Public report cards and confidential, collaborative peer education represent distinctly
different approaches to cardiac surgery quality assessment and improvement. This review …

It is becoming increasingly important to examine the relationship between the outcomes of a
clinical trial and the costs of the medical therapy under study. The results of such analysis …

OBJECTIVE: Comparisons of the performance of multiple health care providers are often
based on hypothesis tests, those with resulting P-values below some critical threshold being …

Methods: We describe different approaches to creating composite measures, discuss their
advantages and disadvantages, and provide examples of their use. Findings: The major …

Objective. To examine the impact of nurse staffing on selected adverse events hypothesized
to be sensitive to nursing care between 1990 and 1996, after controlling for hospital …

This paper aims to measure whether there are country variations in the efficiency of the
physician workforce in reducing various measures of mortality across 21 OECD countries …

Purpose. To present two key statistical issues that arise in analysis and reporting of quality
data. Summary. Casemix variation is relevant to quality reporting when the units being …

It has become common to adopt a hierarchical model structure when comparing the
performance of multiple health-care providers. This structure allows some variation in such …

Composite measures calculated from individual performance indicators increasingly are
used to profile and reward health care providers. We illustrate an innovative way of using …

Public reports of organ transplant program outcomes by the US Scientific Registry of
Transplant Recipients have been both groundbreaking and controversial. The reports are …