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Economic impact of a head and neck oncologic surgeon: The case mix index
Author(s) -
Jalisi Scharukh,
Sanan Akshay,
Mcdonough Katie,
Hussein Khalil,
Platt Michael,
Truong Minh Tam,
Couch Marion,
Burkey Brian B.
Publication year - 2014
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.23470
Subject(s) - otorhinolaryngology , medicine , head and neck surgery , reimbursement , specialty , head and neck , general surgery , oncologic surgery , surgery , retrospective cohort study , revenue , head and neck cancer , family medicine , finance , health care , economics , economic growth , radiation therapy
Background Head and neck oncologic surgery is a time‐consuming specialty that requires extensive resources and manpower. Case mix index (CMI) is used in evaluating the complexity and economic impact of surgeons. Head and neck oncologic surgeons generate significant revenue for hospitals, yet compensation is relatively low. Methods Retrospective review of a tertiary hospital's case mix data for 605 otolaryngology admissions from 2009 to 2011 was performed. CMI comparison for head and neck oncologic surgeons versus general otolaryngology was performed. Results In an otolaryngology department of 9 surgeons; there was a significant difference ( p < .01) in the CMI and a significantly greater chance to have a “good CMI” (CMI >1) favoring head and neck oncologic surgeons. Conclusion Head and neck oncologic surgeons increase the CMI for hospitals and ultimately influence the hospital's reimbursement. There is a need for increased collaboration between hospitals and departments in fostering and furthering their head and neck surgical oncology programs by taking CMI into consideration. © 2013 Wiley Periodicals, Inc. Head Neck , 36: 1420–1424, 2014