Meaningful variation in performance: A systematic literature review

Medical Care

Volumn 48, Issue 2, 2010, Pages 140-148

  Fung, Vicki ^a   Schmittdiel, Julie A ^a   Fireman, Bruce ^a   Meer, Aabed ^a   Thomas, Sean ^b   Smider, Nancy ^b   Hsu, John ^a   Selby, Joseph V ^a  

^a DIVISION OF RESEARCH   (United States)

^b EPIC SYSTEMS CORPORATION   (United States)

Author keywords

Performance measurement; Physician profiling; Quality improvement; Quality measurement; Systematic reviews

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; HEALTH CARE QUALITY; HUMAN; MEDICAL CARE; MEDLINE; PATIENT SATISFACTION; SYSTEMATIC REVIEW; TOTAL QUALITY MANAGEMENT; CLINICAL PRACTICE; REPRODUCIBILITY; REVIEW; TREATMENT OUTCOME;

CLINICAL COMPETENCE; HUMANS; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PHYSICIAN'S PRACTICE PATTERNS; QUALITY ASSURANCE, HEALTH CARE; QUALITY INDICATORS, HEALTH CARE; REPRODUCIBILITY OF RESULTS;

EID: 77449117933     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181bd4dc3     Document Type: Article

References (50)

1. Wennberg JE, Freeman JL, Shelton RM, et al. Hospital use and mortality among Medicare beneficiaries in Boston and New-Haven. N Engl J Med. 1989;321:1168-1173.
2. Fisher ES, Wennberg DE, Stukel TA, et al. The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care. Ann Intern Med. 2003;138:288-298.
3. Hofer TP, Hayward RA, Greenfield S, et al. The unreliability of individual physician "report cards" for assessing the costs and quality of care of a chronic disease. JAMA. 1999;281:2098-2105.
4. Sixma HJ, Spreeuwenberg PM, van der Pasch MA. Patient satisfaction with the general practitioner: a two-level analysis. Med Care. 1998;36: 212-229.
5. Krein SL, Hofer TP, Kerr EA, et al. Whom should we profile? Examining diabetes care practice variation among primary care providers, provider groups, and health care facilities. Health Serv Res. 2002;37: 1159-1180.
6. Katon W, Rutter CM, Lin E, et al. Are there detectable differences in quality of care or outcome of depression across primary care providers? Med Care. 2000;38:552-561.
7. Huang IC, Diette GB, Dominici F, et al. Variations of physician group profiling indicators for asthma care. Am J Manag Care. 2005;11:38-44.
8. Hayward RA, Manning WG Jr, McMahon LF Jr, et al. Do attending or resident physician practice styles account for variations in hospital resource use? Med Care. 1994;32:788-794.
9. Davis P, Gribben B, Lay-Yee R, et al. How much variation in clinical activity is there between general practitioners? A multi-level analysis of decision-making in primary care. J Health Serv Res Policy. 2002;7:202-208.
10. Cowen ME, Strawderman RL. Quantifying the physician contribution to managed care pharmacy expenses: a random effects approach. Med Care. 2002;40:650-661.
11. Baker LC, Hopkins D, Dixon R, et al. Do health plans influence quality of care? Int J Qual Health Care. 2004;16:19-30.
12. Young GJ. Can multi-level research help us design pay-for-performance programs? Med Care. 2008;46:109-111.
13. Fuhlbrigge A, Carey VJ, Finkelstein JA, et al. Are performance measures based on automated medical records valid for physician/practice profiling of asthma care? Med Care. 2008;46:620-626.
14. Greenfield S, Kaplan SH, Kahn R, et al. Profiling care provided by different groups of physicians: effects of patient case-mix (bias) and physician-level clustering on quality assessment results. Ann Intern Med. 2002;136:111-121.
15. DeLong ER, Peterson ED, DeLong DM, et al. Comparing risk-adjustment methods for provider profiling. Stat Med. 1997;16:2645-2664.
16. Salem-Schatz S, Moore G, Rucker M, et al. The case for case-mix adjustment in practice profiling. When good apples look bad. JAMA. 1994;272:871-874.
17. Landon B, Iezzoni LI, Ash AS, et al. Judging hospitals by severity-adjusted mortality rates: the case of CABG surgery. Inquiry. 1996;33: 155-166.
18. Snijders TAB, Bosker RJ. Multilevel Analysis: An Introduction to Basic and Advanced Multilevel Modeling. Sage Publications Inc; 1999.
19. Aiello A, Garman A, Morris SB. Patient satisfaction with nursing care: a multilevel analysis. Qual Manag Health Care. 2003;12:187-190.
20. Bjertnaes OA, Garratt A, Ruud T. Family physicians' experiences with community mental health centers: a multilevel analysis. Psychiatr Serv. 2008;59:864-870.
21. Bjorngaard JH, Ruud T, Garratt A, et al. Patients' experiences and clinicians' ratings of the quality of outpatient teams in psychiatric care units in Norway. Psychiatr Serv. 2007;58:1102-1107.
22. Degenholtz HB, Kane RA, Kane RL, et al. Predicting nursing facility residents' quality of life using external indicators. Health Serv Res. 2006;41:335-356.
23. D'Errigo P, Tosti ME, Fusco D, et al. Use of hierarchical models to evaluate performance of cardiac surgery centers in the Italian CABG outcome study. BMC Med Res Methodol. 2007;7:29.
24. Dijkstra RF, Braspenning JC, Huijsmans Z, et al. Patients and nurses determine variation in adherence to guidelines at Dutch hospitals more than internists or settings. Diabet Med. 2004;21:586-591.
25. Gifford E, Foster EM. Provider-level effects on psychiatric inpatient length of stay for youth with mental health and substance abuse disorders. Med Care. 2008;46:240-246.
26. Harman JS, Cuffel BJ, Kelleher KJ. Profiling hospitals for length of stay for treatment of psychiatric disorders. J Behav Health Serv Res. 2004; 31:66-74.
27. Hawley ST, Hofer TP, Janz NK, et al. Correlates of between-surgeon variation in breast cancer treatments. Med Care. 2006;44:609-616.
28. Normand SL, Wolf RE, Ayanian JZ, et al. Assessing the accuracy of hospital clinical performance measures. Med Decis Making. 2007;27: 9-20.
29. Normand SL, Glickman ME, Gatsonis CA. Statistical methods for profiling providers of medical care: issues and applications. J Am Stat Assoc. 1997;92:803-814.
30. O'Brien SM, Shahian DM, DeLong ER, et al. Quality measurement in adult cardiac surgery: part 2-statistical considerations in composite measure scoring and provider rating. Ann Thorac Surg. 2007;83(suppl 4):S13-S26.
31. O'Connor PJ, Rush WA, Davidson G, et al. Variation in quality of diabetes care at the levels of patient, physician, and clinic. Prev Chronic Dis. 2008;5:A15.
32. Phillips CD, Shen R, Chen M, et al. Evaluating nursing home performance indicators: an illustration exploring the impact of facilities on ADL change. Gerontologist. 2007;47:683-689.
33. Phillips CD, Chen M, Sherman M. To what degree does provider performance affect a quality indicator? The case of nursing homes and ADL change. Gerontologist. 2008;48:330-337.
34. Sa Carvalho M, Henderson R, Shimakura S, et al. Survival of hemodi-alysis patients: modeling differences in risk of dialysis centers. Int J Qual Health Care. 2003;15:189-196.
35. Safran DG, Karp M, Coltin K, et al. Measuring patients' experiences with individual primary care physicians. Results of a statewide demonstration project. J Gen Intern Med. 2006;21:13-21.
36. Sjetne IS, Veenstra M, Stavem K. The effect of hospital size and teaching status on patient experiences with hospital care: a multilevel analysis. Med Care. 2007;45:252-258.
37. Solomon LS, Zaslavsky AM, Landon BE, et al. Variation in patient-reported quality among health care organizations. Health Care Financ Rev. 2002;23:85-100.
38. Sullivan CO, Omar RZ, Ambler G, et al. Case-mix and variation in specialist referrals in general practice. Br J Gen Pract. 2005;55:529-533.
39. Swinkels IC, Wimmers RH, Groenewegen PP, et al. What factors explain the number of physical therapy treatment sessions in patients referred with low back pain; a multilevel analysis. BMC Health Serv Res. 2005;5:74.
40. Tan A, Freeman JL, Freeman DH Jr. Evaluating health care performance: strengths and limitations of multilevel analysis. Biom J. 2007; 49:707-718.
41. Thomas N, Longford NT, Rolph JE. Empirical Bayes methods for estimating hospital-specific mortality rates. Stat Med. 15 1994;13:889-903.
42. Tuerk PW, Mueller M, Egede LE. Estimating physician effects on glycemic control in the treatment of diabetes: methods, effects sizes, and implications for treatment policy. Diabetes Care. 2008;31:869-873.
43. Turenne MN, Hirth RA, Pan Q, et al. Using knowledge of multiple levels of variation in care to target performance incentives to providers. Med Care. 2008;46:120-126.
44. Veenstra M, Hofoss D. Patient experiences with information in a hospital setting: a multilevel approach. Med Care. 2003;41:490-499.
45. Zaslavsky AM, Zaborski LB, Cleary PD. Plan, geographical, and temporal variation of consumer assessments of ambulatory health care. Health Serv Res. 2004;39:1467-1485.
46. Hofer TP, Hayward RA. Can early re-admission rates accurately detect poor-quality hospitals? Med Care. 1995;33:234-245.
47. Epstein A. Performance reports on quality-prototypes, problems, and prospects. N Engl J Med. 1995;333:57-61.
48. Landon BE, Normand SL, Blumenthal D, et al. Physician clinical performance assessment: prospects and barriers. JAMA. 2003;290:1183-1189.
49. Kassirer JP. The use and abuse of practice profiles. N Engl J Med. 1994;330:634-636.
50. Bindman AB. Can physician profiles be trusted? JAMA. 1999;281:2142-2143.