Title

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

Year of Publication

2020

Number of Pages

194599820941016

Date Published

2020 Jul 21

ISSN Number

1097-6817

Abstract

<p><em>US News &amp; World Report (USNWR)</em> rankings can assist patients with choosing where to receive their specialty care. <em>USNWR </em>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 <em>USNWR </em>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 <em>USNWR </em>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&nbsp;<em>USNWR</em>&nbsp;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 <em>USNWR</em>-assigned specialty and the actual specialty care received.</p>

DOI

10.1177/0194599820941016

Alternate Title

Otolaryngol Head Neck Surg

PMID

32689893

WATCH THIS PAGE

Subscription is not available for this page.