PMID: 9547683Apr 21, 1998Paper

Quality indicators using hospital discharge data: state and national applications

The Joint Commission Journal on Quality Improvement
M JohantgenD R Harris

Abstract

Demand for information about the quality of health care has escalated. Yet many organizations lack well-specified quality measures, statistical expertise, or the requisite data to produce such information. The Healthcare Cost and Utilization Project Quality Indicators (HCUP QIs) represent one approach to measuring health care quality using readily available data on hospital inpatients. The HCUP QIs, developed in 1994, address clinical performance rather than other dimensions of quality such as satisfaction or efficiency. The 33 indicators produce rates that represent measures of outcomes (mortality and complications), utilization, and access. In lieu of complex multivariate techniques, two methods were used: (1) restrictions in defining patient subgroups to isolate homogeneous at-risk populations and (2) standardization when populations are diverse. Stratified analyses are recommended when patient or hospital factors are believed to influence the outcome. A simple method for making statistical comparisons to national rates was developed. The HCUP QI software, available in both mainframe and microcomputer applications, have enabled organizations to use their own data to produce comparative statistics and examine trends over time...Continue Reading

References

Jan 1, 1993·Health Affairs·J BillingsL Newman
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Dec 3, 1996·Quality Management in Health Care·H Palmer

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Citations

Jul 1, 1999·Medical Care·J G Demakis
Sep 7, 1999·Journal of Nursing Care Quality·R J LagoeG M Schmidt
Apr 5, 2011·International Journal of Health Care Quality Assurance·Pietro Giorgio Lovaglio
Aug 1, 2012·Statistics in Medicine·Jarrod E Dalton
Sep 23, 2014·The International Journal of Health Planning and Management·Rasha A MosallamMona Ha Hassan
Oct 9, 2002·Health Economics·Nazmi Sari
Jan 20, 2004·Health Services Research·Jack NeedlemanKatya Zelevinsky
Mar 29, 2001·Annual Review of Public Health·B A Virnig, M McBean
Jul 26, 2006·Policy, Politics & Nursing Practice·Barbara Berney, Jack Needleman
Jun 5, 2003·Pediatrics·Marlene R MillerChunliu Zhan
Jun 3, 2004·Pediatrics·Marlene R Miller, Chunliu Zhan

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