Risk-adjusted clinical quality indicators: indices for measuring and monitoring rates of mortality, complications, and readmissions.
This article describes a risk-adjusted approach for profiling hospitals and physicians on clinical quality indicators using readily available administrative data. By comparing risk-adjusted rates of mortality, complications, and readmissions to peers, national norms, and benchmarks, this approach enables purchasers and providers to identify both favorable and adverse outcomes performance.
DesHarnais
S I
SI
Delta Group, Inc., Greenville, South Carolina, USA.
Forthman
M T
MT
Homa-Lowry
J M
JM
Wooster
L D
LD
D019985:Benchmarking / Q000592:standards; D003953:Diagnosis-Related Groups; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D015233:Models, Statistical; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010359:Patient Readmission; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D019984:Quality Indicators, Health Care; D020379:Risk Adjustment; D018570:Risk Assessment; D012307:Risk Factors; D014481:United States / Q000453:epidemiology