Re: TAH Length of stay

From: ainsron@msn.com
Tue Jan 15 17:42:06 2002


My experience mirrors yours. For some of our older patients, 2 days is too short, but most are able if they have help at home. The real sore point to me is that these changes haven't occurred because of clinical studies that show it is better for the patients. It cost driven by, most companies use the Millman-Robertson criteria for their UR. The LOS is the shortest stay for the "ideal patient." Anything over that has to be justified by a complication, need for IV, etc.

>When I was in residency - a 5 day stay was short. Then it went to 4
>days then 3 days. Most of my patients have their surgery Wed noon or PM
>and go home Friday afternoon.
>
>I think 24 hours is a bit too short! But then some that trained me are
>probably rolling over about the 48 hour stays!
>
>Joanne
>
>At Tue, 15 Jan 2002, RModugno@aol.com wrote:
>>
>>I was told by my surgery/insurance coordinator today that Aetna is now giving
>>one day (post-op) length of stays for TAH.
>>My reply: "Why so long?"
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA
>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>
>~*~ let there be peace on earth and let it begin with me ~*~
>

--
Ronald E. Ainsworth, MD




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