Using a large data set, Lucas et al1 studied the importance of appropriate risk adjustment when applying performance measures in payment and accountability programs. Despite limited variation in readmissions for colorectal cancer, a readmission rate of 12.3% should encourage all of us to strive to get below 10%. It is about improvement and accountability in payment and public reporting. The hierarchical logistic regression model used found variations in age, race, procedure, and comorbidities. Risk-adjusted readmission odds ratios revealed risks shared by all hospitals in these specific groups of variables. They also point to areas in need of focused improvements.
Opelka FG. It Is More Than Payment Accountability: It Is About Improvement, Too. JAMA Surg. 2014;149(12):1278. doi:10.1001/jamasurg.2014.994
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