This five-year project, which builds on work conducted by the participating institutions, will refine the ABC methodology of benchmarking, develop process-of-medical-care indicators, and feed back the results of the indicators. Refinement of the ABC methodology will involve process-of-care indicators for urinary tract infection (UTI), diabetes mellitus (DM), and screening for breast and cervical cancer. New process indicators will permit provider profiling across diverse settings (outpatient, inpatient, acute, chronic, preventive). Benchmarks are computed from a pooled database of those best-performing, rank-ordered providers that account for at least 10 percent of all patients. Benchmarks from varying levels (national, state, study participants) will be compared. Providers will be surveyed to determine the perceived value of profiles and benchmark comparisons. The evaluation will also assess changes in provider performance and in patient outcomes as a result of the feedback activity.
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| Kiefe, C I; Williams, O D; Lewis, C E et al. (2001) Ten-year changes in smoking among young adults: are racial differences explained by socioeconomic factors in the CARDIA study? Am J Public Health 91:213-8 |
| Allison, J J; Kiefe, C I; Weissman, N W et al. (2000) Relationship of hospital teaching status with quality of care and mortality for Medicare patients with acute MI. JAMA 284:1256-62 |
| Canto, J G; Allison, J J; Kiefe, C I et al. (2000) Relation of race and sex to the use of reperfusion therapy in Medicare beneficiaries with acute myocardial infarction. N Engl J Med 342:1094-100 |
