An Analysis of the Methodology for Attribution of Specialty Care in Otolaryngology and Urology.

TitleAn Analysis of the Methodology for Attribution of Specialty Care in Otolaryngology and Urology.
Publication TypeJournal Article
Year of Publication2020
AuthorsShah AA, Carey RM, Brant JA, Tasian GE, Ziemba JB
JournalOtolaryngol Head Neck Surg
Pagination194599820941016
Date Published2020 Jul 21
ISSN1097-6817
Abstract

US News & World Report (USNWR) rankings can assist patients with choosing where to receive their specialty care. USNWR methodology assumes that the specialty caring for hospitalized patients is equivalent to the specialty assigned by administrative coding. We examined the frequency of discordance between USNWR methodology-assigned specialty and the actual specialty care received for 2 surgical specialties, otolaryngology (ENT) and urology (GU). Our analysis included inpatient deaths identified by USNWR coding for these specialties from 2013 to 2017 at a single academic tertiary care center. We found that a minority of patients with deaths attributed by USNWR to these 2 specialties were actually cared for by ENT (6/14; 43%) or GU (3/19; 16%). Only 5 of 14 (36%) and 2 of 19 (11%) deaths were potentially associated with ENT and GU care, respectively. We identified a significant discordance between USNWR-assigned specialty and the actual specialty care received.

DOI10.1177/0194599820941016
Alternate JournalOtolaryngol Head Neck Surg
PubMed ID32689893