Measuring The Report Card: The Validity Of Pay For-Performance Metrics In Orthopedic Surgery

被引：31

作者：

Bhattacharyya, Timothy ^{[1
]}

Freiberg, Andrew A. ^{[2
]}

Mehta, Priyesh ^{[3
]}

Katz, Jeffrey Neil ^{[4
]}

Ferris, Timothy

机构：

[1] Suburban Hosp, Bethesda, MD USA

[2] Massachusetts Gen Hosp, Boston, MA USA

[3] Univ New England, Coll Osteopath Med, Biddeford, ME USA

[4] Brigham & Womens Hosp, Boston, MA 02115 USA

来源：

HEALTH AFFAIRS | 2009年 / 28卷 / 02期

关键词：

ACUTE MYOCARDIAL-INFARCTION; CLINICAL-PERFORMANCE; HOSPITAL QUALITY; KNEE REPLACEMENT; MORTALITY; OUTCOMES; HIP;

D O I：

10.1377/hlthaff.28.2.526

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

To assess the validity of performance measures used in a nationwide pay-forperformance (P4P) project on hip and knee replacement, we analyzed hospital performance data from a Medicare P4P initiative and compared them to publicly available outcomes data. Overall, the ability to measure hospital quality was poor. A hospital's ranking on the composite score was primarily determined by process measures. A higher composite quality score was not associated with lower rates of complications or mortality. The current Medicare P4P quality measure has limited validity because of poor discrimination, lack of measure balance, and lack of correlation with important clinical outcomes. [Health Affairs 28, no. 2 (2009): 526-532; 10.1377/hlthaff.28.2.526]

引用

收藏

页码：526 / 532

页数：7

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