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The California Hospital Outcomes Project: Using Administrative Data to Compare Hospital Performance

The Joint Commission Journal on Quality ImprovementPublished 1 December 1995
Patrick S. Romano, Andra Zach, Harold S. Luft, Julie Rainwater, Linda L Remy, David Campa
Citations60

TL;DR

A validation study is undertaken to explore whether differences in coding, unmeasured risk factors, or processes of care explain the reported differences in risk-adjusted outcome rates.

Abstract

Letters submitted for 168 hospitals in response to the 1993 report demonstrated that hospitals had studied and used project results to evaluate their coding practices and quality of care. Media coverage of the 1993 report was balanced but sometimes critical of OSHPD's failure to identify "worse" hospitals. In response to providers' concerns, OSHPD has undertaken a validation study to explore whether differences in coding, unmeasured risk factors, or processes of care explain the reported differences in risk-adjusted outcome rates.

Keywords

Health ProfessionsEconomics, Econometrics and Finance