Measuring Quality in Minimally Invasive Gynecologic Surgery: What, How, and Why?

Mary Kathryn Abel, Kimberly A Kho, Andrew Walter, Eve Zaritsky

Research output: Contribution to journalArticlepeer-review

Abstract

In healthcare, the goal of maximizing value by improving the quality of care and lowering costs has been notoriously challenging to achieve. The fee-for-service model in gynecology and other fields has historically promoted the reduction of nonsurgical or minimally invasive approaches in favor of complex, often morbid procedures. In this review, we seek to define quality and value in the healthcare field and describe strategies that promote quality over production. We then discuss national, non–specialty-based efforts in the context of Surgical Care Improvement Project measures to improve quality of care. Finally, we present a case study through the Kaiser Permanente Minimally Invasive Hysterectomy Initiative, one such model that successfully built on the quality metrics of the foregoing strategies to improve patient care.

Original languageEnglish (US)
JournalJournal of Minimally Invasive Gynecology
DOIs
StateAccepted/In press - Jan 1 2018

Keywords

  • Gynecologic surgery
  • Minimally invasive hysterectomy
  • Quality improvement
  • Quality measures
  • Surgical outcomes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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