The conclusions from a profile analysis to identify performance extremes can be affected
substantially by the standards and statistical methods used and by the adequacy of risk …

Risk‐adjustment and provider profiling have become common terms as the medical
profession attempts to measure quality and assess value in health care. One of the areas of …

Recent public debate on costs and effectiveness of health care in the United States has
generated a growing emphasis on “profiling” of medical care providers. The process of …

Objectives. The authors determined whether standardized hospital mortality rates varied for
six common medical diagnoses. Methods. The retrospective cohort study included 89,851 …

Risk stratification is a statistical process by which quality of care can be assessed
independently of patient case mix. The evaluation of risk-adjusted patient outcome has …

Objective. To determine whether additional risk adjustment is necessary in economic
profiling of physicians when claims data are already grouped into episodes of care, and to …

This paper reviews and compares existing statistical methods for profiling health care
providers. It recommends improvements that are based on the use of better statistical …

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 …

This paper examines the relative accuracy of risk-adjustment methodologies used to profile
primary care physician practice efficiency. Claims and membership data from an …

Using existing data sources, we developed three risk-adjusted measures of hospital quality:
the risk-adjusted mortality index (RAMI), the risk-adjusted readmissions index (RARI), and …