Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program.
OBJECTIVE
To test if a 2006 communication-and-resolution program to address unexpected adverse outcomes was associated with changes in cost and use trajectories.


DATA SOURCE
Records of patients discharged with a principal diagnosis of chest pain from 44 nonfederal general hospitals in Cook County, Illinois, between January 2002 and December 2009.


STUDY DESIGN
Propensity-score matched discharges from the intervention and comparison hospitals before computing difference-in-differences estimates of quarterly growth rates.


DATA COLLECTION METHODS
We used discharge records submitted to a central statewide repository.


PRINCIPAL FINDINGS
Relative to the comparison hospitals and to pre-implementation trends, and consistent with reduced testing at presentation, the intervention hospital recorded an increase in the number of patients with a principal diagnosis of chest pain. Among admitted patients, quarterly growth rates of clinical laboratory and radiology charges at the intervention hospital declined by 3.8 and 6.9 percentage points.


CONCLUSIONS
Among patients with chest pain, the implementation of a comprehensive communication-and-resolution program was associated with substantially reduced growth rates in the use of diagnostic testing and imaging services. Further research is needed to establish to what extent these changes were attributable to the program and clinically appropriate.
['Helmchen|Lorens A|LA|', 'Lambert|Bruce L|BL|', 'McDonald|Timothy B|TB|']
D002637:Chest Pain D003142:Communication D005260:Female D006801:Humans D016365:Liability, Legal D008297:Male D008318:Malpractice D019300:Medical Errors D008875:Middle Aged D010343:Patient Admission D010351:Patient Discharge D010817:Physician-Patient Relations D010818:Practice Patterns, Physicians' D016730:Program Development D057216:Propensity Score
Communication-and-resolution program chest pain diagnostic radiology medical liability