Evidence map›Paper›PMID 25201167›Full record

ArticleHealth services research2014

A hospital-specific template for benchmarking its cost and quality.

Jeffrey H Silber, Paul R Rosenbaum, Richard N Ross, Justin M Ludwig, Wei Wang, Bijan A Niknam, Philip A Saynisch, Orit Even-Shoshan, Rachel R Kelz, Lee A Fleisher

Abstract readValidation Study
In one paragraph

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. An Assessment of Hospital Performance in Emergency General Surgery Using Direct and Indirect Standardization.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
  2. Assessing Hospital Surgical Quality.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
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  4. Measuring quality of care in moderate and late preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  5. Emerging approaches to multiple chronic condition assessment.Journal of the American Geriatrics Society · 2022
    Article
  6. Article
  7. Observational
  8. Article
  9. Observational
  10. Comparing Outcomes between Antibody Induction Therapies in Kidney Transplantation.Journal of the American Society of Nephrology : JASN · 2017
    Article
  11. Article
  12. Article
  13. Article
  14. Emergency medical services key performance measurement in Asian cities.International journal of emergency medicine · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jeffrey H SilberThe Department of Pediatrics, The University of Pennsylvania School of Medicine, Philadelphia, PA; Department of Anesthesiology and Critical Care, The University of Pennsylvania School of Medicine, Philadelphia, PA; Department of Health Care Management, The Wharton School, The University of Pennsylvania, Philadelphia, PA; The Leonard Davis Institute of Health Economics, The University of Pennsylvania, Philadelphia, PA.
Paul R Rosenbaum
Richard N Ross
Justin M Ludwig
Wei Wang
Bijan A Niknam
Philip A Saynisch
Orit Even-Shoshan
Rachel R Kelz
Lee A Fleisher

Funding

Improving Process MeasurementR01HS018338 · AHRQ · CHILDREN'S HOSP OF PHILADELPHIA · PI SILBER, JEFFREY H · 2010 to 2012
$1.4M
AHRQ HHS R01 HS018338AHRQ HHS R01-HS018338
6 · The paper itself

Abstract

objectiveDevelop an improved method for auditing hospital cost and quality tailored to a specific hospital's patient population. DATA SOURCES/

settingMedicare claims in general, gynecologic and urologic surgery, and orthopedics from Illinois, New York, and Texas between 2004 and 2006. STUDY

designA template of 300 representative patients from a single index hospital was constructed and used to match 300 patients at 43 hospitals that had a minimum of 500 patients over a 3-year study period. DATA COLLECTION/EXTRACTION

methodsFrom each of 43 hospitals we chose 300 patients most resembling the template using multivariate matching. PRINCIPAL

findingsWe found close matches on procedures and patient characteristics, far more balanced than would be expected in a randomized trial. There were little to no differences between the index hospital's template and the 43 hospitals on most patient characteristics yet large and significant differences in mortality, failure-to-rescue, and cost.

conclusionMatching can produce fair, directly standardized audits. From the perspective of the index hospital, "hospital-specific" template matching provides the fairness of direct standardization with the specific institutional relevance of indirect standardization. Using this approach, hospitals will be better able to examine their performance, and better determine why they are achieving the results they observe.

Indexed as

AgedAged, 80 and overBenchmarkingFemaleFinancial AuditHospital CostsHumansIllinoisMaleMedicareMiddle AgedModels, StatisticalNew YorkOutcome Assessment, Health CareQuality of Health CareTexascosthealth care researchoutcomes researchQuality of care

Identifiers

PMID25201167
PMCPMC4213045

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.