title: Four steps to creating quality indicators across sites.
abstract: As multi-hospital systems develop, the demand to compare performance across sites has become an organizational imperative. This article describes the process a six-hospital system used to create clinically reliable and valid quality assessment indicators.
authors.affiliation: Sharp HealthCare, San Diego, CA, USA.
authors.forename: W
authors.initials: W
authors.lastname: Fields
authors.forename: K
authors.initials: K
authors.lastname: Berntsen
authors.forename: B
authors.initials: B
authors.lastname: Coutts
authors.forename: P
authors.initials: P
authors.lastname: Kirnon
mesh_terms: D006801:Humans; D007373:Interinstitutional Relations; D009096:Multi-Institutional Systems / Q000592:standards*; D010359:Patient Readmission; D019984:Quality Indicators, Health Care; D015203:Reproducibility of Results; D017749:Total Quality Management / Q000379:methods*; D014481:United States