To the Editor.—Dr Iezzoni1
compared risk-adjustment methods for use with mortality outcomes and discussed
how we cannot live with them or without them. In doing so, the author revealed
apparent gaps in experience and understanding of current practices in quality
improvement that in fact misrepresent much of it. That work today may or may
not use risk-adjusted mortality outcomes, but it surely will include measures
of processes of care, which go largely ignored in her article.
Huff ED. Risk Adjustment, Quality Assessment, and Process of Care. JAMA. 1998;279(12):910-911. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-12-jbk0325