Clin Orthop Relat Res 2019 01;477(1):177-190
J. K. Wong, T. E. Kim, S. C. Mudumbai, S. K. Howard, E. R. Mariano, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA J. K. Wong, T. E. Kim, S. C. Mudumbai, S. K. Howard, R. King, E. R. Mariano, Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA S. G. Memtsoudis, Departments of Anesthesiology and Public Health, Weill Cornell Medical College, New York, NY, USA S. G. Memtsoudis, Department of Anesthesiology, Hospital for Special Surgery, New York, NY, USA N. J. Giori, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA N. J. Giori, Orthopaedic Surgery Section, Surgical Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA R. K. Oka, Office of Nursing Service, Veterans Affairs Central Office, Washington, DC, USA.
Background: Hospital-related factors associated with mortality and morbidity after hip fracture surgery are not completely understood. The Veterans Health Administration (VHA) is the largest single-payer, networked healthcare system in the country serving a relatively homogenous patient population with facilities that vary in size and resource availability. These characteristics provide some degree of financial and patient-level controls to explore the association, if any, between surgical volume and facility resource availability and hospital performance regarding postoperative complications after hip fracture surgery. Read More