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Editorials |

Assessing Quality of Care Using In-Hospital Mortality : Does It Yield Informed Choices?

Edward D. Sivak, MD; Mary A. M. Rogers, PhD
Author and Funding Information

Affiliations: Syracuse, New York 
 ,  Dr. Sivak is Chief, Division of Pulmonary and Critical Care, State University of New York Health Science Center. Dr. Rogers is Assistant Professor of Epidemiology, Department of Medicine, State University of New York Health Science Center.

Affiliations: Syracuse, New York 
 ,  Dr. Sivak is Chief, Division of Pulmonary and Critical Care, State University of New York Health Science Center. Dr. Rogers is Assistant Professor of Epidemiology, Department of Medicine, State University of New York Health Science Center.



Chest. 1999;115(3):613-614. doi:10.1378/chest.115.3.613
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The advent of federal initiatives to regulate the cost of health care has spawned efforts to measure the quality of such care. The implementation of Diagnostic Related Groups, the Omnibus Budget Reconciliation Act, and the use of outcomes research represent a process that has evolved from initial attempts to reduce cost to evaluations of the effectiveness of various health-care procedures and programs. The cooperative effort among physicians, providers, and payers that became the Cleveland Health Quality Choice (CHQC) project has been part of this evolution. Its purpose is to identify health-care institutions that provide quality health care so that insurers and patients can make informed decisions about medical care. Community-wide publication of evaluation results is an integral part of this effort. As such, the study by Sirio and colleagues in this issue of CHEST (see page 793) presents a notable analysis in this evolution.


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  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543