Cover: Time Parameters for Glaucoma Procedures

Time Parameters for Glaucoma Procedures

Published In: Archives of Ophthalmology, v. 112, no. 6, June 1994, p. 755-758

Posted on on January 01, 1994

by Paul Lee, Rao Srinrivas, Stanley P. Azen, Kathryn L P Linton, Don S. Minckler

Changes in physician reimbursement have emphasized the importance of determining physician time for procedures and services. This article gives the results of a survey given to members of the American Glaucoma Society concerning work times for preoperative, operative, and 90-day postoperative care for six common glaucoma procedures. Results indicated that there may be a significant underestimation of time for trabeculectomies in the original and new resource-based relative-value scale work values used by HCFA for Medicare reimbursement. In addition, the survey reflects that at least 50 percent of surgeons hospitalize patients on at least the first postoperative day. There were no apparent time efficiencies between high- and low-volume respondents. Further work is necessary to produce a valid resource-based payment system for these physicians.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.