TY - JOUR T1 - AChieving comanagment’s potential requires system redesign and hospitalist-focused training AU - Levin D, Glasheen JJ Y1 - 2011/07/25 N1 - 10.1001/archinternmed.2011.323 JO - Archives of Internal Medicine SP - 1299 EP - 1300 VL - 171 IS - 14 N2 - 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. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2011.323 UR - http://dx.doi.org/10.1001/archinternmed.2011.323 ER -