ArticleHealth services research2014
Statistical benchmarks for health care provider performance assessment: a comparison of standard approaches to a hierarchical Bayesian histogram-based method.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluations of statistical methods for outlier detection when benchmarking in clinical registries: a systematic review.BMJ open · 2023Pooled it
- Accuracy of site benchmarking in clinical quality registries of varying size.Health information management : journal of the Health Information Management Association of Australia · 2026Article
- County-Level Factors and Preventable Premature Liver Mortality in Metabolic Dysfunction-Associated Steatotic Liver Disease.JAMA network open · 2025Article
- MEASURING PERFORMANCE FOR END-OF-LIFE CARE.The annals of applied statistics · 2022Article
- Misclassification Risk of Tier-Based Physician Quality Performance Systems.Health services research · 2017Article
- Regulator Loss Functions and Hierarchical Modeling for Safety Decision Making.Medical decision making : an international journal of the Society for Medical Decision Making · 2017Article
- 2016 Revision of the SCAI position statement on public reporting.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2017Article
- Article
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1 author.
Funding
Abstract
objectiveExamine how widely used statistical benchmarks of health care provider performance compare with histogram-based statistical benchmarks obtained via hierarchical Bayesian modeling. DATA SOURCES: Publicly available data from 3,240 hospitals during April 2009-March 2010 on two process-of-care measures reported on the Medicare Hospital Compare website. STUDY
designSecondary data analyses of two process-of-care measures comparing statistical benchmark estimates and threshold exceedance determinations under various combinations of hospital performance measure estimates and benchmarking approaches. PRINCIPAL
findingsStatistical benchmarking approaches for determining top 10 percent performance varied with respect to which hospitals exceeded the performance benchmark; such differences were not found at the 50 percent threshold. Benchmarks derived from the histogram of provider performance under hierarchical Bayesian modeling provide a compromise between benchmarks based on direct (raw) estimates, which are overdispersed relative to the true distribution of provider performance and prone to high variance for small providers, and posterior mean provider performance, for which over-shrinkage and under-dispersion relative to the true provider performance distribution is a concern.
conclusionsGiven the rewards and penalties associated with characterizing top performance, the ability of statistical benchmarks to summarize key features of the provider performance distribution should be examined.
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Registered trials
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