Download or read book The Reliability of Provider Profiling written by John L. Adams and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Public and private purchasers and health plans are demanding more information about the quality and relative costliness of U.S. physicians to increase physician accountability and aid in value-based purchasing. Although performance measurement has been in place for some time in hospitals and managed care organizations (MCOs), the focus on physician profiling is a relatively new development. The inherent limitations of the available data at the physician level have brought to the fore technical issues that were less important at higher levels of aggregation in hospitals and MCOs. One of these technical issues is the reliability of a physician's performance measurement. This technical report explains the use and implementation of reliability measurement for quality measures in provider profiling in health care. It provides details and a practical method of how to calculate reliability measures from the sort of data typically available. It also explains why reliability measurement is an important component of evaluating a profiling system.
Download or read book Estimating Reliability and Misclassification in Physician Profiling written by John L. Adams and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This technical report explains the relationship between reliability measurement and misclassification for physician quality and cost measures in health care. It provides details and a practical method to calculate reliability and misclassification from the data typically available to health plans. This report builds on other RAND work on reliability and misclassification and has two main goals. First, it can serve as a tutorial for measuring reliability and misclassification. Second, it will describe the likelihood of misclassification in a situation not addressed in our prior work in which physicians are categorized using statistical testing. For any newly proposed system, the methods presented here should enable an evaluator to calculate the reliabilities and, consequently, the misclassification probabilities. It is our hope that knowing these misclassification probabilities will increase transparency about profiling methods and stimulate an informed debate about the costs and benefits of alternative profiling systems. The appendixes provide more technical detail on how to measure reliability with related program code as well as a set of lookup tables that can be used to obtain the rate of misclassification associated with a reliability estimate under various scenarios.
Download or read book Physician Cost Profiling reliability and Risk of Misclassification written by John L. Adams and published by . This book was released on 2010 with total page 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.
Download or read book Development of a Provider Profiling Tool for Reappointment written by Melissa A. Wallace and published by . This book was released on 2004 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
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.
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.
Download or read book Networks 2004 written by Hermann Kaindl and published by Margret Schneider. This book was released on 2004 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Criminal Profiling written by Brent E. Turvey and published by Elsevier. This book was released on 2022-10 with total page 920 pages. Available in PDF, EPUB and Kindle. Book excerpt: Criminal Profiling: An Introduction to Behavioral Evidence Analysis, Fifth Edition, maintains the same core foundation that made previous editions best sellers in the professional and academic community worldwide. Written for practicing behavioral analysts and aspiring students alike, this work emphasizes an honest understanding of crime and criminals. Newly updated, mechanisms for the examination and classification of both victim and offender behavior have been improved. In addition to refined approaches toward international perspectives, chapters on psychological autopsies, scene investigation reconstruction, court issues and racial profiling have also been added. Outlines the scientific principles and practice standards of BEA-oriented criminal profiling, with an emphasis on applying theory to real cases Contains contributions from law enforcement, academia, mental health fields, and forensic science communities Includes a complete glossary of terms, along with an instructor website and student companion site
Download or read book Physician Profiling and Risk Adjustment written by Norbert Goldfield and published by . This book was released on 1996 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a summary of the best techniques available to adjust for differences in illness among patients, and provides several case studies to show you how to use physician profiling to improve care. You'll also benefit from the latest information on the best strategies available to adjust capitation rates, plus you'll examine critical issues like budget management, utilization management, and more.
Download or read book Provider s Handbook for Assessing Criminal Conduct and Substance Abuse Clients written by Kenneth W. Wanberg and published by SAGE. This book was released on 2009-11-12 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides the tools needed to assess, monitor and evaluate the change and progress made by criminal justice clients at the beginning, during and after treatment
Download or read book Measuring Health written by Ian McDowell and published by Oxford University Press. This book was released on 2006-03-09 with total page 765 pages. Available in PDF, EPUB and Kindle. Book excerpt: Worldwide economic constraints on health care systems have highlighted the importance of evidence-based medicine and evidence-based health policy. The resulting clinical trials and health services research studies require instruments to monitor the outcomes of care and the output of the health system. However, the over-abundance of competing measurement scales can make choosing a measure difficult at best. Measuring Health provides in-depth reviews of over 100 of the leading health measurement tools and serves as a guide for choosing among them.LNow in its third edition, this book provides a critical overview of the field of health measurement, with a technical introduction and discussion of the history and future directions for the field. This latest edition updates the information on each of the measures previously reviewed, and includes a complete new chapter on anxiety measurement to accompany the one on depression. It has also added new instruments to those previously reviewed in each of the chapters in the book.LChapters cover measurements of physical disability, social health, psychological well-being, anxiety, depression, mental status testing, pain, general health status and quality of life. Each chapter presents a tabular comparison of the quality of the instruments reviewed, followed by a detailed description of each method, covering its purpose and conceptual basis, its reliability and validity and, where possible, shows a copy of the actual scale. To ensure accuracy of the information, each review has been approved by the original author of each instrument or by an acknowledged expert.
Download or read book Bridge Maintenance Safety Management Resilience and Sustainability written by Fabio Biondini and published by CRC Press. This book was released on 2012-06-21 with total page 4119 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bridge Maintenance, Safety, Management, Resilience and Sustainability contains the lectures and papers presented at The Sixth International Conference on Bridge Maintenance, Safety and Management (IABMAS 2012), held in Stresa, Lake Maggiore, Italy, 8-12 July, 2012. This volume consists of a book of extended abstracts (800 pp) Extensive collection of revised expert papers on recent advances in bridge maintenance, safety, management and life-cycle performance, representing a major contribution to the knowledge base of all areas of the field.
Download or read book Design for Reliability written by Eric Bauer and published by John Wiley & Sons. This book was released on 2011-02-11 with total page 349 pages. Available in PDF, EPUB and Kindle. Book excerpt: System reliability, availability and robustness are often not well understood by system architects, engineers and developers. They often don't understand what drives customer's availability expectations, how to frame verifiable availability/robustness requirements, how to manage and budget availability/robustness, how to methodically architect and design systems that meet robustness requirements, and so on. The book takes a very pragmatic approach of framing reliability and robustness as a functional aspect of a system so that architects, designers, developers and testers can address it as a concrete, functional attribute of a system, rather than an abstract, non-functional notion.
Download or read book A Guide to Forensic DNA Profiling written by Scott Bader and published by John Wiley & Sons. This book was released on 2016-03-08 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increasingly arcane world of DNA profiling demands that those needing to understand at least some of it must find a source of reliable and understandable information. Combining material from the successful Wiley Encyclopedia of Forensic Science with newly commissioned and updated material, the Editors have used their own extensive experience in criminal casework across the world to compile an informative guide that will provide knowledge and thought-provoking articles of interest to anyone involved or interested in the use of DNA in the forensic context. Following extensive introductory chapters covering forensic DNA profiling and forensic genetics, this comprehensive volume presents a substantial breadth of material covering: Fundamental material – including sources of DNA, validation, and accreditation Analysis and interpretation – including, extraction, quantification, amplification and interpretation of electropherograms (epgs) Evaluation – including mixtures, low template, and transfer Applications – databases, paternity and kinship, mitochondrial-DNA, wildlife DNA, single-nucleotide polymorphism, phenotyping and familial searching Court - report writing, discovery, cross examination, and current controversies With contributions from leading experts across the whole gamut of forensic science, this volume is intended to be authoritative but not authoritarian, informative but comprehensible, and comprehensive but concise. It will prove to be a valuable addition, and useful resource, for scientists, lawyers, teachers, criminologists, and judges.
Download or read book A Profile of the Electric Power Industry written by Charles E. Clark and published by Business Expert Press. This book was released on 2012-09-18 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: The electric power industry was traditionally a utility to which people gave little thought. It has stable prices, low business risk, and predictable emerging issues. But great change has shaken the industry—mergers have resulted in large and powerful companies. Natural gas prices have plummeted and gas is replacing coal as the basis for both electricity production and new capacity. Environmental regulation is in flux. And new technologies are transforming all parts of the industry’s value chain. The high cost and new skills demanded by these technologies give rise to unprecedented financial risk. Addressing these new challenges and changes is the perfect book—A Profile of the Electric Power Industry: Facing the Challenges of the 21st Century. This book describes how the industry is organized, how it functions, with several unique aspects addressed in depth. These aspects include electricity demand, production, capacity expansion, generating technologies, fuels, regulation of both prices and environmental impacts, and retail products. Global climate change, energy efficiency, and the Smart Grid also receive extended coverage to help you understand the industry’s future.
Download or read book Accelerated Quality and Reliability Solutions written by Lev M. Klyatis and published by Elsevier. This book was released on 2010-07-07 with total page 517 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing of real-world issues and with supporting data from industry, this book overviews the technique and equipment available to engineers and scientists to identify the solutions of the physical essence of engineering problems in simulation, accelerated testing, prediction, quality improvement, and risk during the design, manufacturing, and maintenance stages. For this goal the book integrates Quality Improvement and Accelerated Reliability/ Durability/ Maintainability/Test Engineering concepts. Accelerated Quality and Reliability Solutions includes new and unpublished aspects in quality: - complex analysis of factors that influence product quality, and other quality development and improvement problems during design and manufacturing ; in simulation: - the strategy for development of accurate physical simulation of field input influences on the actual product – a system of control for physical simulation of the random input influences – a methodology for selecting a representative input region for accurate simulation of the field conditions; in testing: - useful accelerated reliability testing (UART) – accelerated multiple environmental testing technology – trends in development of UART technology; in studying climate and reliability; in prediction: - accurate prediction (AP) of reliability, durability, and maintainability - criteria of AP - development of techniques, etc.. The book includes new and effective aspects integration of quality, reliability, and maintainability. Other key features: Includes aspects of quality integrated with reliability which can help to solve earlier inaccessible problems during design, manufacturing, and usage Develops a new approach to improving the engineering culture for solving quality and reliability problems. Enables the accurate prediction of quality, reliability, durability, and maintainability Proposes strategies for accelerated quality, reliability, durability, and maintainability improvement and development Combines new techniques with equipment for accurate physical simulation of field situation (mechanical, electrical, multi-environmental, and other influences, as well as human and other factors) for development accelerated testing (including reliability testing) and research Overviews the latest techniques in physical simulation; accelerated testing; prediction of reliability, durability, and maintainability; quality development and improvement; safety aspects of risk assessment, especially for transportation Supported by real life examples and industry data Deals with the latest techniques in physical simulation, accelerated testing, prediction of reliability, durability, maintainability, quality development and safety aspects of risk assessment Provides step-by-step guidance on the accurate prediction of quality factors, the physical simulation of field situations and of accelerated reliability testing Dramatically reduces recalls by solving product improvement problems through the integration of quality development with reliability
