ABSTRACT
This article describes a risk-adjusted approach for profiling hospitals and physicians on clinical quality indicators using readily available administrative data. By comparing risk-adjusted rates of mortality, complications, and readmissions to peers, national norms, and benchmarks, this approach enables purchasers and providers to identify both favorable and adverse outcomes performance.
Subject(s)
Outcome Assessment, Health Care/methods , Quality Indicators, Health Care , Risk Adjustment , Benchmarking/standards , Diagnosis-Related Groups , Female , Hospital Mortality , Humans , Models, Statistical , Patient Readmission , Postoperative Complications/epidemiology , Pregnancy , Pregnancy Complications/epidemiology , Risk Assessment , Risk Factors , United States/epidemiologySubject(s)
Hospitals/standards , Outcome Assessment, Health Care/standards , Quality of Health Care/standards , Hospital Mortality , Humans , Information Services , Models, Organizational , Patient Readmission/statistics & numerical data , Postoperative Complications/epidemiology , Risk Factors , United States/epidemiologyABSTRACT
This article describes a risk-adjusted approach for profiling hospitals and physicians on quality outcomes using readily available administrative data. By comparing risk-adjusted rates of mortality, complications, and readmissions to rates for peers, national norms, and benchmarks, this approach enables purchasers and providers to compare the performance of providers in terms of both favorable and adverse outcomes.
