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Previous Volume 338:983-987 April 2, 1998 Number 14 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The era of "scorecard" cardiovascular medicine has arrived.¹ New York was a pioneer in this field with its annual reports on mortality rates among patients undergoing coronary bypass surgery performed by various providers. In Pennsylvania, Colorado, and California, state agencies have compared hospital-specific mortality rates among patients with acute myocardial infarction. Regional coalitions of purchasers of health insurance have published, or are preparing to publish, similar reports in Cleveland, St. Louis, and Detroit. As managed-care organizations negotiate lower prices for medical services, report cards will become increasingly important to ensure that the quality of care does not suffer. These reports . . . [Full Text of this Article]

Identification of Patients

Identification of Physicians

Risk Adjustment

Complications versus Coexisting Conditions

Variations in Coding

The Potential for "Gaming"

Admission Severity Group

Transferred Patients

Conclusions

Address reprint requests to Dr. Jollis at Box 3254, Duke University Medical Center, Durham, NC 27710.

References

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