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Risk Adjustment For Measuring Healthcare Outcomes
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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
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
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]
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)
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.
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.
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.
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
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.
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)
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.
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.
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.
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.
Book Synopsis Assessing Healthcare Providers' Performance with and Without Risk Adjustment by : Daniel Morales Silva
Download or read book Assessing Healthcare Providers' Performance with and Without Risk Adjustment written by Daniel Morales Silva and published by . This book was released on 2018 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This study focuses on how healthcare data can be used to draw comparisons between healthcare providers (surgeons or hospitals). Depending on the type of access to datasets, these comparisons can be done with or without risk adjustment. For us, risk adjustment refers to the use of patient-level information to explain variation in healthcare spending, resource utilisation and health outcomes. For unadjusted comparisons, we highlight the diagnostic potential that radar plots offer for reporting on outcome indicators. These outcome indicators were obtained from hospital admissions of patients undergoing certain surgical procedures. We address two drawbacks of radar plots: presence of missing information and order of indicators. By introducing a consolidated view at provider level, we define an uncomplicated ranking of providers which can be used to identify potential low and high performers. For risk adjusted comparisons, we introduce a novel and robust methodology that enables comparisons of healthcare providers across multiple hierarchies, namely, surgeons, teams, departments and hospitals, using a consistent approach. Our methodology puts the patient at the centre of the analysis, and thus, can be used for personalised predictions (e.g. expected length of stay, costs and probability of being transferred to intensive care unit). Our findings suggest that the observed variation in selected outcome indicators, such as length of stay and charges of healthcare providers, cannot be explained by patient characteristics alone. Importantly, we have also observed that the perceived performance, on selected outcome indicators, of providers can change substantially following risk adjustment. Healthcare is unique in that clinical expertise is essential in guiding decision making and in informing all statistical models that seek to describe patient outcomes. For future iterations of our models, we will seek greater clinical input." -- Abstract.
Book Synopsis Artificially Intelligent Social Risk Adjustment by : Lisa M. Lines
Download or read book Artificially Intelligent Social Risk Adjustment written by Lisa M. Lines and published by RTI Press. This book was released on 2022-09-13 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prominent voices have called for a better way to measure, predict, and adjust for social factors in healthcare and population health. Local area characteristics are sometimes framed as a proxy for patient characteristics, but they are often independently associated with health outcomes. We have developed an “artificially intelligent” approach to risk adjustment for local social determinants of health (SDoH) using random forest models to understand life expectancy at the Census tract level. Our Local Social Inequity score draws on more than 150 neighborhood-level variables across 10 SDoH domains. As piloted in Ohio, the score explains 73 percent of the variation in life expectancy by Census tract, with a mean squared error of 4.47 years. Accurate multidimensional, cross-sector, small-area social risk scores could be useful in understanding the impact of healthcare innovations, payment models, and SDoH interventions in communities at higher risk for serious illnesses and diseases; identifying neighborhoods and areas at highest risk of poor outcomes for better targeting of interventions and resources; and accounting for factors outside of providers’ control for more fair and equitable performance/quality measurement and reimbursement.
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.
Book Synopsis Healthcare Risk Adjustment and Predictive Modeling by : Ian G. Duncan
Download or read book Healthcare Risk Adjustment and Predictive Modeling written by Ian G. Duncan and published by ACTEX Publications. This book was released on 2011 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is listed on the Course of Reading for SOA Fellowship study in the Group & Health specialty track. Healthcare Risk Adjustment and Predictive Modeling provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models. The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare, disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to a test dataset.
