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Risk Adjustment Methodologies

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Quality Spine Care

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Abstract

Each year there are more than one million hospital admissions for patients undergoing spine surgery. However, there is great heterogeneity in both the procedures performed and the patients who undergo them. In recent years, there is increased focus on optimizing patient outcomes and comparing outcomes across providers and care facilities. Current generalized risk stratification models help account for some of the heterogeneity across patients, but most are not spine-specific. As a result, they fail to emphasize spine-specific risk factors, and they do not include procedure details, such as the use of instrumentation, osteotomies, and construct length, all of which significantly increase the risk for complications. In this chapter, we provide an overview of risk factors for worse outcomes in spine surgery patients and discuss current efforts to formulate risk stratification systems for this population using the power of national databases and predictive analytics.

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Authors and Affiliations

  1. Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, MD, USA

    Zach Pennington & Corinna C. Zygourakis

  2. Department of Neurosurgery, University of California San Francisco, San Francisco, CA, USA

    Christopher P. Ames

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  1. Zach Pennington
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  2. Corinna C. Zygourakis
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  3. Christopher P. Ames
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Correspondence to Christopher P. Ames .

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Editors and Affiliations

  1. Department of Neurosurgery, Stanford University, Stanford, CA, USA

    John Ratliff

  2. Hospital for Special Surgery, New York, NY, USA

    Todd J. Albert

  3. University of Cincinnati, Cincinnati, OH, USA

    Joseph Cheng

  4. Atlantic Neurosurgical Specialists, Morristown, NJ, USA

    Jack Knightly

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Pennington, Z., Zygourakis, C.C., Ames, C.P. (2019). Risk Adjustment Methodologies. In: Ratliff, J., Albert, T., Cheng, J., Knightly, J. (eds) Quality Spine Care. Springer, Cham. https://doi.org/10.1007/978-3-319-97990-8_9

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  • DOI: https://doi.org/10.1007/978-3-319-97990-8_9

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