Risk Adjustment For Measuring Health Care Outcomes

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Risk Adjustment for Measuring Health Care Outcomes

Author :
Publisher :
ISBN 13 : 9781567936063
Total Pages : 606 pages
Book Rating : 4.9/5 (36 download)

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Book Synopsis Risk Adjustment for Measuring Health Care Outcomes by :

Download or read book Risk Adjustment for Measuring Health Care Outcomes written by and published by . This book was released on 2013 with total page 606 pages. Available in PDF, EPUB and Kindle. Book excerpt: Like its predecessors, the fourth edition of Risk Adjustment for Measuring Healthcare Outcomes presents the fundamental principles and concepts of risk adjustment for comparing outcomes of care and explains why risk adjustment is a critical tool for measuring quality and setting reimbursement rates. This book is a comprehensive guide to the issues raised by risk adjustment, including the pros and cons of different data sources, the validity and reliability of risk adjustment methods, the effects of various statistical modeling approaches, and concerns relating to special populations. The fourth edition features: A new chapter on the role of risk adjustment in managing healthcare organizations New information on risk factors, including genetics and social and environmental determinants of health Perspectives on electronic health records and new health information technologies Explanations of new statistical methods for comparing provider outcomes and their implications for risk adjustment

Risk Adjustment for Measuring Healthcare Outcomes

Author : Lisa I. Iezzoni
Publisher :
ISBN 13 :
Total Pages : 632 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Risk Adjustment for Measuring Healthcare Outcomes by : Lisa I. Iezzoni

Download or read book Risk Adjustment for Measuring Healthcare Outcomes written by Lisa I. Iezzoni and published by . This book was released on 1997 with total page 632 pages. Available in PDF, EPUB and Kindle. Book excerpt: Our book aims to introduce the issues underlying risk adjustment and to suggest important conceptual and methodological considerations in designing and evaluating a risk-adjustment strategy. This second edition builds on the conceptual discussions of the first edition, adding more empirical evidence to underscore important points. Since completing the first edition in 1993, significant studies involving risk adjustment have either concluded or published pertinent findings, including the National Veterans Affairs Surgical Risk Study, the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment, the Medical Outcomes

Risk Adjustment for Measuring Health Care Outcomes

Author : Lisa I. Iezzoni
Publisher :
ISBN 13 : 9781567932072
Total Pages : 0 pages
Book Rating : 4.9/5 (32 download)

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Book Synopsis Risk Adjustment for Measuring Health Care Outcomes by : Lisa I. Iezzoni

Download or read book Risk Adjustment for Measuring Health Care Outcomes written by Lisa I. Iezzoni and published by . This book was released on 2003 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition examines how risk adjustment controls for the intrinsic health risks that patients bring to their healthcare encounters. [...] This book is a comprehensive guide to risk adjustment for comparing outcomes of care across different patients, treatments, providers, health plans, or populations. It covers everything from developing risk adjusters to determining data sources to tackling issues related to special populations. A handy reference, it also includes a glossary of common acronyms, and references to web sites are found throughout the text, offering additional resources.[...] New in this edition : 1. A chapter that addresses instrumental variables and propensity scores, two techniques increasingly used to address risk adjustment concerns. 2. Expanded scope beyond hospitals to include examples from outpatient settings, with new sections on pediatrics, mental health, long term care, and care for persons with disabilities. 3. Assessments of current trends suggesting that risk-adjusted performance information will become more important in the coming years, as calls increase for value-based purchasing [Editor]

Risk Adjustment for Measuring Health Care Outcomes

Author : Lisa I. Iezzoni
Publisher : Asociation of University Programs in Health Administration/Health Administration Press
ISBN 13 : 9781567934373
Total Pages : 0 pages
Book Rating : 4.9/5 (343 download)

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Book Synopsis Risk Adjustment for Measuring Health Care Outcomes by : Lisa I. Iezzoni

Download or read book Risk Adjustment for Measuring Health Care Outcomes written by Lisa I. Iezzoni and published by Asociation of University Programs in Health Administration/Health Administration Press. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text offers independent chapters for a multidisciplinary readership of students and professionals in areas such as biostatistics, public health, psychology, and health policy. It introduces concepts and methods for designing, using, and evaluating risk adjustment methods when comparing outcomes of care such as costs, clinical outcomes, and patient-centered outcomes in various health care settings. Because the field is broad and changing, the book does not review existing risk adjustment methods; instead, it concentrates on basic methods and principles that apply generally to risk adjustment. Individual chapters are devoted to data from administrative sources, medical records, and patient surveys. Later chapters cover practical issues in developing and evaluating risk adjustment methods and understanding their validity and reliability. There is also material on risk adjustment for specific populations. This fourth edition contains a new chapter on using risk adjustment in the management of health care organizations, plus new information on genetic, social, and environmental risk factors. This edition reflects current practice in electronic health records and health information technologies. Iezzoni teaches medicine at Harvard Medical School. Annotation ©2012 Book News, Inc., Portland, OR (booknews.com).

Measuring the Quality of Health Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309063876
Total Pages : 42 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Measuring the Quality of Health Care by : Institute of Medicine

Download or read book Measuring the Quality of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1999-03-09 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264805907
Total Pages : 447 pages
Book Rating : 4.2/5 (648 download)

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Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD

Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Health System Efficiency

Author : Jonathan Cylus
Publisher : Health Policy
ISBN 13 : 9789289050418
Total Pages : 264 pages
Book Rating : 4.0/5 (54 download)

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Book Synopsis Health System Efficiency by : Jonathan Cylus

Download or read book Health System Efficiency written by Jonathan Cylus and published by Health Policy. This book was released on 2016-12-15 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

Conducting Health Outcomes Research

Author : Robert Kane
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763786772
Total Pages : 369 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Conducting Health Outcomes Research by : Robert Kane

Download or read book Conducting Health Outcomes Research written by Robert Kane and published by Jones & Bartlett Learning. This book was released on 2011 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Sciences & Professions

Registries for Evaluating Patient Outcomes

Author : Agency for Healthcare Research and Quality/AHRQ
Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 396 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Care Without Coverage

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

The Future of Disability in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309104726
Total Pages : 619 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Future of Disability in America by : Institute of Medicine

Download or read book The Future of Disability in America written by Institute of Medicine and published by National Academies Press. This book was released on 2007-10-24 with total page 619 pages. Available in PDF, EPUB and Kindle. Book excerpt: The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.

Outcome Quality Measures

Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Outcome Quality Measures by :

Download or read book Outcome Quality Measures written by and published by . This book was released on with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Outcome Quality Measures: Risk Adjustment for Socioeconomic Status Outcome Quality Measures: Risk Adjustment for Socioeconomic Status Susannah M. [...] Is this the right solution? • Measures that illuminate healthcare quality • Programs that incentivize improvements in care and outcomes and lessen disparities • A strong healthcare safety net Is this the right solution for these goals? Outline • Measuring quality: - Why SES is not just like other risk-factors • Improving outcomes: - Hospital Readmission Reduction Program • Protecting the safety-ne. [...] Poor and minority patients receive lower quality care "There is a significant gap for all Americans between best possible care and that which is routinely delivered; and this gap is larger for patients who are members of minority groups, poor, of lower educational level, or disabled" -- Carolyn Clancy The challenge of healthcare disparities and quality measurement • Poor and minority patients rece. [...] Health Aff 2012;31:1739-1748 Safety net hospitals achieve good outcomes Readmission Reduction Program • Improving patient outcomes • Improving safety-net performance • Little impact of risk-adjustment for SES Improving patient outcomes Impact of risk-adjustment Is this the right solution? Protecting the healthcare safety net Measurement versus implementation • Risks of changing measures - Legacy o. [...] if we had evidence that a pill helped low socioeconomic status patients avoid readmission, we might cover the cost for it, but in the case of readmission, that pill might actually be resource-intensive services such as social workers, extra time with translators, follow-up phone calls or bus rides to the next appointment." Alternatives • Peer-group thresholds for penalty (MedPAC) - Single measure.

Fundamentals of Clinical Data Science

Author : Pieter Kubben
Publisher : Springer
ISBN 13 : 3319997130
Total Pages : 219 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Fundamentals of Clinical Data Science by : Pieter Kubben

Download or read book Fundamentals of Clinical Data Science written by Pieter Kubben and published by Springer. This book was released on 2018-12-21 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.

Envisioning the National Health Care Quality Report

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030907343X
Total Pages : 257 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Envisioning the National Health Care Quality Report by : Institute of Medicine

Download or read book Envisioning the National Health Care Quality Report written by Institute of Medicine and published by National Academies Press. This book was released on 2001-04-22 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: How good is the quality of health care in the United States? Is quality improving? Or is it suffering? While the average person on the street can follow the state of the economy with economic indicators, we do not have a tool that allows us to track trends in health care quality. Beginning in 2003, the Agency for Healthcare Research and Quality (AHRQ) will produce an annual report on the national trends in the quality of health care delivery in the United States. AHRQ commissioned the Institute of Medicine (IOM) to help develop a vision for this report that will allow national and state policy makers, providers, consumers, and the public at large to track trends in health care quality. Envisioning the National Health Care Quality Report offers a framework for health care quality, specific examples of the types of measures that should be included in the report, suggestions on the criteria for selecting measures, as well as advice on reaching the intended audiences. Its recommendations could help the national health care quality report to become a mainstay of our nation's effort to improve health care.

Vital Signs

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309324963
Total Pages : 245 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Vital Signs by : Institute of Medicine

Download or read book Vital Signs written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-26 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thousands of measures are in use today to assess health and health care in the United States. Although many of these measures provide useful information, their usefulness in either gauging or guiding performance improvement in health and health care is seriously limited by their sheer number, as well as their lack of consistency, compatibility, reliability, focus, and organization. To achieve better health at lower cost, all stakeholders - including health professionals, payers, policy makers, and members of the public - must be alert to what matters most. What are the core measures that will yield the clearest understanding and focus on better health and well-being for Americans? Vital Signs explores the most important issues - healthier people, better quality care, affordable care, and engaged individuals and communities - and specifies a streamlined set of 15 core measures. These measures, if standardized and applied at national, state, local, and institutional levels across the country, will transform the effectiveness, efficiency, and burden of health measurement and help accelerate focus and progress on our highest health priorities. Vital Signs also describes the leadership and activities necessary to refine, apply, maintain, and revise the measures over time, as well as how they can improve the focus and utility of measures outside the core set. If health care is to become more effective and more efficient, sharper attention is required on the elements most important to health and health care. Vital Signs lays the groundwork for the adoption of core measures that, if systematically applied, will yield better health at a lower cost for all Americans.

Performance Measurement for Health System Improvement

Author : Peter C. Smith
Publisher : Cambridge University Press
ISBN 13 : 1139483935
Total Pages : 751 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Performance Measurement for Health System Improvement by : Peter C. Smith

Download or read book Performance Measurement for Health System Improvement written by Peter C. Smith and published by Cambridge University Press. This book was released on 2010-01-07 with total page 751 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.

Evidence-Based Medicine and the Changing Nature of Health Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309113695
Total Pages : 202 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Evidence-Based Medicine and the Changing Nature of Health Care by : Institute of Medicine

Download or read book Evidence-Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.