Quality Outcome and Cost Data

How do we define quality?  

Many feel that hernia outcomes, including recurrence rate and risk of infection is how we define quality in hernia surgery.  We feel that quality of hernia care can be defined by several factors listed below. Many of these are derived from the teachings of Professor Jon Chilingerian, the program director of the MBA program Dr. Reinhorn attended.  If you feel there are additional factors, we would love to hear from you.

  • Patient reported hernia outcomes – Clearly this is important!  We have recently joined the American Hernia Society Quality Collaborative in order to keep a record of every patient we operate on and their outcomes. This initiative replaces our own outcome registry that we kept in our office for the last several years.
  • Patient satisfaction – We ask for your feedback so we can improve.  Many of our patients are very satisfied and our Net Promoter Score is over 50%.  We know we can always do better, so please contact us if you have suggestions of how we can improve. Our testimonials page has information about what recent patients think of their experience with our practice.
  • Efficiency in our clinical decision making  – Did we order too many tests, or were we able to make a diagnosis in the office?  This relates to our experience.  By focusing on only a few conditions, we are able to provide efficient, high quality, cost effective care.
  • Relationships and support – We aim to spend enough time with our patients in the office before surgery to provide education and support, as well as gain each patient’s trust.
  • Amenities – We hope our facilities are clean and professional and our staff is friendly and helpful. We try to see patients on schedule, to avoid long waiting times. Please let us know if we can improve your experience in any way.

Surgical Volumes, as of 8/31/2017

  • Hernia repair: 2,952 cases
  • Gallbladder removal: 722 cases
  • Appendectomy: 456 cases
  • Colon resection: 186 cases
  • Pilonidal cleft lift: 150 cases

Inguinal Hernia Quality Outcomes

We completed a study in 2017 that looked at short term post-operative hernia outcomes that were important to our inguinal hernia patients. We learned the following:
– 60% of patients did not use narcotics for post operative pain
– Of those that did take narcotics, 66% used 4 pills or less
– 0 patients were still taking narcotic pain medication by the time of post-op appointment
– 92% of patients reported at post-op appointment that pain had little to no effect on daily life
– Almost 40% of patients missed 0 days of work after surgery

In August 2017, we published a paper, about hernia outcomes, based on our study that focuses on decreasing narcotic prescriptions after hernia surgery. Check it out here.

We recently joined the American Hernia Society Quality Collaborative in order to provide our patients with the highest quality care. This initiatives looks at hernia outcomes for a varitety of hernia procedures. Please click on the logo below to learn more about it.

 

Approximate Cost Data

Total approximate cost of hernia surgery at our hospital*: $5,000-12,000. This includes the following:

  • Surgical consultation: $250-450
  • Surgical procedure fee: $600-3,000
  • Anesthesia fee: $600-1,200
  • Hospital fees: $5,000-22,000

*These numbers are approximations of insurance payments to the hospital and providers for healthy patients without any additional medical problems undergoing a single, uncomplicated inguinal hernia. These numbers are only estimates based on information we try to obtain. The cost to an individual patient depends on your insurance plan, the type of hernia(s) and medical history.