Department of Health Services Research & Policy
Seminar
Thursday 15th November
Time: 16.00-17.00
Venue: Faculty Meeting Room (G09), Tavistock Place
Relatively poor or exceptionally poor? Alternative methods for rating healthcare performance
Speaker: Jenny Neuberger
How does quality management work, and: does it work?"
Speaker: Oliver Groene
Abstracts
Relatively poor or exceptionally poor? Alternative methods for rating healthcare performance (Jenny Neuberger)
In healthcare regulation, standard methods for detecting poorly performing hospitals have been designed on the assumption that the majority of hospitals are average, and that there are a few outliers. In practice, there is often systematic variability in performance indicators between hospitals, known as overdispersion, and standard methods will detect a substantial proportion of outliers. We demonstrate the link between the amount of systematic variability, captured by the intra-class correlation (ICC), and the proportion of outliers. Statistical fixes for overdispersion have been proposed, but may not always be suitable, and can result in failure to detect a hospital with poor performance.
How does quality management work, and: does it work?" (Oliver Groene)
Hospitals dedicate a lot of resources to quality management, yet little is known how their engagement in quality management can be assessed, to what extent hospitals actually implement quality management strategies and whether such engagement in quality management is related with improved processes and outcomes. This talk will explore these relationships, drawing on the results of the EU FP7 funded study “Deepening our understanding of quality improvement in Europe (DUQUE)”.
