Severity-adjusted mortality and length of stay in teaching and nonteaching hospitals: Results of a regional study

JAMA

Volumn 278, Issue 6, 1997, Pages 485-490

  Rosenthal, Gary E ^a,b   Harper, Dwain L ^c   Quinn, Linda M ^a,b   Cooper, Gregory S ^a,b  

^a CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b LOUIS STOKES CLEVELAND VA MEDICAL CENTER   (United States)

^c Qual Info Management Corporation   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CONGESTIVE HEART FAILURE; DISEASE SEVERITY; FEMALE; GASTROINTESTINAL HEMORRHAGE; HEART INFARCTION; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; OBSTRUCTIVE AIRWAY DISEASE; PNEUMONIA; PRIORITY JOURNAL; RISK ASSESSMENT; STROKE; TEACHING HOSPITAL;

EID: 0030860813     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.278.6.485     Document Type: Article

References (42)

1. Iglehart JK. Rapid changes for academic medical centers, I. N Engl J Med. 1994;331:1391-1395.
2. Iglehart JK. Rapid changes for academic medical centers, II. N Engl J Med. 1995;332:407-411.
3. Epstein AM. US teaching hospitals in the evolving health care system. JAMA. 1995;273:1203-1207.
4. Kassirer JP. Academic medical centers under siege. N Engl J Med. 1994;331:1370-1371.
5. Whitcomb ME, Cleverly WO. Financial performance of academic medical center hospitals. Acad Med. 1993;68:729-731.
6. Japsen B. Teaching hospitals face hard lessons. Mod Healthcare. February 1994;7:36-38.
7. Foreman S, Kerr WB, Mullins CB, Rabkin MT, Rice WR, Waller RR. Academic medical centers, proposed Medicare cuts, and the emerging price-competitive environment. Acad Med. 1995;70:510-511.
8. Hartz AJ, Krakauer H, Kuhn EM, et al. Hospital characteristics and mortality rates. N Engl J Med. 1989;321:1720-1725.
9. Ashley JSA, Howlett A, Morris JN. Case-fatality of hyperplasia of the prostate in 2 teaching and 3 regional-board hospitals. Lancet. December 1971:1308-1311.
10. Lee JAH, Morrison SL, Morris JN. Fatality from 3 common surgical conditions in teaching and nonteaching hospitals. Lancet. October 1957:785-790.
11. Brennan TA, Hebert LE, Laird NM, et al. Hospital characteristics associated with adverse events and substandard care. JAMA. 1991;265:3265-3269.
12. Pollack MM, Alexander SR, Clarke N, Ruttimann UE, Tesselaar HM, Bachulis AC. Improved outcomes from tertiary center pediatric intensive care: a statewide comparison of tertiary and non-tertiary care facilities. Crit Care Med. 1991;19:150-159.
13. Keeler EB, Rubenstein LV, Kahn KL, et al. Hospital characteristics and quality of care. JAMA. 1992;268:1709-1714.
14. Zimmerman JE, Shortell SM, Knaus WA, et al. Value and cost of teaching hospitals: a prospective, multicenter, inception cohort study. Crit Care Med. 1993;21:1432-1442.
15. Frick AP, Grisez-Martin S, Shwartz M. Case-mix and cost differences between teaching and non-teaching hospitals. Med Care. 1985;23:283-295.
16. Iezzoni LI, Shwartz M, Moskowitz MA, Ash AS, Sawitz E, Burnside S. Illness severity and costs of admissions at teaching and nonteaching hospitals. JAMA. 1990;264:1426-1431.
17. Cox JL, Chen E, Naylor CD. Revascularization after acute myocardial infarction: impact of hospital teaching status and on-site invasive facilities. J Gen Intern Med. 1994;9:674-678.
18. Gordon GS, Sefcik SE, Lo Gerfo JP. Charges for comprehensive obstetric care at teaching and non-teaching hospitals: a comparison. West J Med. 1991;155:616-620.
19. Rosenthal GE, Harper DL. Cleveland Health Quality Choice: a model for community-based outcomes assessment. Jt Comm J Qual Improv. 1994;29:425-443.
20. Rosenthal GE, Quinn LM, Harper DL. Declines in hospital mortality associated with a regional initiative to measure hospital performance. Am J Med Qual. 1997;12:103-112.
21. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982;143:29-36.
22. Hosmer DW, Lemeshow S. A goodness of fit test for the multiple logistic regression model. Comm Stat. 1980;A10:1043-1069.
23. Gordon HS, Harper DL, Rosenthal GE. Racial variation in observed and predicted in-hospital death: a regional analysis. JAMA. 1996;276:1639-1644.
24. Robust variance estimates. In: STATA Reference Manual, Release 5, III. College Station, Tex: Stata Press; 1997:145-167.
25. Lee JAH, Morrison SL, Morris JN. Case fatality in teaching and non-teaching hospitals (Leer). Lancet. January 1960:170-171.
26. Richards T, Lurie N, Rogers WH, Brook RH. Measuring differences between teaching and non-teaching hospitals. Med Care. 1988;26(suppl):S1-S141.
27. Garber AM, Fuchs VR, Silverman JF. Case mix, costs, and outcomes: differences between faculty and community services in a university hospital. N Engl J Med. 1984;310:1231-1237.
28. Cooper GS, Pine M, Harper DL, Rosenthal GE. Care of patients with upper gastrointestinal hemorrhage in academic medical centers: a community-based comparative analysis. Gastroenterology. 1996;111:385-390.
29. Udvarhelyi IS, Rosborough T, Lofgren RP, Lurie N, Epstein AM. Teaching status and resource use for patients with acute myocardial infarction: a new look at the indirect costs of graduate medical education. Am J Public Health. 1990;80:1095-1100.
30. Horn SD, Bulkley G, Sharkey PD, Chambers AF, Horn RA, Schramm CJ. Interhospital differences in severity of illness: problems for prospective payment based on diagnosis-related groups (DRGs). N Engl J Med. 1985;313:20-24.
31. Berman RA, Green J, Kwo D, Safian KF, Botnick L. Severity of illness and the teaching hospital. J Med Educ. 1986;61:1-9.
32. Escarce JJ, Kelley MA. Admission source to the medical intensive care unit predicts hospital death independent of APACHE II score. JAMA. 1990;264:2389-2394.
33. Gordon HS, Rosenthal GE. Outcomes of interhospital transfers to an academic medical center: implications for hospital profiling. Med Care. 1996;34:295-309.
34. Ayanian JZ, Hauptman PJ, Guadagnoli E, Antman EM, Pashos CL, McNeil BJ. Knowledge and practices of generalist and specialist physicians regarding drug therapy for acute myocardial infarction. N Engl J Med. 1994;331:1136-1142.
35. Carey WD. Gastroenterology's response. Gastrointest Endosc. 1995;41:640-643.
36. Schreiber TL, Elkhatib A, Grines CL, O'Neill WW. Cardiologist vs internist management of patients with unstable angina: treatment patterns and outcomes. J Am Coll Cardiol. 1995;26:577-582.
37. Chassin MR, Park RE, Lohr KN, Kessey J, Brook RH. Differences among hospitals in Medicare patient mortality. Health Serv Res. 1989;24:1-31.
38. Miller MG, Miller LS, Fireman B, Black SB. Variation in practice for discretionary admissions: impact on estimates of quality of hospital care. JAMA. 1994;271:1493-1498.
39. Iglehart JK. Competition and the pursuit of quality: a conversation with Walter McClure. Health Aff (Millwood). 1988;7:79-80.
40. Belk HD, Harris JS, Wood LW. A strategy for employer health care value management. J Occup Med. 1991;33:376-380.
41. Hospital Effectiveness Report. Harrisburg: Pennsylvania Health Care Containment Council; 1991.
42. Iowa Hospital Resource and Outcome Report J1, DRG Specific Version. Des Moines: Iowa Health Data Commission; 1992.