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Comparing clinical data with administrative data for producing acute myocardial infarction report cards

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  • Peter C. Austin
  • Jack V. Tu

Abstract

Summary. We compared measures of hospital performance by using both administrative and clinical data sources. Hospital‐specific mortality outcomes on 10086 patients who had been admitted to 102 hospitals with a diagnosis of acute myocardial infarction in Ontario, Canada, were used as a test‐case. Four and six hospitals were identified as having mortality that was statistically significantly higher than expected by using administrative and clinical data respectively, when model‐based indirect standardization was used. When using random‐effects models, zero and two hospitals were identified as having significantly higher mortality by using administrative and clinical data respectively. Approximately one in four hospitals changed at least two decile rankings when clinical data were used compared with when administrative data were used.

Suggested Citation

  • Peter C. Austin & Jack V. Tu, 2006. "Comparing clinical data with administrative data for producing acute myocardial infarction report cards," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 169(1), pages 115-126, January.
    • Handle: RePEc:bla:jorssa:v:169:y:2006:i:1:p:115-126
    DOI: 10.1111/j.1467-985X.2005.00380.x
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    References listed on IDEAS

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    1. Peter C. Austin & Geoffrey M. Anderson, 2005. "Optimal Statistical Decisions for Hospital Report Cards," Medical Decision Making, , vol. 25(1), pages 11-19, January.
    2. Peter C. Austin & David A. Alter & Jack V. Tu, 2003. "The Use of Fixed-and Random-Effects Models for Classifying Hospitals as Mortality Outliers: A Monte Carlo Assessment," Medical Decision Making, , vol. 23(6), pages 526-539, November.
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    Cited by:

    1. Paolo Berta & Chiara Seghieri & Giorgio Vittadini, 2013. "Comparing health outcomes among hospitals: the experience of the Lombardy Region," Health Care Management Science, Springer, vol. 16(3), pages 245-257, September.
    2. Seghieri, Chiara & Berta, Paolo & Nuti, Sabina, 2019. "Geographic variation in inpatient costs for Acute Myocardial Infarction care: Insights from Italy," Health Policy, Elsevier, vol. 123(5), pages 449-456.

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