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May 2007 Statistical and Clinical Aspects of Hospital Outcomes Profiling
Sharon-Lise T. Normand, David M. Shahian
Statist. Sci. 22(2): 206-226 (May 2007). DOI: 10.1214/088342307000000096


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.


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Sharon-Lise T. Normand. David M. Shahian. "Statistical and Clinical Aspects of Hospital Outcomes Profiling." Statist. Sci. 22 (2) 206 - 226, May 2007.


Published: May 2007
First available in Project Euclid: 27 September 2007

zbMATH: 1246.62216
MathSciNet: MR2408959
Digital Object Identifier: 10.1214/088342307000000096

Rights: Copyright © 2007 Institute of Mathematical Statistics


Vol.22 • No. 2 • May 2007
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