Resources for Risk Modeling and Provider Profiling Methodology

• Overview
• Problems with O/E Ratios (see the comment I added beside Table 2). See also this, this, and this
• Categorization obscures confounding
• Rating the raters: An evaluation of publicly reported hospital quality rating systems 2019-08-14
  Note: the report is statistically naive, especially in the section on reporting small volume hospitals
• Example Bayesian provider profiling by VUMC Department of Biostatistics for the national neurosurgery Quality Outcomes Database (uses random effects for surgical practices)
• Effect of using more sensitive measures of predictive discrimination than the c-index
• Statistical methods articles for provider profiling and building risk models for same
• Key Links for Unified Models Should be Used Instead of Observed:Expected Ratios
  • Christiansen and Morris
  • Normand, Glickman, and Gatsonis
  • Dimick, Staiger, and Birkmeyer
  • Zenios et al
  • van de Mheen and Shojania
  • Hofer et al
  • Jones and Spiegelhalter
  • Ohlssen, Sharples, and Spiegelhalter
  • Normand et al
• Reporting for Particular Diseases/Procedures
• Congenital Heart Surgery
• 2015 updates to STS congenital heart surgery risk model
• 2019 updates to STS congenital heart surgery risk model
• UK Children's Heart Surgery public reporting; web design; risk model methods

Links for More Information

• Articles and web resources about provider profiling andrisk adjustment
• Statistical issues in assessing hospital performance by the Committee of Presidents of Statistical Societies
• Discussion board