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Ann Thorac Surg 2004;77:1964-1965
© 2004 The Society of Thoracic Surgeons

Invited commentary

Gary L. Grunkemeier, PhD

Medical Data Research Center Providence Health System 44785 NW Elk Mountain Rd Banks, OR 97106, USA

e-mail: gary.grunkemeier@providence.org

The first 20% of the full text of this article appears below.

Many cardiac surgery programs are undertaking internally driven initiatives for quality improvement, and most are experiencing external pressure for public reporting to document accountability. The common pathway to these related goals is data collection and risk modeling. Raw data is collected for each patient, and becomes converted by statistical procedures into "risk- adjusted" results for the provider, by incorporating the patient characteristics particular to that provider.

Some centers collect and produce risk models themselves, but most rely on models produced by others, usually by regional or national organizations which coordinate multi-institutional databases. This process is becoming a widespread and serious undertaking, and must be done very carefully and very well. The results influence the ranking and reputation of providers, and ultimately the . . . [Full Text of this Article]







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