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Activity Number: 161 - Practical and Methodological Issues Related to Profiling Hospitals in the United States
Type: Topic Contributed
Date/Time: Monday, July 30, 2018 : 10:30 AM to 12:20 PM
Sponsor: Health Policy Statistics Section
Abstract #328802 Presentation
Title: Adjusting Quality Rankings for Patient Socioeconomic Characteristics
Author(s): Alan Zaslavsky*
Companies: Harvard University Medical School
Keywords: hospital quality; socioeconomic factors ; health care; multilevel models; multivariate methods

Adjusting hospital quality ratings for socioeconomic factors has been controversial on a number of grounds: policy, practical, principle, inferential and conceptual. This presentation will review these arguments. Focusing on our research on predictors of hospital readmissions, we will discuss methods for analyzing the joint influence of groups of quality predictors in a multilevel modeling framework. We conclude that there are good reasons to adjust, but the best policy outcomes require a broader consideration of incentives and distributional effects such quality adjustments.

Authors who are presenting talks have a * after their name.

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