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Research Letter |

Examining the “Halo Effect” of Surgical Care Within Health Systems ONLINE FIRST

Erin G. Brown, MD1; Jamie E. Anderson, MD1; Debra Burgess, RN1; Richard J. Bold, MD1
[+] Author Affiliations
1Division of Surgical Oncology, UC Davis Medical Center, Sacramento, California
JAMA Surg. Published online June 29, 2016. doi:10.1001/jamasurg.2016.1000
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This study examines whether excellence in surgical outcomes transfers among procedures within health systems.

The “halo effect” suggests that improvements in health care delivery for one disease may improve outcomes in closely related diseases, but, to our knowledge, only a few studies have examined this concept in surgery.14 We evaluated quality performance across 4 complex but common surgical procedures to determine whether high-quality care is consistently provided for multiple procedures at a single institution.

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Distribution of High- and Low-Performing Academic Medical Centers (AMCs) by Number of Procedures in the Top and Bottom Quintiles
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