Research Summary
Research Summary
The Effect of Hospital and Surgeon Procedure Volume on the Outcomes of Primary and Revision Total Knee Replacement: Magnitude and Mechanisms
Description
My role in this study is to assess whether care provider coordination mediates the relationship between surgical volumes and patient outcomes. It is a study involving hundreds of hospitals and thousands of patients, and for the main study, coordination will be measured by surveying hospital administrators about the formal coordinating mechanisms in use, including clinical pathways, case managers, patient rounds, information systems and primary nursing. In addition, I will take a subset of the hospitals and administer a more detailed survey to care providers to document their coordination networks using the measure of relational coordination I developed in earlier work, to better understand how surgical volumes affect coordination among members of the care provider team. Funded by National Institute of Health, this study is led by a research team at the Harvard Medical School.