Volumes and Outcomes
A hospital’s volume and experience — the number of patients a hospital diagnoses and treats — is a factor in the results of that hospital’s care. So, patient volume is one of the key factors you should consider when selecting a hospital, especially for certain high-risk procedures.
Studies over the last 20 years have shown that hospital and physician volume for certain procedures has a direct link to patient outcomes. In other words, in general, the more experience a hospital or physician has, the better the outcome.
According to Academy Health, an organization of health services researchers and health policy analysts:
The volume-outcome relationship is the likely result of a complicated causal chain of events linking high-volume to better patient outcomes. Some people believe that experience (i.e., “practice makes perfect”) accounts for the volume-outcome effect. Others contend that hospitals achieve a high volume of patient referrals because they have a reputation for outstanding quality. It is more likely, however, that the volume-outcome relationship is due to system-wide factors. Physician skill, well-organized clinical teams, use of practice guidelines, availability of technologically sophisticated equipment, and the skills and abilities of auxiliary medical personnel combine to produce positive results.
Volumes at Strong
To help you compare Strong’s volume with that of other providers, here is volume information for surgical procedures at Strong, based on New York State Department of Health data for the 12-month period ending in September 30, 2006.
| Procedure | Inpatient | Outpatient |
|---|---|---|
| Miscellaneous diagnostic and therapeutic procedures | 15,606 | 9,184 |
| Operations on the cardiovascular system | 18,953 | 5,282 |
| Obstetrical procedures | 7,427 | 33 |
| Operations on the musculoskeletal system | 5,912 | 4,520 |
| Operations on the digestive system | 6,237 | 2,263 |
| Operations on the skin | 2,118 | 1,604 |
| Operations on the female genital organs | 1,519 | 2,425 |
| Operations on the nose, mouth, and throat | 471 | 4,924 |
| Operations on the urinary system | 1,445 | 2,878 |
| Operations on the nervous system | 2,546 | 537 |
| Operations on the male genital organs | 1,711 | 447 |
| Operations on the eye | 136 | 3,057 |
| Operations on the respiratory system | 2,259 | 501 |
| Operations on the hemic and lymphatic system | 1,038 | 231 |
| Operations on the ear | 63 | 1,147 |
| Operations on the endocrine system | 141 | 52 |
External Links
- "Repetition makes best surgeons, studies find" - Reprint of an article from The Boston Globe, dated February 5, 2003.
- The Leapfrog Group Factsheet on Evidence-Based Hospital Referral
Patient Volume
...a key factor in patient outcomes

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