Online Surgeon Ratings and Outcomes in Hernia Surgery: An Americas Hernia Society Quality Collaborative Analysis

Ivy N. Haskins; David M. Krpata; Michael J. Rosen; Arielle J. Perez; Luciano Tastaldi; Robert S. Butler; Steven Rosenblatt; Ajita S. Prabhu

doi:10.1016/j.jamcollsurg.2017.08.007

Online Surgeon Ratings and Outcomes in Hernia Surgery: An Americas Hernia Society Quality Collaborative Analysis

Ivy N. Haskins, David M. Krpata, Michael J. Rosen, Arielle J. Perez, Luciano Tastaldi, Robert S. Butler, Steven Rosenblatt, Ajita S. Prabhu

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

Background: Online surgeon ratings are viewed as a measure of physician quality by some consumers. Nevertheless, the correlation between online surgeon ratings and surgeon quality metrics remains unknown. The purpose of this study was to investigate the association between online surgeon ratings and hernia-specific quality metrics. Study Design: The Americas Hernia Society Quality Collaborative (AHSQC) is recognized by the Centers for Medicaid and Medicare as a Quality Clinical Data Registry (QCDR) that reports risk-adjusted quality metrics for hernia surgeons. All surgeons who input at least 10 patients into the AHSQC and had both a HealthGrades.com and Vitals.com rating were included in the analysis. The association of surgeons’ average, risk-adjusted QCDR quality score with their online ratings was investigated using a linear regression model. Results: A total of 70 surgeons met inclusion criteria. The median number of evaluations each surgeon received on HealthGrades.com was 7; the median number of evaluations each surgeon received on Vitals.com was 3. There was a statistically significant correlation between the ratings surgeons received on HealthGrades.com and those that they received on Vitals.com (p < 0.0001). However, there was no correlation between surgeon ratings on either HealthGrades.com or Vitals.com and surgeon QCDR quality scores (p = 0.37 and p = 0.18, respectively). Conclusions: Online physician rating systems correlate with one another, but they do not accurately reflect physician quality. The development of specialty-specific, risk-adjusted quality measures and appropriate public dissemination of this information may help patients make more informed decisions about their health care.

Original language	English (US)
Pages (from-to)	582-589
Number of pages	8
Journal	Journal of the American College of Surgeons
Volume	225
Issue number	5
DOIs	https://doi.org/10.1016/j.jamcollsurg.2017.08.007
State	Published - Nov 2017
Externally published	Yes

ASJC Scopus subject areas

Surgery

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10.1016/j.jamcollsurg.2017.08.007

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@article{6e7e8ec2d1a247adaa147e7027675f48,

title = "Online Surgeon Ratings and Outcomes in Hernia Surgery: An Americas Hernia Society Quality Collaborative Analysis",

abstract = "Background: Online surgeon ratings are viewed as a measure of physician quality by some consumers. Nevertheless, the correlation between online surgeon ratings and surgeon quality metrics remains unknown. The purpose of this study was to investigate the association between online surgeon ratings and hernia-specific quality metrics. Study Design: The Americas Hernia Society Quality Collaborative (AHSQC) is recognized by the Centers for Medicaid and Medicare as a Quality Clinical Data Registry (QCDR) that reports risk-adjusted quality metrics for hernia surgeons. All surgeons who input at least 10 patients into the AHSQC and had both a HealthGrades.com and Vitals.com rating were included in the analysis. The association of surgeons{\textquoteright} average, risk-adjusted QCDR quality score with their online ratings was investigated using a linear regression model. Results: A total of 70 surgeons met inclusion criteria. The median number of evaluations each surgeon received on HealthGrades.com was 7; the median number of evaluations each surgeon received on Vitals.com was 3. There was a statistically significant correlation between the ratings surgeons received on HealthGrades.com and those that they received on Vitals.com (p < 0.0001). However, there was no correlation between surgeon ratings on either HealthGrades.com or Vitals.com and surgeon QCDR quality scores (p = 0.37 and p = 0.18, respectively). Conclusions: Online physician rating systems correlate with one another, but they do not accurately reflect physician quality. The development of specialty-specific, risk-adjusted quality measures and appropriate public dissemination of this information may help patients make more informed decisions about their health care.",

author = "Haskins, {Ivy N.} and Krpata, {David M.} and Rosen, {Michael J.} and Perez, {Arielle J.} and Luciano Tastaldi and Butler, {Robert S.} and Steven Rosenblatt and Prabhu, {Ajita S.}",

note = "Funding Information: Support: Dr Rosen receives salary support from the Americas Hernia Society Quality Collaborative. Dr Haskins is supported by a resident research grant from the Americas Hernia Society. Publisher Copyright: {\textcopyright} 2017 American College of Surgeons",

year = "2017",

month = nov,

doi = "10.1016/j.jamcollsurg.2017.08.007",

language = "English (US)",

volume = "225",

pages = "582--589",

journal = "Surgery Gynecology and Obstetrics",

issn = "1072-7515",

publisher = "Elsevier Inc.",

number = "5",

}

TY - JOUR

T1 - Online Surgeon Ratings and Outcomes in Hernia Surgery

T2 - An Americas Hernia Society Quality Collaborative Analysis

AU - Haskins, Ivy N.

AU - Krpata, David M.

AU - Rosen, Michael J.

AU - Perez, Arielle J.

AU - Tastaldi, Luciano

AU - Butler, Robert S.

AU - Rosenblatt, Steven

AU - Prabhu, Ajita S.

N1 - Funding Information: Support: Dr Rosen receives salary support from the Americas Hernia Society Quality Collaborative. Dr Haskins is supported by a resident research grant from the Americas Hernia Society. Publisher Copyright: © 2017 American College of Surgeons

PY - 2017/11

Y1 - 2017/11

N2 - Background: Online surgeon ratings are viewed as a measure of physician quality by some consumers. Nevertheless, the correlation between online surgeon ratings and surgeon quality metrics remains unknown. The purpose of this study was to investigate the association between online surgeon ratings and hernia-specific quality metrics. Study Design: The Americas Hernia Society Quality Collaborative (AHSQC) is recognized by the Centers for Medicaid and Medicare as a Quality Clinical Data Registry (QCDR) that reports risk-adjusted quality metrics for hernia surgeons. All surgeons who input at least 10 patients into the AHSQC and had both a HealthGrades.com and Vitals.com rating were included in the analysis. The association of surgeons’ average, risk-adjusted QCDR quality score with their online ratings was investigated using a linear regression model. Results: A total of 70 surgeons met inclusion criteria. The median number of evaluations each surgeon received on HealthGrades.com was 7; the median number of evaluations each surgeon received on Vitals.com was 3. There was a statistically significant correlation between the ratings surgeons received on HealthGrades.com and those that they received on Vitals.com (p < 0.0001). However, there was no correlation between surgeon ratings on either HealthGrades.com or Vitals.com and surgeon QCDR quality scores (p = 0.37 and p = 0.18, respectively). Conclusions: Online physician rating systems correlate with one another, but they do not accurately reflect physician quality. The development of specialty-specific, risk-adjusted quality measures and appropriate public dissemination of this information may help patients make more informed decisions about their health care.

AB - Background: Online surgeon ratings are viewed as a measure of physician quality by some consumers. Nevertheless, the correlation between online surgeon ratings and surgeon quality metrics remains unknown. The purpose of this study was to investigate the association between online surgeon ratings and hernia-specific quality metrics. Study Design: The Americas Hernia Society Quality Collaborative (AHSQC) is recognized by the Centers for Medicaid and Medicare as a Quality Clinical Data Registry (QCDR) that reports risk-adjusted quality metrics for hernia surgeons. All surgeons who input at least 10 patients into the AHSQC and had both a HealthGrades.com and Vitals.com rating were included in the analysis. The association of surgeons’ average, risk-adjusted QCDR quality score with their online ratings was investigated using a linear regression model. Results: A total of 70 surgeons met inclusion criteria. The median number of evaluations each surgeon received on HealthGrades.com was 7; the median number of evaluations each surgeon received on Vitals.com was 3. There was a statistically significant correlation between the ratings surgeons received on HealthGrades.com and those that they received on Vitals.com (p < 0.0001). However, there was no correlation between surgeon ratings on either HealthGrades.com or Vitals.com and surgeon QCDR quality scores (p = 0.37 and p = 0.18, respectively). Conclusions: Online physician rating systems correlate with one another, but they do not accurately reflect physician quality. The development of specialty-specific, risk-adjusted quality measures and appropriate public dissemination of this information may help patients make more informed decisions about their health care.

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DO - 10.1016/j.jamcollsurg.2017.08.007

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AN - SCOPUS:85028689409

SN - 1072-7515

VL - 225

SP - 582

EP - 589

JO - Surgery Gynecology and Obstetrics

JF - Surgery Gynecology and Obstetrics

IS - 5

ER -

Online Surgeon Ratings and Outcomes in Hernia Surgery: An Americas Hernia Society Quality Collaborative Analysis

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