Volume, Quality, and Research of the Modern Hospital: The Survivable Strategy

  • Xiang Da (Eric) DongEmail author
  • Rifat Latifi


The volume of a disease treated by a hospital and the quality of care delivered by a hospital have a known proportionate relationship. In the design of a new hospital, or the addition of new clinical services to an existing hospital, one of the central tenets is the ability to provide high-quality care that hopefully is combined with excellent outcomes. There are certain high-risk procedures known to require high-volume multimodality care to produce quality outcomes. Best examples of quality healthcare that are related to volume are high-risk surgical cases such as coronary artery bypass grafting, abdominal aortic aneurysm repair, liver transplantation, esophagectomy, pancreatectomy, and other high-risk oncologic procedures. As a result, when creating or advancing new clinical programs, the need to research the regional patient population and to concentrate on the regional patient needs is crucial to the success of the new hospital. The ability to understand the critical clinical and organizational differences between low- and high-volume hospitals may help implement changes to improve care. Therefore, in this rapidly evolving environment with introduction of new medical and surgical technologies, implementation of electronic medical records, adherence to regulatory measures such as the Joint Commission and the Hospital Quality Alliance public reporting, changing needs of the resident patient population, the building of new clinical programs capable of adapting to the changing environment may be the best solution.


Patient volume Quality of care Research Multimodality approach Rural hospitals Patient-centered care High-volume procedures 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.New York Medical College, School of Medicine, Department of Surgery, Surgical Oncology, Westchester, Medical CenterValhallaUSA
  2. 2.New York Medical College, School of Medicine, Department of Surgery and Westchester Medical CenterValhallaUSA

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