Indirect Standardization Matching: Assessing Specific Advantage and Risk Synergy.

ABSTRACT:

Objective

To develop a method to allow a hospital to compare its performance using its entire patient population to the outcomes of very similar patients treated elsewhere.

Data sources/setting

Medicare claims in orthopedics and common general, gynecologic, and urologic surgery from Illinois, New York, and Texas from 2004 to 2006.

Study design

Using two example "focal" hospitals, each hospital's patients were matched to 10 very similar patients selected from 619 other hospitals.

Data collection/extraction methods

All patients were used at each focal hospital, and we found the 10 closest matched patients from control hospitals with exactly the same principal procedure as each focal patient.

Principal findings

We achieved exact matches on all procedures an

SUBMITTER: Silber JH 

PROVIDER: S-EPMC5134157 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature