Journal Article

Are We Confident of Across-Hospital Mortality Comparisons?

With Richard Fuller, MS, Jack Hughes, MD, Norbert Goldfield, MD

Published in the American Journal of Medical Quality, April 2018,
by Richard L. Fuller, MS, John S. Hughes, MD, Norbert I. Goldfield, MD, Graham Atkinson, DPhil.

Hospital mortality rates have lately been proposed for greater prominence in measuring the quality of inpatient care. The Medicare Payment Advisory Commission (MedPAC) has advocated using hospital mortality measures, both as part of their proposed redesign of the Merit-based Incentive Payment System in which mortality rates after hospital stays are compared by physician and in redesigning/consolidating hospital pay-for-performance programs by eliminating hospital complication measures and more heavily weighting hospital mortality rates. The Government Accountability Office agrees with the need to emphasize the importance of mortality in quality measurement, while many health policy researchers concur that the current system of quality measurement undervalues mortality outcomes.


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Source: American Journal of Medical Quality