Using risk-adjusted outcomes to assess clinical practice: An overview of issues pertaining to risk adjustment☆
References (11)
- et al.
The APACHE III prognostic system: risk prediction of hospital mortality for critically ill hospitalized adults
Chest
(1991) Assessment and accountability: the third revolution in medical care
N Engl J Med
(1988)Medical hospital payment by diagnosis-related Groups
Ann Intern Med
(1984)
Cited by (85)
Assessing quality in payment reform initiatives
2018, Seminars in Colon and Rectal SurgeryMeasurement for improvement in anaesthesia and intensive care
2016, British Journal of AnaesthesiaComparison of ECOG/WHO performance status and ASA score as a measure of functional status
2015, Journal of Pain and Symptom ManagementCitation Excerpt :Investigation of variability in patient outcomes at the hospital level is a useful tool to identify where there may be potential to improve surgical care.1–4 However, such a comparative analysis must account for differences in the characteristics of patients treated in different institutions.5–7 Risk adjustment modeling is a method that accounts for such differences by adjusting for all relevant patient factors that are associated with the outcomes of interest.
Public reporting of cardiac surgery performance: Part 2 - Implementation
2011, Annals of Thoracic SurgeryCitation Excerpt :Administrative data may fail to accurately characterize the target population of procedures (eg, isolated CABG), resulting in the evaluation of an excessively heterogeneous cohort with misleading case numbers and mortality rates [34, 36]. They lack critical clinical variables necessary for adequate risk adjustment [43, 44], and they often confuse comorbidities and complications [27, 38–40, 45]. Finally, they may reflect only a limited segment of the population such as Medicare patients.
AQUIK®: Starter set of ambulatory quality indicators developed by the German National Association of Statutory Health Insurance Physicians
2011, Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
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Presented at the National Symposium on Using Outcomes Data to Improve Clinical Practice: Building on Models From Cardiac Surgery, Keystone, CO, June 6–7, 1994.