ArticleHealth services research2003
Case-mix adjusting performance measures in a veteran population: pharmacy- and diagnosis-based approaches.
Article in Health services research, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Promising algorithms to perilous applications: a systematic review of risk stratification tools for predicting healthcare utilisation.BMJ health & care informatics · 2024Pooled it
- Use of Data-Driven Methods to Predict Long-term Patterns of Health Care Spending for Medicare Patients.JAMA network open · 2020Article
- Profiling Patients' Healthcare Needs to Support Integrated, Person-Centered Models for Long-Term Disease Management (Profile): Research Design.International journal of integrated care · 2016Article
- [Morbidity observed in a health area: Impact on professionals and funding].Atencion primaria · 2015Article
- An analytics approach to designing patient centered medical homes.Health care management science · 2015Article
- Predicting 30-day all-cause hospital readmissions.Health care management science · 2013Article
- Use of outpatient care in VA and Medicare among disability-eligible and age-eligible veteran patients.BMC health services research · 2012Article
- Article
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- Performance of comorbidity, risk adjustment, and functional status measures in expenditure prediction for patients with diabetes.Diabetes care · 2009Article
- Predictors of physical therapy clinic performance in the treatment of patients with low back pain syndromes.Physical therapy · 2008Article
- The performance of administrative and self-reported measures for risk adjustment of Veterans Affairs expenditures.Health services research · 2005Article
- Examining Health Care Mobility of Transgender Veterans Across the Veterans Health Administration.LGBT healthArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the rankings for health care utilization performance measures at the facility level in a Veterans Health Administration (VHA) health care delivery network using pharmacy- and diagnosis-based case-mix adjustment measures. DATA SOURCES/STUDY
settingThe study included veterans who used inpatient or outpatient services in Veterans Integrated Service Network (VISN) 20 during fiscal year 1998 (October 1997 to September 1998; N = 126,076). Utilization and pharmacy data were extracted from VHA national databases and the VISN 20 data warehouse. STUDY
designWe estimated concurrent regression models using pharmacy or diagnosis information in the base year (FY1998) to predict health service utilization in the same year. Utilization measures included bed days of care for inpatient care and provider visits for outpatient care. PRINCIPAL
findingsRankings of predicted utilization measures across facilities vary by case-mix adjustment measure. There is greater consistency within the diagnosis-based models than between the diagnosis- and pharmacy-based models. The eight facilities were ranked differently by the diagnosis- and pharmacy-based models.
conclusionsChoice of case-mix adjustment measure affects rankings of facilities on performance measures, raising concerns about the validity of profiling practices. Differences in rankings may reflect differences in comparability of data capture across facilities between pharmacy and diagnosis data sources, and unstable estimates due to small numbers of patients in a facility.
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