Navigation Links
Mortality rates are an unreliable metric for assessing hospital quality, study finds
Date:12/22/2010

BOSTON (December 22, 2010) -- Is quality in the eye of the beholder?

Researchers at Harvard Medical School and Massachusetts General Hospital have found wide disparities among four common measures of hospital-wide mortality rates, with competing methods yielding both higher- and lower-than-expected rates for the same Massachusetts hospitals during the same year.

The findings, published Dec. 23 in a special article in the New England Journal of Medicine, stoke a simmering debate over the value of hospital-wide mortality rates as a yardstick for health care quality. The measure, which compares a hospital's actual patient death rate to statistical predictions, is reported publicly in countries including England, Canada and Denmark, but some hospitals and policy experts have questioned its value due to the complexity and variability of diagnoses.

"It's troubling that four different methods for calculating hospital mortality rates as a measure of quality should yield such different results," said lead author David M. Shahian, HMS professor of surgery at Massachusetts General Hospital. "Measurement theorynot to mention plain common sensesuggests there is a problem."

The potential of performance evaluation to improve both the quality and the cost of health care has fueled interest in provider "report cards," including mandates by state and federal law.

In 2008, the Massachusetts Division of Health Care Finance and Policy engaged researchers Shahian; Lisa I. Iezzoni, HMS professor of medicine at Mass General; and Sharon-Lise T. Normand, HMS professor of health care policy (biostatistics) and professor in the Department of Biostatistics at Harvard School of Public Health, to evaluate four vendor-created measures of hospital-wide mortality. The state was looking for a means to measure hospital quality for the public report cards mandated under its 2006 health care reform law.

The researchers compared four measures o
'/>"/>

Contact: Katie DuBoff
communications@hms.harvard.edu
617-432-0442
Harvard Medical School
Source:Eurekalert

Page: 1 2 3

Related medicine news :

1. Vitamin D and parathyroid hormone levels may not affect cardiovascular mortality
2. No difference in nonsuicide mortality between 2 anti-psychotic drugs
3. Helical CT scans reduce lung cancer mortality by 20% compared to chest X-rays
4. Mayo researchers find mortality rates from liver diseases underestimated
5. Chicago racial disparities in breast cancer mortality significantly higher than national average
6. Hormone therapy increases invasive breast cancer and mortality, WHI 11-year follow up finds
7. Henry Ford Hospital study: hVISA linked to high mortality
8. Award-winning study: Hardening of the arteries doubles the risk of mortality
9. Estrogen not associated with lung cancer incidence and mortality among postmenopausal women
10. Planned home births associated with tripling of neonatal mortality rate vs. planned hospital births
11. Minor kidney damage in people with type 1 diabetes leads to increased mortality
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/17/2014)... With the development of China’s economy, ... human body physiology, preventing diseases, promoting health, prolonging ... variety of specific populations. In 2013, the market ... billion, up 12.0% year on year, recording a ... product industry is composed of many extremely scattered ...
(Date:9/17/2014)... 2014 U.S. News and World ... country, and three mesothelioma treatment centers made the ... mesothelioma law firm Baron and Budd ... of Texas MD Anderson Cancer Center and Brigham ... ( http://health.usnews.com/best-hospitals/rankings/cancer ) , U.S. News and World ...
(Date:9/17/2014)... DMG Productions announces the upcoming airing ... broadcast on Wednesday, September 24, 2014 at 7:30 ... episode, Innovations will go behind the scenes to ... each client the opportunity to achieve the highest ... principles of Care, Compassion, and Commitment. , Audiences ...
(Date:9/17/2014)... 17, 2014 Experienced dress company, Discount-Dress.com, ... new selection of trendy black bridesmaid dresses. Furthermore, the ... its beautiful bridesmaid outfits. Readers can view more ... Discount-Dress.com is a famous brand of special ... additions as well as revamped old editions, the supplier ...
(Date:9/17/2014)... 17, 2014 Headquartered in Baltimore, Maryland, ... reach across the country. , “The past two ... “We have grown to over 400 evaluators in 46 ... evaluators in the Midwest and South Dakota and Vermont. ... facilities where our volunteers can visit.” , TPU provides ...
Breaking Medicine News(10 mins):Health News:China Health Food Industry Report 2014-2017 Now Available at ChinaMarketResearchReports.com 2Health News:China Health Food Industry Report 2014-2017 Now Available at ChinaMarketResearchReports.com 3Health News:China Health Food Industry Report 2014-2017 Now Available at ChinaMarketResearchReports.com 4Health News:Three Mesothelioma Treatment Centers Make U.S. News and World Report’s List of Top Cancer Care Facilities, Baron and Budd Reports 2Health News:Three Mesothelioma Treatment Centers Make U.S. News and World Report’s List of Top Cancer Care Facilities, Baron and Budd Reports 3Health News:Innovations to Explore Substance Abuse and Mental Health in Upcoming Episode Airing Wednesday, September 24, 2014 via Discovery Channel. 2Health News:Discount-Dress.com’s Top Designers Are Now Busy Making Its New Black Bridesmaid Dresses 2Health News:Therapy Pets Unlimited is Expanding 2Health News:Therapy Pets Unlimited is Expanding 3
... An alert over potential outbreak of 'Legionnaires Disease' has ... visited the Grand Atlantic Hotel before 10 Nov in ... samples tested positive for Legionelle Bacteria. The hotel which ... out a thorough disinfection. ,The Legionnaires disease ...
... OF HIGH BLOOD PRESSURE DOES NOT PREDICT EFFECT ON HEART ... blood pressure can lead to a potentially dangerous enlargement of ... at the Johns Hopkins Children's Center and the Children's Hospital ... not true for children, at least, that the higher the ...
... Britain has revealed that almost 59,000 Brits have an HIV ... cases were diagnosed last year. //,70 per cent of the ... Eastern Europe. Bulgaria and Romania are among the nations with ... ,It has been found that almost none of ...
... contributed to the health ratings of the famous spirit, known ... in much the same way as mice on a normal ... conducted by Harvard Scientists. ,Delving more into the ... blessings, following a second study conducted on mice. The compound ...
... fight the stigma of the disease. // ,According to ... fallen to 1.56 percent in 2005, from 14.7 percent in 2001. ... the cured are called, have been roped in since leprosy is ... in Ranchi has gone up to 1.60 percent between April and ...
... revelation, some researchers have discerned a thread of similarity ... likeness of character. //For instance, it was observed that ... had a past criminal record compared to owners of ... ,During a study of 355 dog owners in Ohio, ...
Cached Medicine News:Health News:Children and Chronic Kidney Disease 2Health News:Children and Chronic Kidney Disease 3
(Date:9/17/2014)... 17, 2014 Research and Markets ... Cancer Market 2014-2018" report to their offering. ... growth of cancerous cells in the breast tissue. It ... cancer is rare. Histologically, breast cancer can be classified ... undifferentiated carcinoma. Ductal carcinoma is the form of breast ...
(Date:9/16/2014)... , 17. September 2014 ... ), hat heute die Markteinführung des ... Probenverarbeitung, in Europa bekannt gegeben. Der ... Universalplattform zur Vereinfachung der präanalytischen Probenverarbeitung. ... und fehlerbehaftete Arbeitsschritte bei der manuellen ...
(Date:9/16/2014)... 2014 3SBio Inc., ("3SBio") a leading ... focusing on researching, developing, manufacturing and marketing ... into an exclusive license agreement with JenKem Technology ... marketing in Mainland China of PEG-irinotecan, a long-acting ... is over-expressed in many solid tumors, including colorectal, ...
Breaking Medicine Technology:Global Breast Cancer Market 2014-2018: Key Vendors are Astrazeneca, Eli Lilly and Company and F. Hoffmann-La Roche, Novartis and Sanofi-Aventis 2Global Breast Cancer Market 2014-2018: Key Vendors are Astrazeneca, Eli Lilly and Company and F. Hoffmann-La Roche, Novartis and Sanofi-Aventis 3Hologic stellt in Europa den Tomcat vor, ein neues Gerät zur präanalytischen Probenverarbeitung 2Hologic stellt in Europa den Tomcat vor, ein neues Gerät zur präanalytischen Probenverarbeitung 33SBio Inc. obtains exclusive licenses to develop and market JenKem's PEG-Irinotecan in China 23SBio Inc. obtains exclusive licenses to develop and market JenKem's PEG-Irinotecan in China 33SBio Inc. obtains exclusive licenses to develop and market JenKem's PEG-Irinotecan in China 43SBio Inc. obtains exclusive licenses to develop and market JenKem's PEG-Irinotecan in China 5
... N.J., Oct. 27 Watson Pharmaceuticals, Inc. (NYSE: ... Laboratories, Inc., filed a new drug application under Section ... (FFDCA) with the U.S. Food and Drug Administration (FDA) ... and 40 mg tablets.  Watson,s rosuvastatin zinc tablets are ...
... Oct. 27 Intrinsic Bioprobes today announced that ... issued US Patent 7,816,095 covering novel blood protein ... first of a series of patent applications that ... clinical utility. "The biomarkers were discovered ...
Cached Medicine Technology:Watson Confirms Crestor® Patent Challenge 2Intrinsic Bioprobes Announces Issuance of US Patent for Novel Biomarkers and Assays for Myocardial Infarction 2
... developed the world's first 8-channel ... completely AC powered in 1951. ... a number of standard setting ... systems, such as a Windows ...
... you're getting an ambulatory and a clinical EEG ... Mobee O2 can be used for ambulatory EEG ... or in-lab sleep studies. And both feature 32 ... placement. The Mobee O2 includes the additional enhancement ...
... The VISULAS 690s is the ... the instrument of choice for ... clinical trials, Carl Zeiss has ... in laser manufacturing to create ...
... Humphrey Lens Analyzers Model 350 and ... most comprehensive lensometry for your practice. ... Analyzer (LA) gives fast and accurate ... lenses, prism lenses, contact lenses, polycarbonate ...
Medicine Products: