PMID: 11933034Apr 5, 2002Paper

Longitudinal profiles of health care providers

Statistics in Medicine
Susan E BronskillRobert A Rosenheck

Abstract

Provider profiling is the activity of collecting, comparing and reporting quality of care measures for individuals, groups, agencies and institutions that provide health care services. Univariate provider profiles, such as hospital-specific mortality rates, have been constructed using cross-sectional data based on posterior summaries or maximum likelihood estimates. As data continue to be collected over time, the construction and interpretation of longitudinal profiles of health care providers will become increasingly important. Longitudinal series can be used to improve the precision of estimates - a feature that is particularly important for providers who treat a small number of patients per year. We extend and apply hierarchical models to examine and classify provider performance over time using two examples, one in the area of cardiology and the other in mental health. Performance is evaluated using the squared Mahalanobis distance and posterior probabilities based on this distance. By comparing providers based on level and temporal trend simultaneously, conservative but comprehensive assessments of performance are possible. Furthermore, the longitudinal profiles developed are easily interpreted and flexible, making them of...Continue Reading

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Citations

May 27, 2005·Biostatistics·Michael J Daniels, Sharon-Lise T Normand
Aug 22, 2007·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Judith K BarrThomas P Meehan
Mar 16, 2004·Annual Review of Public Health·Elena M AndresenDouglas A Luke
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Sep 15, 2005·Statistics in Medicine·Jason Roy, Vincent Mor
Sep 2, 2006·Statistics in Medicine·Deborah Ashby
Feb 23, 2012·Health Services Research·Andrew RyanJustin Dimick
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Mar 21, 2003·The Annals of Thoracic Surgery·David M Shahian, Sharon-Lise T Normand
Sep 22, 2015·American Journal of Health Economics·Joseph P NewhouseThomas G McGuire
Jan 22, 2015·BMJ Quality & Safety·David M Shahian, Sharon-Lise T Normand
Jan 24, 2017·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Laura A HatfieldSharon-Lise T Normand
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