Can Composite Measures Provide a Different Perspective on Provider Performance Than Individual Measures
Bibliographic Data
| ID | 9101034 |
|---|---|
| Authors | Michael Shwartz (0000-0003-4840-1682, Center for Health Optimization and Implementation Research, corresponding author), Amy K Rosen (0000-0002-7539-7749, Center for Health Optimization and Implementation Research, corresponding author), James Burge (0000-0002-6646-7071, VA Boston Healthcare System, corresponding author), James F Burgess (Center for Health Optimization and Implementation Research) |
| Year | 2017 |
| Volume | 55 |
| Issue | 12 |
| Pages | e99-e103 |
| Publication date | 2017-12-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000407 |
| PMID | 26225449 |
| OpenAlex | W2324802238 |
| Language | EN |
| References cited | 3 |
BACKGROUND: Composite measures, which aggregate performance on individual measures into a summary score, are increasingly being used to evaluate facility performance. There is little understanding of the unique perspective that composite measures provide. OBJECTIVE: To examine whether high/low (ie, high or low) performers on a composite measures are also high/low performers on most of the individual measures that comprise the composite. METHODS: We used data from 2 previous studies, one involving 5 measures from 632 hospitals and one involving 28 measures from 112 Veterans Health Administration (VA) nursing homes; and new data on hospital readmissions for 3 conditions from 131 VA hospitals. To compare high/low performers on a composite to high/low performers on the component measures, we used 2-dimensional tables to categorize facilities into high/low performance on the composite and on the individual component measures. RESULTS: In the first study, over a third of the 162 hospitals in the top quintile based on the composite were in the top quintile on at most 1 of the 5 individual measures. In the second study, over 40% of the 27 high-performing nursing homes on the composite were high performers on 8 or fewer of the 28 individual measures. In the third study, 20% of the 61 low performers on the composite were low performers on only 1 of the 3 individual measures. CONCLUSIONS: Composite measures can identify as high/low performers facilities that perform "pretty well" (or "pretty poorly") across many individual measures but may not be high/low performers on most of them
Categorization · Composite indicator · Econometrics · Perspective (graphical) · Computer Science · Frailty in Older Adults · Geriatric Care and Nursing Homes · Heart Failure Treatment and Management · Mathematics · Medicine · Psychology
| Citation velocity | historical |
|---|---|
| Highly cited | No |