Journal article
Using Comparative Clinical and Economic Outcome Information to Profile Physician Performance
Health services management research : an official journal of the Association of University Programs in Health Administration, Vol.8(4), pp.213-220
11/1995
DOI: 10.1177/095148489500800401
PMID: 10153270
Abstract
This paper presents strategies and empirical examples of comparative physician profiling under conditions of limited patient sample sizes and varying patient severity. A method by which clinical and cost outcomes may be evaluated simultaneously is also presented. Physician economic and clinical performance are compared using data abstracted from nine hospitals into the MedisGroups clinical information management system for inpatients treated from July, 1990 through June, 1992. The main outcome measures are comparative total and ancillary adjusted charges, and morbidity status. Results suggest that objective comparative outcome data provide useful information to assist in evaluating physician performance. A simultaneous comparison of clinical outcomes and adjusted charges identifies physicians who experience favorable outcomes at lower charges, as well as those who have higher charges and/or poorer outcomes. Strategies outlined in this paper may be of value to clinicians, governing boards, and third party payors. These strategies may be used to assist with privileging and other peer review activities when pursued proactively within a Continuous Quality Improvement framework to improve care.
Details
- Title: Subtitle
- Using Comparative Clinical and Economic Outcome Information to Profile Physician Performance
- Creators
- Michael S Hendryx - Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, IowaDouglas S Wakefield - Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, IowaJames F Murray - Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, IowaTanya Uden-Holman - Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, IowaCharles M Helms - Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, IowaRobert L Ludke - Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Health services management research : an official journal of the Association of University Programs in Health Administration, Vol.8(4), pp.213-220
- Publisher
- SAGE Publications
- DOI
- 10.1177/095148489500800401
- PMID
- 10153270
- ISSN
- 0951-4848
- eISSN
- 1758-1044
- Language
- English
- Date published
- 11/1995
- Academic Unit
- Infectious Diseases; Health Management and Policy; Nursing; Provost Office Administration; Internal Medicine
- Record Identifier
- 9984215045002771
Metrics
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