Editorial: Choosing a Severity Measure

Epstein AM The outcomes movement—will it get us where we want to go? N Engl J Med 1990;323:266-270

Roper WL , Winkenwerder W. , Hackbarth GM , Krakauer H. Effectiveness in health care. An initiative to evaluate and improve medical practice. New Engl J Med 1988;319:1197-1202.

Guadagnoli E. , McNeil BJ Outcomes research. Hope for the future or the latest rage? Inquiry 1994;31:14-24.

Iezzoni LI ed. Risk Adjustment for Measuring Health Care Outcomes. Ann Arbor, Health Administration Press, 1994.

Iezzoni LI , Shwartz M. , Restuccia J. The role of severity information in health policy debates: a survey of state and region concerns. Inquiry 1991;28:117-128.

Iezzoni LI , Shwartz M. , Ash AS , Mackiernan Y. , Hotchkin EK Risk adjustment methods can affect perceptions of outcomes. Am J Med Quality 1994;9:43-48.

Iezzoni LI , Restuccia JD , Shwartz M. , Schaumburg D. , Coffman GA , Kreger BE , Butterly JR , Selker HP The utility of severity of illness information in assessing the quality of hospital care. Med Care 1992;30:428-444.

Shapiro MF , Park RE , Keesey J. , Brook RH The effect of alternative case-mix adjustments on mortality differences between municipal and voluntary hospitals in New York City. Health Serv Res 1994;29:95-112.

Quality Measurement and Management Project. The Hospital Administrator's Guide to Severity Measurement Systems. Chicago, IL: The Hospital Research and Education Trust of the American Hospital Association, 1989.

Aronow DB Severity-of-illness measurement: applications in quality assurance and utilization review. Med Care Rev 1988;45:339-366.

Iezzoni LI Severity standardization and hospital quality assessment. In: Couch, JB , ed. Health Care Quality Management for the 21st Century. Tampa, FL, The American College of Physician Executives, Hillsboro Printing Company, 1994:177-234.

Iezzoni LI 'Black box' medical information systems: a technology needing assessment . JAMA 1991;265:3006-3007.