Spine Quality Measures
The Spine team at Cedars-Sinai strives to deliver the highest quality of care to all patients. As part of this commitment, we're dedicated to providing transparency for our patient outcome rates across a number of procedures.
The information below provides an in-depth look at the data for key procedures performed by Cedars-Sinai. These reports aim to reduce ambiguity in procedure outcome data, so patients and their loved ones can make decisions with the utmost confidence regarding their medical care.
The Cedars-Sinai Spine Center is a comprehensive and advanced spine center dedicated to the evaluation, diagnosis and treatment of all neck, back pain and spinal conditions, with a multidisciplinary team of surgeons, surgical fellows, specialized spine nurses, and conservative care and diagnostic specialists.
Our goal is to ensure that all patients are cared for with respect and efficiency through the course of treatment for their spinal disorders.
Research and teaching are emphasized to help us to provide the most state-of-the-art clinical care available. Numerous clinical trials are being developed and conducted to pursue the latest techniques available to create the most effective treatments to alleviate back and neck pain.
Volume of Procedures
Studies suggest that for many surgical procedures, hospitals performing a higher volume of procedures:
- Have lower short-term and long-term mortality and morbidity
- Indicate greater experience, which influences outcomes in multiple ways
- May institute specific care processes that improve outcomes
- Have infrastructure dedicated to particular clinical specialties, including related technology and intensive care personnel
Commitment to quality standards throughout the institution is also an important factor for better outcomes.1,2 In addition, outcomes for high-risk procedures have been shown to be better when performed by highly trained surgeons than by general surgeons.3
Medical Severity Diagnosis Related Groups (MS-DRGs) are patient groupings defined by the Center for Medicare and Medicaid Services, based on patient diagnoses, procedures, gender, age and discharge status. Information for the three highest-volume MS-DRGs are listed in the table below
Patient Care Processes and Outcomes
As part our effort to provide the highest quality of care, Cedars-Sinai routinely monitors indicators reflecting quality of care. Patient outcomes are also compared to the outcomes expected for a clinically similar patient population, when this comparative data is available from the University HealthSystem Consortium (UHC), an alliance of more than 300 of the nation’s nonprofit academic medical centers and their affiliated hospitals. The majority of these facilities participate in UHC's Clinical DataBase/Resource Manager.
Average Length of Stay
ICU Cases and Unplanned 30-Day Readmissions
1Bach PB, Ann Intern Med 2009; 150:729-30
2Greene FL, Ann Surg Oncol 2007; 15:14-15
3Kozower BD et al, Ann Thorac Surg 2008; 86:1405-08