CHS regionalization models developed for the US increase surgeon and center volume,
decrease healthcare spending, and improve patient outcomes without substantially …

Outcome variation in congenital heart surgery in the US is unacceptable. Mounting evidence
shows higher volume programs have better outcomes than lower volume programs …

In this issue of Seminars, Welke et al revisit the important question of whether
regionalization of congenital heart surgery (CHS) in the United States would lead to …

Regionalization, in the context of congenital heart surgery, describes a process where
smaller units close and patients are redistributed to larger centers. Proponents argue this …

Better outcomes at higher volume centers are likely explained by an organized infrastructure
and critical mass of highly specialized physicians and surgeons, allied healthcare providers …

Congenital heart surgery is complex and requires dedicated services to optimize surgeons'
skills and patient outcomes. Centralization and regionalization of services enables a pooling …

The objective of this study is to simulate regionalization of congenital heart surgery (CHS) in
the United States and assess the impact of such a system on travel distance and mortality …

Efforts to correlate outcomes of children undergoing heart surgery with center volume and
characteristics are not novel. In the current era, outcomes are defined as, and in many cases …

Background Several countries have regionalized congenital heart surgery (CHS). Before
considering regionalization in the US, the current landscape must be understood. This …

Background Over 150 hospitals perform congenital heart surgery (CHS) in the United States.
Many hospitals are close together, with a median patient travel distance of 38.5 miles. We …