Risk Adjustment for Measuring Healthcare Outcomes / Edition 2

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Editorial Reviews

Doody's Review Service
Reviewer: Steven D. Hillson, MD, MSc (University of Minnesota Medical School)
Description: This edited book describes concepts and techniques for risk adjustment in measurement of health outcomes. It contains 11 chapters covering dimensions of risk, sources of risk-related data, how to develop and assess risk-adjustment methods for various outcomes, and comparison of outcomes across providers.
Purpose: The editor's purpose is "to introduce the issues underlying risk adjustment and to suggest important conceptual and methodological considerations in designing and evaluating a risk-adjustment strategy." There is great need for broader familiarity with these issues as public and private payers and care delivery systems attempt to improve their practices and compare them to one another. This book accomplishes its purpose very well.
Audience: This book should prove of great use to students and beginning researchers interested in understanding healthcare delivery and outcomes and to clinical and administrative leaders in insurance and healthcare delivery organizations seeking to evaluate themselves and to understand external evaluations. Selected chapters will be of value to students in medical, nursing, and public health fields concerned with explaining outcome variation or understanding the tools used in their professional literature. The authors bring great credibility to this work, having worked extensively in the development and application of the risk-adjustment tools they discuss.
Features: The book is structured much like a day-long workshop, taking the reader from introductory concepts through development, application, evaluation, and suggestions for use. It makes appropriate use of tables and figures. The language is clear and enjoyable to read. An especially valuable feature is the practical discussion and illustration of several risk assessment tools, including where these tools can be found, what sorts of data are required to use them, and what their relative strengths and weaknesses are. The book is well referenced and current.
Assessment: This is an excellent introductory text, substantially updating the previous edition. It should be on the desk of anyone who is early in a career focused on performing or understanding research in outcome of health care. It will be valuable for the more experienced individual who is moving from one focus and needs to be aware of important differences in risk assessment in a new area. It may be uniquely valuable to teachers and may come to be a standard text for graduate students in this area.
Steven D. Hillson
This edited book describes concepts and techniques for risk adjustment in measurement of health outcomes. It contains 11 chapters covering dimensions of risk, sources of risk-related data, how to develop and assess risk-adjustment methods for various outcomes, and comparison of outcomes across providers. The editor's purpose is "to introduce the issues underlying risk adjustment and to suggest important conceptual and methodological considerations in designing and evaluating a risk-adjustment strategy." There is great need for broader familiarity with these issues as public and private payers and care delivery systems attempt to improve their practices and compare them to one another. This book accomplishes its purpose very well. This book should prove of great use to students and beginning researchers interested in understanding healthcare delivery and outcomes and to clinical and administrative leaders in insurance and healthcare delivery organizations seeking to evaluate themselves and to understand external evaluations. Selected chapters will be of value to students in medical, nursing, and public health fields concerned with explaining outcome variation or understanding the tools used in their professional literature. The authors bring great credibility to this work, having worked extensively in the development and application of the risk-adjustment tools they discuss. The book is structured much like a day-long workshop, taking the reader from introductory concepts through development, application, evaluation, and suggestions for use. It makes appropriate use of tables and figures. The language is clear and enjoyable to read. An especially valuable feature is the practicaldiscussion and illustration of several risk assessment tools, including where these tools can be found, what sorts of data are required to use them, and what their relative strengths and weaknesses are. The book is well referenced and current. This is an excellent introductory text, substantially updating the previous edition. It should be on the desk of anyone who is early in a career focused on performing or understanding research in outcome of health care. It will be valuable for the more experienced individual who is moving from one focus and needs to be aware of important differences in risk assessment in a new area. It may be uniquely valuable to teachers and may come to be a standard text for graduate students in this area.
Booknews
Introduces risk-adjustment methodologies and strategies that can ensure meaningful comparisons of patients' outcomes. The second edition contains a new section on measuring performance of health plans, examples of four severity adjustment methods<-->Computerized Severity Index, Disease Staging, Mediqual System's Atlas, and Patient Management Categories<-->for pneumonia, acute myocardial infarction, stroke, and coronary artery bypass, and expanded information on race and ethnic background as a dimension of risk. Annotation c. by Book News, Inc., Portland, Or.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781567930542
  • Publisher: Health Administration Press
  • Publication date: 6/1/1997
  • Edition description: AMERICAN COLLEGE OF HEALTHCARE EXEC
  • Edition number: 2
  • Pages: 610

Table of Contents

List of Tables
List of Figures and Exhibits
Preface
1 Risk and Outcomes 1
2 Dimensions of Risk 43
3 Data Sources and Implications: Administrative Databases 169
4 Data Sources and Implications: Information from Medical Records and Patients 243
5 Developing Risk-Adjustment Methods 279
6 Validity of Risk-Adjustment Methods 331
7 Reliability of Risk-Adjustment Methods 365
8 Evaluating the Performance of Risk-Adjustment Methods: Continuous Outcomes 391
9 Evaluating the Performance of Risk-Adjustment Methods: Dichotomous Outcomes 427
10 Comparing Outcomes Across Providers 471
11 Risk Adjustment and Current Health Policy Initiatives 517
Index 597
List of Contributors 609
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