By Paul E. Torgensen

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Plotting fibrinolytic therapy versus 30-day AMI readmissions is an example of this. On the cost side, one could analyze case mix adjusted length of stay versus the overall cost per admission to determine if length of stay is a predictor of costs. Over time, if length of stay decreases, one would expect the overall cost per case mix adjusted admission to decrease. Payment Incentives and Underlying Data Payment Incentives When using hospital performance measures, payment incentives, whether for hospitals or for other providers, can impact cost and quality.

Data surrounding physician performance are finally reflecting that reality. It is aligning the industry understanding of quality with the way patients have always understood it: at the individual physician level. Rather than solely focusing on institutional outcomes, consumers—along with the Centers for Medicare & Medicaid Services—are turning the spotlight on physician outcomes, and on comparing the fundamental differences between the expertise and experience of physicians who perform the same types of procedures.

2010;363:2477–81. 14. html. 15. Montemurro F, Mittica G, Cagnazzo C, Longo V, Berchialla P, Solinas G, et al. Self-evaluation of adjuvant chemotherapy-related adverse effects by patients with breast cancer. JAMA Oncol. 2016;2(4):445–52. 16. com/conferences/aha2015/ticagrelor-results-suggest-patients-decide-whatsa-serious-event. 17. Haynes AB, Weiser TG, Berry W, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491–9. 18. org/surgeons/.

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