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Comparing the Quality of Health Care Providers

In: Frontiers in Health Policy Research, Volume 3

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  • Mark McClellan
  • Douglas Staiger

Abstract

This article introduces a new approach for evaluating the quality of healthcare providers, including an integrated solution to several problems that limit the usefulness of available methods. Our approach combines information from all the quality indicators available for a provider (e.g., from other years, other patients, or other indicators for the same patients) to estimate more accurately the providers previous or expected quality. The approach also provides an empirical basis for comparing and combining alternative quality indicators, thereby enabling policy makers to choose among potential indicators, explore the potential bias in alternative measures, and increase the value of quality measures for assessing and improving care. Using hospital care for elderly heart attack patients as an example, we demonstrate that these methods can be used to create reliable, precise predictions about provider quality. Comparing quality of care across providers may be far more feasible than many now believe.
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Suggested Citation

  • Mark McClellan & Douglas Staiger, 2000. "Comparing the Quality of Health Care Providers," NBER Chapters,in: Frontiers in Health Policy Research, Volume 3, pages 113-136 National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberch:9832
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    1. Mark McClellan & Douglas Staiger, 1999. "The Quality of Health Care Providers," NBER Working Papers 7327, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Carol Propper & John Van Reenen, 2010. "Can Pay Regulation Kill? Panel Data Evidence on the Effect of Labor Markets on Hospital Performance," Journal of Political Economy, University of Chicago Press, vol. 118(2), pages 222-273, April.
    2. Cunha, Jesse M. & Miller, Trey, 2014. "Measuring value-added in higher education: Possibilities and limitations in the use of administrative data," Economics of Education Review, Elsevier, vol. 42(C), pages 64-77.
    3. Herr, Annika (Ed.), 2013. "Beiträge zum Wettbewerb im Krankenhaus- und Arzneimittelmarkt - Band 1: Krankenhäuser," DICE Ordnungspolitische Perspektiven 37, University of Düsseldorf, Düsseldorf Institute for Competition Economics (DICE).
    4. Carine Milcent, 2005. "Hospital ownership, reimbursement systems and mortality rates," Health Economics, John Wiley & Sons, Ltd., vol. 14(11), pages 1151-1168.
    5. Cook, Andrew & Gaynor, Martin & Stephens Jr, Melvin & Taylor, Lowell, 2012. "The effect of a hospital nurse staffing mandate on patient health outcomes: Evidence from California's minimum staffing regulation," Journal of Health Economics, Elsevier, vol. 31(2), pages 340-348.
    6. Laudicella, Mauro & Li Donni, Paolo & Smith, Peter C., 2013. "Hospital readmission rates: Signal of failure or success?," Journal of Health Economics, Elsevier, vol. 32(5), pages 909-921.
    7. Amitabh Chandra & Jonathan Skinner, 2003. "Geography and Racial Health Disparities," NBER Working Papers 9513, National Bureau of Economic Research, Inc.
    8. Moffett, Maurice L. & Morgan, Robert O. & Ashton, Carol M., 2005. "Strategic opportunities in the oversight of the U.S. hospital accreditation system," Health Policy, Elsevier, vol. 75(1), pages 109-115, December.

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