 |
|
Health Care Report CardsValidity of Case Definitions
William E. Golden, MD;
Mario A. Cleves, PhD;
Judy Johnston
Arch Fam Med. 1995;4(11):976-980.
Abstract
Administrative databases are increasingly being used to construct health care report cards. We analyzed information from one of the original report cards, the Medicare Hospital Information Project. Assessment of mortality statistics for three clinical entities— coronary artery bypass surgery, hip reconstruction, and treatment of sepsis— demonstrated widespread outcome variances that reflected imperfect definitions rather than performance issues in clinical care. The use of administrative data sets to design report cards requires clinical expertise to ensure validity of the data. Designers of report card measures should share preliminary data with providers to enable feedback in methods and uncover definitional and validity concerns before widespread dissemination.
Author Affiliations
From the Arkansas Foundation for Medical Care, Fort Smith (Drs Golden and Cleves and Ms Johnston), and the Division of General Internal Medicine, University of Arkansas for Medical Sciences (Drs Golden and Cleves), Little Rock.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Can We Be Certain of PRO Accuracy and Accountability? Inaccurate "Report Cards" Generated by Medicare Claims Data as a Marker for Laboratory Testing in Diabetic Patients
Gruber and Rudnitsky
American Journal of Medical Quality 2002;17:171-174.
ABSTRACT
Whose Data Are These, Anyway?
Nowels
Arch Fam Med 1995;4:935-936.
ABSTRACT
|
