The U.S. News Rankings: Examining Minimally Invasive Surgery (Cynthia Deyling)

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Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, Nov. 1-3, 2017 in Washington, DC. Find out more about this forum at www.usnewshot.com.

Minimally Invasive Surgery
Cynthia Deyling, MD, MHCM, FACP
Chief Quality Officer, Cleveland Clinic
@CindyDeylingMD

Minimally Invasive Surgery
•  Standard of Care
•  Outcomes meet or exceed open approaches
•  Cost and Value?
•  Research conflicts?

AppropriatenessPatient selection
Shared decision making
Skilled specialistsVendor Influence

Measurement
•  Define minimally invasive
•  Procedure-level volume thresholds
•  Referral center considerations
•  Contraindications and appropriateness
•  Coding limitations
•  Structural elements
•  Shift to outpatient procedures

Possible Approach
•  Case volumes and outcomes by approach rather than
percentage thresholds
•  Establish volume thresholds based on national
benchmarks
•  Minimizes need to develop robust exclusion criteria

Key Takeaways
•  Patient-centered
•  Avoid unintended consequences
•  Competency
•  Graduate Medical Education

The U.S. News Rankings: Examining Minimally Invasive Surgery (Cynthia Deyling)

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