@article {913441,
	title = {Assessing Resident Cataract Surgery Outcomes Using Medicare Physician Quality Reporting System Measures.},
	journal = {J Surg Educ},
	volume = {73},
	number = {5},
	year = {2016},
	month = {2016 Sep-Oct},
	pages = {774-9},
	abstract = {OBJECTIVES: To assess resident cataract surgery outcomes at an academic teaching institution using 2 Physician Quality Reporting System (PQRS) cataract measures, which are intended to serve as a proxy for quality of surgical care. DESIGN: A retrospective review comparing cataract surgery outcomes of resident and attending surgeries using 2 PQRS measures: (1) 20/40 or better best-corrected visual acuity following cataract surgery and (2) complications within 30 days following cataract surgery requiring additional surgical procedures. SETTING: An academic ophthalmology center. PARTICIPANTS: A total of 2487 surgeries performed at the Massachusetts Eye and Ear Infirmary from January 1, 2011 to December 31, 2012 were included in this study. RESULTS: Of all 2487 cataract surgeries, 98.95\% achieved a vision of at least 20/40 at or before 90 days, and only 0.64\% required a return to the operating room for postoperative complications. Of resident surgeries, 98.9\% (1370 of 1385) achieved 20/40 vision at or before 90 days follow-up. Of attending surgeries, 99.0\% (1091 of 1102) achieved 20/40 vision at or before 90 days (p = 1.00). There were no statistically significant differences between resident and attending cases regarding postoperative complications needing a return to the operating room (i.e., 0.65\%, or 9 of 1385 resident cases vs 0.64\%, or 7 of 1102 attending cases; p = 1.00). CONCLUSIONS: Using PQRS Medicare cataract surgery criteria, this study establishes new benchmarks for cataract surgery outcomes at a teaching institution and supplemental measure for assessing resident surgical performance. Excellent cataract outcomes were achieved at an academic teaching institution, with results exceeding Medicare thresholds of 50\%. There appears to be no significant difference in supervised trainee and attending cataract surgeon outcomes using 2 PQRS measures currently used by Medicare to determine physician reimbursement and quality of care.},
	issn = {1878-7452},
	doi = {10.1016/j.jsurg.2016.04.007},
	author = {Finn, Avni P and Borboli-Gerogiannis, Sheila and Brauner, Stacey and Peggy Chang, Han-Ying and Chen, Sherleen and Gardiner, Matthew and Greenstein, Scott H and Kloek, Carolyn and Miller, Joan W and Chen, Teresa C}
}
