What question did this study set out to answer?

To develop and evaluate a clinical performance monitoring system that produces reliable state and national quality estimates for fee-for-service Medicare beneficiaries.

October 4, 2000JAMA

Quality of Medical Care Delivered to Medicare Beneficiaries

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Authors

SJStephen F. JencksUniversity of Baltimore TCTimothy CuerdonCenters for Medicare and Medicaid Services DBDale R. BurwenNational Institute of Allergy and Infectious Diseases

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Implication

Cross-sectional study reveals wide state-level variations in clinical care quality among Medicare fee-for-service beneficiaries, highlighting substantial opportunities for quality improvement.

Key Points

To develop and evaluate a clinical performance monitoring system that produces reliable state and national quality estimates for fee-for-service Medicare beneficiaries.
Analyzed national repeated cross-sectional observational data collected from 1997 to 1999 across all US states.
Evaluated 24 process-of-care measures across 6 major conditions (acute myocardial infarction, breast cancer, diabetes mellitus, heart failure, pneumonia, stroke) using medical record abstraction, claims data, and immunization surveys.
Median state performance on process-of-care measures ranged from 11% (pneumococcal immunization screening before pneumonia discharge) to 95% (avoidance of sublingual nifedipine for acute stroke), with an overall median performance of 69%.
Substantial geographic variation occurred across measures, with northeastern and less populous states consistently ranking higher in quality than southeastern and more populous states.

Cite This Study

Jencks et al. (2000) studied this question.

synapsesocial.com/papers/6a0fa2819e54838161fcfb71 https://doi.org/10.1001/jama.284.13.1670

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Implication

Cross-sectional study reveals wide state-level variations in clinical care quality among Medicare fee-for-service beneficiaries, highlighting substantial opportunities for quality improvement.

Quality of Medical Care Delivered to Medicare Beneficiaries

Discussion

Member takes

Implication

Key Points

Cite This Study

Quality of Medical Care Delivered to Medicare Beneficiaries

Discussion

Member takes

Implication

Key Points

Cite This Study

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