Exploring the Behavior of Hospital Composite Performance Measures
Author(s) -
Sean M. O’Brien,
Elizabeth R. DeLong,
Rachel S. Dokholyan,
Fred H. Edwards,
Eric D. Peterson
Publication year - 2007
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.107.703553
Subject(s) - medicine , ranking (information retrieval) , medicaid , weighting , metric (unit) , variance (accounting) , process (computing) , reimbursement , actuarial science , statistics , operations management , health care , computer science , accounting , information retrieval , mathematics , business , radiology , economics , economic growth , operating system
Composite scores that combine several performance measures into a single ranking are becoming the accepted metric for assessing hospital performance. In particular, the Centers for Medicare & Medicaid Services Hospital Quality Incentive Demonstration (HQID) project bases financial rewards and penalties on these scores. Although the HQID composite calculation is straightforward and easily understood, its method of combining process and outcome measures has not been validated.
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