Can Administrative Data be Used to Compare the Quality of Health Care?

Agency for Health Care Policy and Research . The Feasibility of Linking Research-Related Data Bases to Federal and Non-Federal Medical Administrative Data Bases. Rockville, MD: U.S. Department of Health and Human Services, 1991.

Berwick, D. M. , and D. L. Wald . "Hospital Leaders' Opinions of the HCFA Mortality Data." Journal of the American Medical Association 263 (12 January 1990): 247-249.

Blumberg, M. S. "Biased Estimates of Expected Acute Myocardial Infarction Mortality Using MedisGroups Admission Severity Groups." Journal of the American Medical Association 265 (12 June 1991): 2965-2970.

Blumberg, M. S. "Comments on HCFA Hospital Death Rate Statistical Outliers." Health Services Research 21 (February 1987): 715-739.

Blumberg, M. S. "Expected 30-Day AMI Mortality From Models Using UB-82 Variables With and Without Added Clinical Variables." 1993.

Blumberg, M. S. "Risk Adjusting Health Care Outcomes: A Methodologic Review." Medical Care Review 43 (Fall 1986): 351-393.

Brewster, A. C. , B. G. Karlin , L. A. Hyde , C. M. Jacobs , R. C. Bradbury , and Y. M. Chae . "MEDISGRPS: A Clinically Based Approach to Classifying Hospital Patients at Admission." Inquiry 22 (Winter 1985): 377-387.

Champion, H. R. , W. S. Copes , W. J. Sacco , M. M. Lawnick , L. W. Bain , D. S. Gann , T. Gennarelli , E. MacKenzie , and S. Schwaitzberg . "A New Characterization of Injury Severity." Journal of Trauma 30 (May 1990): 539-546.

Chassin, M. R. , R. E. Park , K. N. Lohr , J. K. Keesey , and R. H. Brook . "Differences Among Hospitals in Medicare Patient Mortality." Health Services Research 24 (April 1989): 1-31.

Copes, W. S. , H. R. Champion , W. J. Sacco , M. M. Lawnick , D. S. Gann , T. Gennarelli , E. MacKenzie , and S. Schwaitzberg . "Progress in Characterizing Anatomic Injury." Journal of Trauma 30 (October 1990): 1200-1207.

Cox, D. R. "Two Further Applications of a Model for Binary Regression." Biometrika 45 (1958): 562-565.

DeLong, E. R. , D. M. DeLong , and D. L. Clarke-Pearson . "Comparing the Areas under Two or More Correlated Receiver Operating Characteristic Curves: A Nonparametric Approach." Biometrics 44 (September 1988): 837-845.

DesHarnais, S. I. , J. D. Chesney , R. T. Wroblewski , S. T. Fleming , and L. F. McMahon . "The Risk-Adjusted Mortality Index: A New Measure of Hospital Performance." Medical Care 26 (December 1988): 1129-1148.

DesHarnais, S. I. , L. F. McMahon , R. T. Wroblewski , and A. J. Hogan . "Measuring Hospital Performance: The Development and Validation of Risk-Adjusted Indexes of Mortality, Readmissions, and Complications." Medical Care 28 (December 1990): 1127-1141.

DesHarnais, S. I. , L. F. McMahon , and R. T. Wroblewski . "Measuring Outcomes of Hospital Care Using Multiple Risk-Adjusted Indexes." Health Services Research 26 (October 1991): 425-445.

Dubois, R. W. "Inherent Limitations of Hospital Death Rates to Assess Quality." International Journal of Technology Assessment in Health Care 6, no. 2 (1990): 220-228.

Dubois, R. W. , R. H. Brook , and W. H. Rogers . "Adjusted Hospital Death Rates: A Potential Screen for Quality of Medical Care." American Journal of Public Health 77 (September 1987): 1162-1167.

Dubois, R. W. , W. H. Rogers , J. H. Moxley , D. Draper , and R. H. Brook . "Hospital Inpatient Mortality: Is it a Predictor of Quality?" New England Journal of Medicine 317 (24 December 1987): 1674-1680.

Feinstein, A. R. "ICD, POR and DRG Unsolved Scientific Problems in the Nosology of Clinical Medicine." Archives of Internal Medicine 148 (October 1988) 2269-2274.

Fisher, E. S. , F. S. Whaley , W. M. Krushat , D. J. Malenka , C. Fleming , J. A. Baron , and D. C. Hsia . "The Accuracy of Medicare's Hospital Claims Data: Progress Has Been Made, but Problems Remain." American Journal of Public Health 82 (February 1992) 243-248.

Flood, A. B. , and W. R. Scott . Hospital Structure and Performance. Baltimore, MD: Johns Hopkins University Press, 1987.

Green, J. , N. Wintfeld , P. Sharkey , and L. J. Passman . "The Importance of Severity of Illness in Assessing Hospital Mortality." Journal of the American Medical Association 263 (12 January 1990): 241-246.

Hanley, J. A. , and B. J. McNeil . "The Meaning and Use of the Area under a Receiver Operating Characteristic Curve." Radiology 143 (April 1982): 29-36.

Hanley, J. A. , and B. J. McNeil . "A Method of Comparing the Areas under Receiver Operating Characteristic Curves Derived from the Same Cases." Radiology 148 (September 1983): 29-36.

Hannan, E. L. , H. Kilburn, Jr. , J. F. O'Donnell , G. Lukacik , and E. P. Shields . "Adult Open Heart Surgery in New York State. An Analysis of Risk Factors and Hospital Mortality Rates." Journal of the American Medical Association 264 (5 December 1990): 2768-2774.

Hannan, E. L. , H. Kilburn, Jr. , M. L. Lindsey , and R. Lewis . "Clinical Versus Administrative Data Bases for CABG Surgery: Does it Matter?" Medical Care 30 (October 1992): 892-907.

Hannan, E. L. , H. R. Bernard , J. F. O'Donnell , and H. Kilburn, Jr. "A Methodology for Targeting Hospital Cases for Quality of Care Record Reviews." American Journal of Public Health 79 (April 1989): 430-436.

Harrell, F. E., Jr. , R. M. Califf , D. B. Pryor , K. L. Lee , and R. A. Rosati . "Evaluating the Yield of Medical Tests." Journal of the American Medical Association 247 (14 May 1982): 2543-2546.

Hartz, A. J. , M. Gottlieb , E. M. Kuhn , and A. A. Rimm . "National Validation Study of Medicare Mortality Studies, (Project #1247-M)." Milwaukee, WI: Center for Medical Services Evaluation, Medical College of Wisconsin, 1989.

Hartz, A. J. , M. Gottlieb , E. M. Kuhn , and A. A. Rimm . "The Relationship between Adjusted Hospital Mortality and the Results of Peer Review." Health Services Research 27 (February 1993): 765-777.

Health Care Financing Administration . Medicare Hospital Mortality Information, 1987-1988-1989. HCFA Pub. No. 00744. Washington, DC: U.S. Government Printing Office, 1991.

Hosmer, D. W. , and S. Lemeshow . Applied Logistic Regression. New York: John Wiley & Sons, 1989.

Iezzoni, L. I. "Using Administrative Diagnostic Data to Assess the Quality of Hospital Care." International Journal of Technology Assessment in Health Care 6, no. 2 (1990): 272-281.

Iezzoni, L. I. , S. Burnside , L. Sickles , M. A. Moskowitz , E. Sawitz , and P. A. Levine . "Coding of Acute Myocardial Infarction. Clinical and Policy Implications." Annals of Internal Medicine 109 (1 November 1988): 745-751.

Institute of Medicine . Reliability of National Hospital Discharge Survey Data. Washington, DC: National Academy of Sciences, 1980.

Jencks, S. F. , J. Daley , D. Draper , N. Thomas , G. Lenhart , and J. Walker . "Interpreting Hospital Mortality Data: The Role of Clinical Risk Adjustment." Journal of the American Medical Association 260 (23/30 December 1988): 3611-3616.

Johns, L. "Measuring Quality in California." Health Affairs 11 (Spring 1992): 266-270.

Kahn, K. L. , W. H. Rogers , L. V. Rubenstein , M. J. Sherwood , E. J. Reinisch , E. B. Keeler , D. Draper , J. Kosecoff , and R.H. Brook . "Measuring Quality of Care with Explicit Process Criteria before and after Implementation of the DRG-Based Prospective Payment System." Journal of the American Medical Association 264 (17 October 1990): 1969-1973.

Keeler, E. B. , L. V. Rubenstein , K. L. Kahn , D. Draper , E. R. Harrison , M. J. McGinty , W. H. Rogers , and R. H. Brook . "Hospital Characteristics and Quality of Care." Journal of the American Medical Association 268 (7 October 1992) 1709-1714.

Krakauer, H. , R. C. Bailey , K. J. Skellan , J. D. Stewart , A. J. Hartz , E. M. Kuhn , and A. A. Rimm . "Evaluation of the HCFA Model for the Analysis of Mortality Following Hospitalization." Health Services Research 27 (August 1992): 317-335.

Kritchevsky, S. B. , and B. P. Simmons . "Continuous Quality Improvement. Concepts and Applications for Physician Care." Journal of the American Medical Association 266 (2 October 1991): 1817-1823.

Luft, H. S. , and P. S. Romano . "Chance, Continuity, and Change in Hospital Mortality Rates: Coronary Artery Bypass Graft Patients in California Hospitals, 1983-1989." Journal of the American Medical Association 270 (21 July 1993) 331-337.

McMahon, L. F., Jr. , and H. L. Smits . "Can Medicare Prospective Payment Survive the ICD-9-CM Disease Classification System?" Annals of Internal Medicine 104 (April 1986): 562-566.

Miller, M. E. , S. L. Hui , and W. M. Tierney . "Validation Techniques for Logistic Regression Models." Statistics in Medicine 10 (January 1991): 1213-1226.

Office of Statewide Health Planning and Development . Editing Criteria Handbook. Sacramento, CA: Office of Statewide Health Planning and Development, 1992.

Office of Statewide Health Planning and Development . Report of Results from the OSHPD Reabstracting Project: An Evaluation of the Reliability of Selected Patient Discharge Data, July Through December 1988. Sacramento, CA: Office of Statewide Health Planning and Development, 1990.

Park, R. E. , R. H. Brook , J. Kosecoff , J. Keesey , L. Rubenstein , E. Keeler , K. L. Kahn , W. H. Rogers , and M. R. Chassin . "Explaining Variations in Hospital Death Rates: Randomness, Severity of Illness, Quality of Care." Journal of the American Medical Association 264 (25 July 1990): 484-490.

Phibbs, C. S. , P. S. Romano , H. S. Luft , B. W. Brown, Jr. , and M. H. Radany . "A Simple Two-Step Method for Improving the Fit of Logistic Models for Mortality and Other Rare Events." Unpublished ms.

Queen's University , Case Mix Research. Patient Classification Systems: An Evaluation of the State of the Art, Volume 1. Kingston, Ontario: Queen's University, 1991.

Redelmeier, D. A. , D. A. Bloch , and D. H. Hickam . "Assessing Predictive Accuracy: How to Compare Brier Scores." Journal of Clinical Epidemiology 44 (November 1991): 1141-1146.

Romano, P. S. , and D. H. Mark . "Bias in the Coding of Hospital Discharge Data and its Implications for Quality Assessment." Medical Care 31 (December 1993).

Roos, L. L., Jr. , S. M. Cageorge , E. Austen , and K. N. Lohr . "Using Computers to Identify Complications After Surgery." American Journal of Public Health 75 (November 1985): 1288-1295.

Roos, L. L., Jr. , S. M. Sharp , M. M. Cohen , and A. Wajda . "Risk Adjustment in Claims-Based Research: The Search for Efficient Approaches." Journal of Clinical Epidemiology 42 (December 1989): 1193-1206.

Rubenstein, L. V. , K. L. Kahn , E. J. Reinisch , M. J. Sherwood , W. H. Rogers , C. Kamberg , D. Draper , and R. H. Brook . "Changes in Quality of Care for Five Diseases Measured by Implicit Review, 1981 to 1986." Journal of the American Medical Association 264 (17 October 1990): 1974-1979.

Rubin, H. R. , W. H. Rogers , K. L. Kahn , L. V. Rubenstein , and R. H. Brook . "Watching the Doctor-Watchers: How Well Do Peer Review Organization Methods Detect Hospital Care Quality Problems?" Journal of the American Medical Association 267 (6 May 1992): 2349-2354.

Saklud, M. "Grading of Patients for Surgical Procedures." Anesthesiology 2 (May 1941): 281-285.

Shapiro, M. F. , R. E. Park , J. Keesey , and R. H. Brook . "Mortality Differences between New York City Municipal and Voluntary Hospitals for Selected Conditions." American Journal of Public Health 83 (July 1993): 1024-1026.

Silber, J. H. , S. V. Williams , H. Krakauer , and J. S. Schwartz . "Hospital and Patient Characteristics Associated with Death after Surgery. A Study of Adverse Occurrence and Failure to Rescue." Medical Care 30 (July 1992): 615-629.

Sisk, J. E. , D. M. Dougherty , P. M. Ehrenhaft , G. Ruby , and B. A. Mitchner . "Assessing Information for Consumers on the Quality of Medical Care." Inquiry 27 (Fall 1990): 263-272.

Smith, D. W. , M. Pine , R. C. Bailey , B. Jones , A. Brewster , and H. Krakauer . "Using Clinical Variables to Estimate the Risk of Patient Mortality." Medical Care 29 (November 1991): 1108-1129.

Thomas, J. W. , J. J. Holloway , and K. E. Guire . "Validating Risk-Adjusted Mortality as an Indicator for Quality of Care." Inquiry 30 (Spring 1993): 6-22.

Williams, R. L. "Measuring the Effectiveness of Perinatal Medical Care." Medical Care 17 (February 1979): 95-110.