Risk-adjusted control charts for health care assessment


Journal Article

The recent Joint Commission on Accreditation of Healthcare Organization (JCAHO) requirement that hospital accreditation be based upon a Total Quality Management (TQM) approach has focused the attention of health care administrations on the use of techniques such as control charts. However, control charts are not typically adjusted for severity of illness. This adjustment is needed because, unlike industrial organizations, hospitals are not able to control all of their inputs and must accept variances in their patients. In this paper, we present a methodology for adjusting a health care organization's control charts to reflect their patient population's severity of illness during different time intervals. We then demonstrate that risk-adjusting expected patient outcomes can change our assessments of the relative quality of care offered by a health care organization in different time periods. © J.C. Baltzer AG, Science Publishers.

Full Text

Duke Authors

Cited Authors

  • Alemi, F; Rom, W; Eisenstein, E

Published Date

  • January 1, 1996

Published In

Volume / Issue

  • 67 /

Start / End Page

  • 45 - 60

Electronic International Standard Serial Number (EISSN)

  • 1572-9338

International Standard Serial Number (ISSN)

  • 0254-5330

Digital Object Identifier (DOI)

  • 10.1007/BF02187023

Citation Source

  • Scopus