient. Surgery 1995, 118: 789-796. PMID: 7570338, DOI: 10.1016/s0039-6060(05)80051-0.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChildEmergency Medical Service Communication SystemsHospital Communication SystemsHospital CostsHumansInterdepartmental RelationsMichiganMiddle AgedPatient Care TeamPhysical ExaminationRadioSeverity of Illness IndexSystems IntegrationTime FactorsTrauma CentersTriageWounds and InjuriesConceptsTrauma classification systemsInitial trauma evaluationHealth care resourcesTrauma system developmentBlunt mechanismTrauma patientsPediatric populationTrauma centerExpeditious careTrauma evaluationPatient outcomesEmergency treatmentEmergency carePatientsTrauma victimsCare resourcesDuration of evaluationClassification systemInitial evaluationAdverse effectsSignificant reductionTrauma responseCareAssociated reductionResponse