The relationship between Medicare's process of care quality measures and mortality.
Using Medicare inpatient claims and Hospital Compare process of care quality data from the period 2004DS2006, we estimate two model specifications to test for the presence of correlational and causal relationships between hospital process of care performance measures and risk-adjusted (RA) 30-day mo...
| Publicado en: | Inquiry (00469580) Vol. 46; no. 3; pp. 274 - 291 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Sage Publications Inc.
Fall2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=105246863&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 105246863 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: Fall2009 vid: 46 iid: 3 pid: 344 pub: Sage Publications Inc. artinfo: ui: 105246863 10.5034/inquiryjrnl_46.03.274 ppf: 274 ppct: 17 formats: tig: atl: The relationship between Medicare's process of care quality measures and mortality. aug: au: Ryan AM Burgess JF Jr. Tompkins CP Wallack SS sug: ab: Using Medicare inpatient claims and Hospital Compare process of care quality data from the period 2004DS2006, we estimate two model specifications to test for the presence of correlational and causal relationships between hospital process of care performance measures and risk-adjusted (RA) 30-day mortality for heart attack, heart failure, and pneumonia. Our analysis indicates that while Hospital Compare process performance measures are correlated with 30-day mortality for each diagnosis, after we account for unobserved heterogeneity, process of care performance is no longer associated with mortality for any diagnosis. This suggests that the relationship between hospital-level process of care performance and mortality is not causal. Implications for pay-for-performance are discussed. pubtype: Academic Journal doctype: Journal Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2009 holdings: @attributes: islocal: N |
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