Issues in quality measurement: target population, risk adjustment, and ratings.

Journal Article (Journal Article;Review)

This review investigates three fundamental issues in health care performance measurement: selection of a homogeneous target population, risk adjustment, and assignment of quality rating categories. Many but not all organizations involved in quality measurement have adopted similar approaches to these important methodological issues. To illustrate the practical implications of different profiling strategies, we use The Society of Thoracic Surgeons' data to compare profiling results derived using prevailing analytical methodologies with those obtained from alternative approaches, exemplified by those of a well-known health care performance rating organization. We demonstrate the differences in provider classification that may result from these methodologic decisions.

Full Text

Duke Authors

Cited Authors

  • Shahian, DM; He, X; Jacobs, JP; Rankin, JS; Peterson, ED; Welke, KF; Filardo, G; Shewan, CM; O'Brien, SM

Published Date

  • August 2013

Published In

Volume / Issue

  • 96 / 2

Start / End Page

  • 718 - 726

PubMed ID

  • 23816415

Electronic International Standard Serial Number (EISSN)

  • 1552-6259

Digital Object Identifier (DOI)

  • 10.1016/j.athoracsur.2013.03.029


  • eng

Conference Location

  • Netherlands