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Book Assessing the Accuracy of Provider Profiling Methods for Classification

Download or read book Assessing the Accuracy of Provider Profiling Methods for Classification written by Victoria Ding and published by . This book was released on 2012 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provider profiling as a means to describe and compare performance of health care professionals has gained great momentum in the past decade. The implications of profiling, which can drive provider incentives and guide health policy, call for precise and accurate statistical methods. We used a simulation study to compare the performance of three commonly used methods for estimating provider performance (ranking) and for identifying high performing providers (classifying). We evaluated classification performance based on sensitivity and specificity and ranking performance based on mean squared error. We found that when between-provider variability in performance was low, all three methods performed poorly, with low accuracy for identifying top performers and high mean squared error for ranking. We then demonstrated the performance of these methods in an application to data on satisfaction with mental health care providers. Based on these findings, we caution against the use of any classification method in the setting of low between-provider variability and recommend the use of risk-adjusted methods, which take into account variation in characteristics of providers' patients, when the ratio of between-provider variability to within-provider variability is high.

Book Improving Diagnosis in Health Care

    Book Details:
  • Author : National Academies of Sciences, Engineering, and Medicine
  • Publisher : National Academies Press
  • Release : 2015-12-29
  • ISBN : 0309377722
  • Pages : 473 pages

Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Book Registries for Evaluating Patient Outcomes

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Book The Profile Method for the Classification and Evaluation of Manuscript Evidence  as Applied to the Continuous Greek Text of the Gospel of Luke

Download or read book The Profile Method for the Classification and Evaluation of Manuscript Evidence as Applied to the Continuous Greek Text of the Gospel of Luke written by Frederik Wisse and published by Wm. B. Eerdmans Publishing. This book was released on 1982 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: The great number of New Testament manuscripts makes the task of citing evidence in text-critical studies appear to be overwhelming. Since it is not practical to cite all of the manuscript evidence, scholars have attempted to find representative texts. Long ago they noted that many of the manuscripts were related, i.e. certain groups of manuscripts share certain combinations of variants, probably because members of the groups are "descendants" of the same manuscripts. The profile method is Professor Frederik Wisse's attempt to establish "an accurate and rapid procedure for the classification of the manuscript evidence on any ancient text with large manuscript attestation, and to present an adequate basis for the selection of balanced representatives of the whole tradition."

Book Finding What Works in Health Care

Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.

Book Physician Cost Profiling  reliability and Risk of Misclassification

Download or read book Physician Cost Profiling reliability and Risk of Misclassification written by and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This technical report describes the methods and sensitivity analyses used by the authors in an article published in the New England Journal of Medicine. Purchasers are experimenting with a variety of approaches to control health care costs, including limiting network contracts to lower-cost physicians and offering patients differential copayments to encourage them to visit "high-performance" (i.e., higher-quality, lower-cost) physicians. These approaches require a method for analyzing physicians' costs and a classification system for determining which physicians have lower relative costs. There has been little analysis of the reliability of such methods. Reliability is determined by three factors: the number of observations, the variation between physicians in their use of resources, and random variation in the scores. A study of claims data from four Massachusetts health plans demonstrates that, according to the current methods of physician cost profiling, the majority of physicians did not have cost profiles that met common reliability thresholds and, importantly, reliability varied significantly by specialty. Low reliability results in a substantial chance that a given physician will be misclassified as lower-cost when he or she is not, or vice versa. Such findings raise concerns about the use of cost profiling tools and the utility of their results.

Book Developments in Healthcare Information Systems and Technologies  Models and Methods

Download or read book Developments in Healthcare Information Systems and Technologies Models and Methods written by Tan, Joseph and published by IGI Global. This book was released on 2010-07-31 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developments in Healthcare Information Systems and Technologies: Models and Methods presents the latest research in healthcare information systems design, development, and deployment, benefiting researchers, practitioners, and students. Contributions investigate topics such as clinical education, electronic medical records, clinical decision support systems, and IT adoption in healthcare.

Book Improving Healthcare Quality in Europe Characteristics  Effectiveness and Implementation of Different Strategies

Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Book Comprehensive Handbook of Psychological Assessment  Volume 1

Download or read book Comprehensive Handbook of Psychological Assessment Volume 1 written by Gerald Goldstein and published by John Wiley & Sons. This book was released on 2003-09-22 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: In one volume, the leading researchers in intelligence and neuropsychological assessment interpret the range of issues related to intellectual and neuropsychological tests, including test development and psychometrics, clinical applications, ethical and legal concerns, use with diverse populations, computerization, and the latest research. Clinicians and researchers who use these instruments will find this volume invaluable, as it contains the most comprehensive and up-to-date information available on this important aspect of practice.

Book Data Science and Network Engineering

Download or read book Data Science and Network Engineering written by Suyel Namasudra and published by Springer Nature. This book was released on 2023-11-02 with total page 525 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book includes research papers presented at the International Conference on Data Science and Network Engineering (ICDSNE 2023) organized by the Department of Computer Science and Engineering, National Institute of Technology Agartala, Tripura, India, during July 21–22, 2023. It includes research works from researchers, academicians, business executives, and industry professionals for solving real-life problems by using the advancements and applications of data science and network engineering. This book covers many advanced topics, such as artificial intelligence (AI), machine learning (ML), deep learning (DL), computer networks, blockchain, security and privacy, Internet of things (IoT), cloud computing, big data, supply chain management, and many more. Different sections of this book are highly beneficial for the researchers, who are working in the field of data science and network engineering.

Book Advances in Neuro Information Processing

Download or read book Advances in Neuro Information Processing written by Mario Köppen and published by Springer. This book was released on 2009-07-30 with total page 1108 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two volume set LNCS 5506 and LNCS 5507 constitutes the thoroughly refereed post-conference proceedings of the 15th International Conference on Neural Information Processing, ICONIP 2008, held in Auckland, New Zealand, in November 2008. The 260 revised full papers presented were carefully reviewed and selected from numerous ordinary paper submissions and 15 special organized sessions. 116 papers are published in the first volume and 112 in the second volume. The contributions deal with topics in the areas of data mining methods for cybersecurity, computational models and their applications to machine learning and pattern recognition, lifelong incremental learning for intelligent systems, application of intelligent methods in ecological informatics, pattern recognition from real-world information by svm and other sophisticated techniques, dynamics of neural networks, recent advances in brain-inspired technologies for robotics, neural information processing in cooperative multi-robot systems.

Book Methods and Applications of Artificial Intelligence

Download or read book Methods and Applications of Artificial Intelligence written by George A. Vouros and published by Springer Science & Business Media. This book was released on 2004-04-22 with total page 561 pages. Available in PDF, EPUB and Kindle. Book excerpt: Arti?cial intelligence has attracted a renewed interest from distinguished sci- tists and has again raised new, more realistic this time, expectations for future advances regarding the development of theories, models and techniques and the use of them in applications pervading many areas of our daily life. The borders of human-level intelligence are still very far away and possibly unknown. Nev- theless, recent scienti?c work inspires us to work even harder in our exploration of the unknown lands of intelligence. This volume contains papers selected for presentation at the 3rd Hellenic Conference on Arti?cial Intelligence (SETN 2004), the o?cial meeting of the Hellenic Society for Arti?cial Intelligence (EETN). The ?rst meeting was held in the University of Piraeus, 1996 and the second in the Aristotle University of Thessaloniki (AUTH), 2002. SETN conferences play an important role in the dissemination of the in- vative and high-quality scienti?c results in arti?cial intelligence which are being produced mainly by Greek scientists in institutes all over the world. However, the most important e?ect of SETN conferences is that they provide the context in which people meet and get to know each other, as well as a very good opp- tunity for students to get closer to the results of innovative arti?cial intelligence research.

Book Neuropsychological and Cognitive Behavioral Assessment of Neurodegenerative Disease and Rehabilitation Using New Technologies and Virtual Reality

Download or read book Neuropsychological and Cognitive Behavioral Assessment of Neurodegenerative Disease and Rehabilitation Using New Technologies and Virtual Reality written by Sara Bottiroli and published by Frontiers Media SA. This book was released on 2021-07-21 with total page 119 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Comprehensive Foodomics

Download or read book Comprehensive Foodomics written by and published by Elsevier. This book was released on 2020-11-12 with total page 2444 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive Foodomics, Three Volume Set offers a definitive collection of over 150 articles that provide researchers with innovative answers to crucial questions relating to food quality, safety and its vital and complex links to our health. Topics covered include transcriptomics, proteomics, metabolomics, genomics, green foodomics, epigenetics and noncoding RNA, food safety, food bioactivity and health, food quality and traceability, data treatment and systems biology. Logically structured into 10 focused sections, each article is authored by world leading scientists who cover the whole breadth of Omics and related technologies, including the latest advances and applications. By bringing all this information together in an easily navigable reference, food scientists and nutritionists in both academia and industry will find it the perfect, modern day compendium for frequent reference. List of sections and Section Editors: Genomics - Olivia McAuliffe, Dept of Food Biosciences, Moorepark, Fermoy, Co. Cork, Ireland Epigenetics & Noncoding RNA - Juan Cui, Department of Computer Science & Engineering, University of Nebraska-Lincoln, Lincoln, NE Transcriptomics - Robert Henry, Queensland Alliance for Agriculture and Food Innovation, The University of Queensland, St Lucia, Australia Proteomics - Jens Brockmeyer, Institute of Biochemistry and Technical Biochemistry, University Stuttgart, Germany Metabolomics - Philippe Schmitt-Kopplin, Research Unit Analytical BioGeoChemistry, Neuherberg, Germany Omics data treatment, System Biology and Foodomics - Carlos Leon Canseco, Visiting Professor, Biomedical Engineering, Universidad Carlos III de Madrid Green Foodomics - Elena Ibanez, Foodomics Lab, CIAL, CSIC, Madrid, Spain Food safety and Foodomics - Djuro Josic, Professor Medicine (Research) Warren Alpert Medical School, Brown University, Providence, RI, USA & Sandra Kraljevic Pavelic, University of Rijeka, Department of Biotechnology, Rijeka, Croatia Food Quality, Traceability and Foodomics - Daniel Cozzolino, Centre for Nutrition and Food Sciences, The University of Queensland, Queensland, Australia Food Bioactivity, Health and Foodomics - Miguel Herrero, Department of Bioactivity and Food Analysis, Foodomics Lab, CIAL, CSIC, Madrid, Spain Brings all relevant foodomics information together in one place, offering readers a ‘one-stop,’ comprehensive resource for access to a wealth of information Includes articles written by academics and practitioners from various fields and regions Provides an ideal resource for students, researchers and professionals who need to find relevant information quickly and easily Includes content from high quality authors from across the globe

Book Precision Medicine for Investigators  Practitioners and Providers

Download or read book Precision Medicine for Investigators Practitioners and Providers written by Joel Faintuch and published by Academic Press. This book was released on 2019-11-16 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: Precision Medicine for Investigators, Practitioners and Providers addresses the needs of investigators by covering the topic as an umbrella concept, from new drug trials to wearable diagnostic devices, and from pediatrics to psychiatry in a manner that is up-to-date and authoritative. Sections include broad coverage of concerning disease groups and ancillary information about techniques, resources and consequences. Moreover, each chapter follows a structured blueprint, so that multiple, essential items are not overlooked. Instead of simply concentrating on a limited number of extensive and pedantic coverages, scholarly diagrams are also included. Provides a three-pronged approach to precision medicine that is focused on investigators, practitioners and healthcare providers Covers disease groups and ancillary information about techniques, resources and consequences Follows a structured blueprint, ensuring essential chapters items are not overlooked

Book Australian Journal of Agricultural Research

Download or read book Australian Journal of Agricultural Research written by and published by . This book was released on 2007 with total page 908 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Resources in Education

Download or read book Resources in Education written by and published by . This book was released on 2001 with total page 764 pages. Available in PDF, EPUB and Kindle. Book excerpt: