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Benchmarking risk-adjusted complications and mortality: a case study on outcomes assessment
M T Forthman1, D A Foster, M W Clare
1Provider Services of HCIA Inc., Baltimore, MD, USA.
Managed Care Quarterly
|February 2, 1996
Summary
Hospitals can now evaluate patient outcomes and mortality rates using administrative data. This method helps demonstrate clinical service value and identify areas needing improvement by comparing performance to national and local benchmarks.
Area of Science:
- Healthcare Management
- Health Services Research
- Clinical Outcomes Analysis
Background:
- Hospitals need effective methods to assess clinical performance.
- Administrative data offers a valuable, underutilized resource for outcome analysis.
- Demonstrating value to managed care organizations is crucial for hospitals.
Purpose of the Study:
- To present a process for hospitals to evaluate outcomes performance.
- To enable assessment of rate-related complications and mortality.
- To facilitate comparison with national, local, and competitor benchmarks.
Main Methods:
- Utilizing readily available administrative data for performance assessment.
- Analyzing rate-related complications and mortality metrics.
- Benchmarking hospital outcomes against national norms and local competitors.
Main Results:
- Hospitals can effectively assess their outcomes performance.
- Identification of clinical services with potential adverse outcomes is possible.
- Provides a framework for demonstrating the value of clinical services.
Conclusions:
- Administrative data provides a feasible approach for hospital outcomes assessment.
- This process supports quality improvement initiatives and value demonstration.
- Enables data-driven strategic decisions in healthcare management.