Publication Date: May 1st, 2007
Publication Type(s): Working Paper
Topic(s): Hospitals and Clinics, Quality
Author(s): Davidson, G.
Statistical models were constructed to assess whether hospital size impacts our ability to identify “true” hospital ranks using data generated by pay-for-performance programs patterned after HQID. We used HQID data from Year 1 and CMS’ Hospital Compare data to address the following questions:
- How accurately can we expect to identify “true performance scores” for hospitals participating in HQID?
- What unintended consequences might arise in a system that establishes rewards and penalties based on relative performance when relative performance is measured with substantial variation in accuracy