Statistical and clinical aspects of hospital outcomes profiling

DOI10.1214/088342307000000096zbMATH Open1246.62216arXiv0710.4622OpenAlexW3104922491MaRDI QIDQ449864FDOQ449864

Authors: Sharon-Lise Normand, David M. Shahian 

Publication date: 1 September 2012

Published in: Statistical Science (Search for Journal in Brave)

Abstract: Hospital profiling involves a comparison of a health care provider's structure, processes of care, or outcomes to a standard, often in the form of a report card. Given the ubiquity of report cards and similar consumer ratings in contemporary American culture, it is notable that these are a relatively recent phenomenon in health care. Prior to the 1986 release of Medicare hospital outcome data, little such information was publicly available. We review the historical evolution of hospital profiling with special emphasis on outcomes; present a detailed history of cardiac surgery report cards, the paradigm for modern provider profiling; discuss the potential unintended negative consequences of public report cards; and describe various statistical methodologies for quantifying the relative performance of cardiac surgery programs. Outstanding statistical issues are also described.

Full work available at URL: https://arxiv.org/abs/0710.4622

Recommendations

• Bayesian and Frequentist Methods for Provider Profiling Using Risk-Adjusted Assessments of Medical Outcomes
• scientific article; zbMATH DE number 1140586
• The profile inter‐unit reliability
• Performance assessment using mixed effects models: a case study on coronary patient care
• Inference for identifying outlying health care providers

zbMATH Keywords

mortalityselection biashierarchical modelsprofilingreport cardsevidence-based medicinequality of carerisk adjustmentvariations

Mathematics Subject Classification ID

Applications of statistics to biology and medical sciences; meta analysis (62P10) Medical applications (general) (92C50)

Cites Work

• Title not available (Why is that?)
• Title not available (Why is that?)
• Prior distributions for variance parameters in hierarchical models (Comment on article by Browne and Draper)
• Title not available (Why is that?)
• Regression modeling strategies. With applications to linear models, logistic regression and survival analysis
• Title not available (Why is that?)
• A Bayesian random effects model for testlets
• Longitudinal profiling of health care units based on continuous and discrete patient outcomes
• Maximum likelihood estimation of two-level latent variable models with mixed continuous and polytomous data
• Statistical Methods for Profiling Providers of Medical Care: Issues and Applications
• Hierarchical Poisson Regression Modeling
• Empirical Bayes and Item-Clustering Effects in a Latent Variable Hierarchical Model
• Selection of Related Multivariate Means
• Practical considerations in development of a parallel SKYHI general circulation model

Cited In (10)

• Performance characteristics of profiling methods and the impact of inadequate case-mix adjustment
• Impact of case-mix measurement error on estimation and inference in profiling of health care providers
• Healthcare center clustering for Cox's proportional hazards model by fusion penalty
• Profiling dialysis facilities for adverse recurrent events
• Health care provider clustering using fusion penalty in quasi-likelihood
• Latent Markov model for longitudinal binary data: an application to the performance evaluation of nursing homes
• Improving Predictions When Interest Focuses on Extreme Random Effects
• Percentile-Based Empirical Distribution Function Estimates for Performance Evaluation of Healthcare Providers
• Statistical profiling methods with hierarchical logistic regression for healthcare providers with binary outcomes
• Hospital quality risk standardization via approximate balancing weights

Uses Software

• BayesDA

This page was built for publication: Statistical and clinical aspects of hospital outcomes profiling

Report a bug (only for logged in users!)Click here to report a bug for this page (MaRDI item Q449864)