To the Editor Groeneveld et al1 explored variation in risk-standardized mortality for congestive heart failure and ischemic heart disease using administrative data across Veterans Affairs (VA) hospitals. The authors found significant variation in mortality across facilities, with nearly 2-fold differences in both disease states. These findings raise concerns given the VA’s goal to ensure high-quality care throughout the largest integrated health care system in the United States.
Valle JA, Schofield RS, Waldo SW. Ensuring Optimal Adjustment for Determinations of Institutional Quality. JAMA Cardiol. 2018;3(11):1129–1130. doi:10.1001/jamacardio.2018.3256
Cardiology in JAMA: Read the Latest
Customize your JAMA Network experience by selecting one or more topics from the list below.