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The relationship between Medicare's process of care quality measures and mortality.

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Title: The relationship between Medicare's process of care quality measures and mortality.
Authors: Ryan AM (AUTHOR), Burgess JF Jr. (AUTHOR), Tompkins CP (AUTHOR), Wallack SS (AUTHOR)
Source: Inquiry (00469580). Fall2009, Vol. 46 Issue 3, p274-290. 17p.
Abstract: Using Medicare inpatient claims and Hospital Compare process of care quality data from the period 2004DS2006, we estimate two model specifications to test for the presence of correlational and causal relationships between hospital process of care performance measures and risk-adjusted (RA) 30-day mortality for heart attack, heart failure, and pneumonia. Our analysis indicates that while Hospital Compare process performance measures are correlated with 30-day mortality for each diagnosis, after we account for unobserved heterogeneity, process of care performance is no longer associated with mortality for any diagnosis. This suggests that the relationship between hospital-level process of care performance and mortality is not causal. Implications for pay-for-performance are discussed. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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PubType: Academic Journal
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  Data: The relationship between Medicare's process of care quality measures and mortality.
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  Data: <searchLink fieldCode="AR" term="%22Ryan+AM%22">Ryan AM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burgess+JF+Jr%2E%22">Burgess JF Jr.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tompkins+CP%22">Tompkins CP</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wallack+SS%22">Wallack SS</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. Fall2009, Vol. 46 Issue 3, p274-290. 17p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Using Medicare inpatient claims and Hospital Compare process of care quality data from the period 2004DS2006, we estimate two model specifications to test for the presence of correlational and causal relationships between hospital process of care performance measures and risk-adjusted (RA) 30-day mortality for heart attack, heart failure, and pneumonia. Our analysis indicates that while Hospital Compare process performance measures are correlated with 30-day mortality for each diagnosis, after we account for unobserved heterogeneity, process of care performance is no longer associated with mortality for any diagnosis. This suggests that the relationship between hospital-level process of care performance and mortality is not causal. Implications for pay-for-performance are discussed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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