Statistical Science

Statistical and Clinical Aspects of Hospital Outcomes Profiling

Sharon-Lise T. Normand and David M. Shahian

Full-text: Open access

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.

Article information

Source
Statist. Sci. Volume 22, Number 2 (2007), 206-226.

Dates
First available: 27 September 2007

Permanent link to this document
http://projecteuclid.org/euclid.ss/1190905519

Digital Object Identifier
doi:10.1214/088342307000000096

Mathematical Reviews number (MathSciNet)
MR2408959

Zentralblatt MATH identifier
06075193

Citation

Normand, Sharon-Lise T.; Shahian, David M. Statistical and Clinical Aspects of Hospital Outcomes Profiling. Statistical Science 22 (2007), no. 2, 206--226. doi:10.1214/088342307000000096. http://projecteuclid.org/euclid.ss/1190905519.


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