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Preoperative Consultation Before Cataract Surgery

Preoperative Consultation Before Cataract Surgery Medicare Patients Undergoing Cataract Surgery Original Investigation Research Invited Commentary Are We Choosing Wisely or Is This Simply Low-Value Care? Lee A. Fleisher, MD A major focus in fixing the health care crisis has been a shift the purposes of the surgical procedure. If the former was true, from volume-based to value-based care. One approach to im- then the incremental costs would be negligible compared with proving the value equation is the elimination of unnecessary those of routine care unless the consultation led to additional or wasteful tests and procedures. This forms part of the basis laboratory tests being obtained solely for the purpose of clear- of the Choosing Wisely campaign from the American Board of ing the patient for the surgical procedure. If no tests were ob- Internal Medicine Foundation. A major theme within the tained, then clearly the consultation could be considered part Choosing Wisely campaign has been the elimination of rou- of routine care. However, if the consultation was performed tine preoperative evaluation in low-risk patients. Given that solely for the purpose of an evaluation for the surgical proce- 30 million Americans undergo surgery annually and approxi- dure, then such additional medical services could be consid- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Preoperative Consultation Before Cataract Surgery

JAMA Internal Medicine , Volume 174 (3) – Mar 1, 2014

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2013.12298
pmid
24366215
Publisher site
See Article on Publisher Site

Abstract

Medicare Patients Undergoing Cataract Surgery Original Investigation Research Invited Commentary Are We Choosing Wisely or Is This Simply Low-Value Care? Lee A. Fleisher, MD A major focus in fixing the health care crisis has been a shift the purposes of the surgical procedure. If the former was true, from volume-based to value-based care. One approach to im- then the incremental costs would be negligible compared with proving the value equation is the elimination of unnecessary those of routine care unless the consultation led to additional or wasteful tests and procedures. This forms part of the basis laboratory tests being obtained solely for the purpose of clear- of the Choosing Wisely campaign from the American Board of ing the patient for the surgical procedure. If no tests were ob- Internal Medicine Foundation. A major theme within the tained, then clearly the consultation could be considered part Choosing Wisely campaign has been the elimination of rou- of routine care. However, if the consultation was performed tine preoperative evaluation in low-risk patients. Given that solely for the purpose of an evaluation for the surgical proce- 30 million Americans undergo surgery annually and approxi- dure, then such additional medical services could be consid-

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Mar 1, 2014

References