Implementing the physician quality reporting system in an academic multispecialty group practice: lessons learned and policy implications.

The Centers for Medicare and Medicaid Services (CMS) introduced the Physician Quality Reporting System (PQRS) in 2007. PQRS was developed as a value-based, pay-for-reporting initiative intended to increase quality and decrease costs. Jefferson University Physicians (JUP) was an early participant in this voluntary program.

Management of postoperative chylothorax utilizing percutaneous CT-guided drainage.

This case presentation describes a patient who developed postoperative chylothorax after transhiatal esophagectomy for achalasia that was successfully managed by percutaneous drainage. A review of chylothorax causes and treatment options are presented. The effectiveness of percutaneous drainage for treatment of chylothorax is discussed.