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Hospital Rankings Hold Up

Some basic metrics do effectively diagnose care quality

Peter Dizikes
Wed, 02/19/2020 - 12:01
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Given the complexities of healthcare, do basic statistics used to rank hospitals really work well? A study co-authored by MIT economists indicates that some fundamental metrics do, in fact, provide real insight about hospital quality.

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“The results suggest a substantial improvement in health if you go to a hospital where the quality scores are higher,” says Joseph Doyle, an MIT economist and co-author of a new paper detailing the study’s results.

The study was designed to work around a difficult problem in evaluating hospital quality: Some high-performing hospitals may receive an above-average number of very sick patients. Accepting those difficult cases could, on the surface, worsen the aggregate outcomes of a given hospital’s patients and make such hospitals seem less effective than they are.

However, the scholars found a way to study equivalent pools of patients, thus allowing them to judge the hospitals in level terms. Overall, the study shows, when patient sickness levels are accounted for, hospitals that score well on quality measures have 30-day readmission rates that are 15 percent lower than a set of lesser-rated hospitals, and 30-day mortality rates that are 17 percent lower.

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Comments

Submitted by Steve65 on Thu, 02/20/2020 - 05:11

Where Do We Get Them

So where/how do patients get to see these effective metrics?

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