RT Journal
A1 Levin D, Glasheen JJ
T1 AChieving comanagment’s potential requires system redesign and hospitalist-focused training
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2011
FD July 25
VO 171
IS 14
SP 1299
OP 1300
DO 10.1001/archinternmed.2011.323
UL http://dx.doi.org/10.1001/archinternmed.2011.323
AB 
First, the lack of significant improvement in traditional quality indicators underscores the need to study alternative quality measures. A comanagement model may not be able to alter the length of stay, mortality, or readmission rate following an elective surgical procedure with a defined postoperative course or intraoperative mortality. However, a model that fundamentally re-engineers systems of care may have an impact on outcomes such as deep venous thrombosis, pain, delirium, and catheter use and infection rates. These complications may not prolong the length of stay and will not be detected in administrative data.