5. Public Reporting as a Quality Improvement Strategy

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179. Benko LB. Poor performance. Insurance group’s ratings system angers providers. Mod Healthc. 2005 Apr 4;35(14):10-1. PMID: 15825948. Exclusion reason: No outcome data 180. Berenbeim DM. Workshops: recommendations and plans of action for meeting the HEDIS 2000 management of menopause measure. Am J Manag Care. 2000 Sep;6(14 Suppl):S761-4. PMID: 11184073. Exclusion reason: Background 181. Berendsen AJ, de Jong GM, Schuling J, et al. Patient’s need for choice and information across the interface between primary and secondary care: a survey. Patient Educ Couns. 2010 Apr;79(1):100-5. PMID: 19713065. Exclusion reason: Wrong topic 182. Berenson RA, Cassel CK. Consumer-driven health care may not be what patients needcaveat emptor. JAMA. 2009 Jan 21;301(3):321-3. PMID: 19155460. Exclusion reason: Background 183. Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. Health Policy. 2005 Dec;75(1):59-73. PMID: 16298229. Exclusion reason: Methods 184. Berger E. Consumers and hospital report cards: first efforts at definition. Hosp Q. 1999 Spring;2(3):40-6. PMID: 10538705. Exclusion reason: Wrong topic 185. Bergman R. Making the grade. Report cards will be used to measure the performance of health plans: how might they work? Hosp Health Netw. 1994 Jan 5;68(1):34-6. PMID: 8269004. Exclusion reason: No outcome data 186. Berlowitz DR, Rosen AK, Wang F, et al. Purchasing or providing nursing home care: can quality of care data provide guidance. J Am Geriatr Soc. 2005 Apr;53(4):603-8. PMID: 15817005. Exclusion reason: Wrong topic 187. Bernard, SL. Physicians’ views on hospital quality reporting and consumer use of quality data: Findings from a national survey of physicians. American Public Health Association; 2006 4-8 Nov; New Boston Convention and Exhibition Center, Boston, Massachusetts. Exclusion reason: Unable to obtain 188. Berry K. Legislative forum: Maryland HEDIS report card project. J Healthc Qual. 1995 Sep-Oct;17(5):32. PMID: 10144986. Exclusion reason: No outcome data 189. Bevan G. Is choice working for patients in the English NHS? BMJ. 2008;337:a935. PMID: 18689434. Exclusion reason: No outcome data 190. Beveridge RN. Creating value-focused healthcare delivery systems: Part three--Core competencies. J Oncol Manag. 1997 Nov-Dec;6(6):16-23. PMID: 10174597. Exclusion reason: Wrong topic 191. Bilimoria KY, Bentrem DJ, Stewart AK, et al. Lymph node evaluation as a colon cancer quality measure: a national hospital report card. J Natl Cancer Inst. 2008 Sep 17;100(18):1310-7. PMID: 18780863. Exclusion reason: PR as outcome 192. Bilimoria KY, Cohen ME, Merkow RP, et al. Comparison of outlier identification methods in hospital surgical quality improvement programs. J Gastrointest Surg. 2010 Oct;14(10):1600-7. PMID: 20824379. Exclusion reason: Methods C-26
193. Bindman AB, Wholey DR, Christianson JB. Physicians’ reports of their experience with health plan care management practices. Am J Manag Care. 2003 Jun;9 Spec No 2:SP100- 10. PMID: 12822719. Exclusion reason: Wrong topic 194. Birch S. DRGs U.K. style: a comparison of U.K. and U.S. policies for hospital cost containment and their implications for health status. Health Policy. 1988 Oct;10(2):143- 54. PMID: 10312718. Exclusion reason: Wrong topic 195. Bird CE, Fremont A, Wickstrom S, et al. Improving women’s quality of care for cardiovascular disease and diabetes: the feasibility and desirability of stratified reporting of objective performance measures. Womens Health Issues. 2003 Jul-Aug;13(4):150-7. PMID: 13678806. Exclusion reason: Methods 196. Birkmeyer NJ, Birkmeyer JD. Strategies for improving surgical quality--should payers reward excellence or effort? N Engl J Med. 2006 Feb 23;354(8):864-70. PMID: 16495401. Exclusion reason: No outcome data 197. Birkmeyer NJ, Share D, Campbell DA, Jr., et al. Partnering with payers to improve surgical quality: the Michigan plan. Surgery. 2005 Nov;138(5):815-20. PMID: 16291379. Exclusion reason: Wrong topic 198. Biro LA, Moreland ME, Cowgill DE. Achieving excellence in veterans healthcare--a balanced scorecard approach. J Healthc Qual. 2003 May-Jun;25(3):33-9. PMID: 12774646. Exclusion reason: Wrong topic 199. Birtcher KK, Pan W, Labresh KA, et al. Performance achievement award program for Get With The Guidelines--Coronary Artery Disease is associated with global and sustained improvement in cardiac care for patients hospitalized with an acute myocardial infarction. Crit Pathw Cardiol. 2010 Sep;9(3):103-12. PMID: 20802262. Exclusion reason: Wrong topic 200. Bisaha J. View finder. With Hospital Consumer Assessment of Health Care Provider and Systems data, hospitals can understand care from the patient’s perspective. Mark Health Serv. 2007 Fall;27(3):21-5. PMID: 17896638. Exclusion reason: No outcome data 201. Bittle LJ, Bloomrosen M. QA, RM and UM functions require coordinated information management. J Qual Assur. 1990 Feb-Mar;12(1):14-9, 42. PMID: 10106367. Exclusion reason: Wrong topic 202. Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1). PMID: 21267058. Exclusion reason: Background 203. Blackwell B, Eilers K, Robinson D, Jr. The consumer’s role in assessing quality. Handbook of quality management in behavioral health. Dordrecht, Netherlands: Kluwer Academic Publishers; Netherlands; 2000:375-86. Exclusion reason: Background 204. Boerner CM. Aging Population Means More Focus on Nursing Home Compliance Programs. J Health Care Compliance. 2008;10(5):33-4. Exclusion reason: Wrong topic 205. Bolsin S, Freestone L. Report cards and performance monitoring. Informed consent and clinician accountability: The ethics of report cards on surgeon performance. New York, NY: Cambridge University Press; US; 2007:91-105. Exclusion reason: Background C-27
Page 1 and 2:
Evidence Report/Technology Assessme
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This report is based on research co
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Acknowledgments We would like to ac
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Public Reporting as a Quality Impro
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Tables Table A. Summary Evidence Ta
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and using reports and other decisio
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• Outcomes (specified for each Ke
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Methods A Technical Expert Panel fo
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setting), and the strength of the b
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Table A. Summary evidence table: ef
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was at the time the included studie
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6. Hibbard JH, Sofaer S. Best Pract
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access to essential information and
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providers, for purposes of this rev
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information and reduces comprehensi
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Methods Topic Nomination and Develo
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Table 1. Public reporting concepts
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• The public reporting was only a
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• Key Question 2. Harms included
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were retained, but they were not as
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Data Extraction Following full text
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Data Synthesis We separated studies
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Results Organization The results of
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Overview of Effectiveness of Public
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Access restrictions. It was unclear
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o The results of two studies sugges
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Key Question 5 What characteristics
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Long-term care • Studies that exa
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Harms (Key Question 2) • Two 52,6
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eport known as QualityCounts was pr
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Table 1. Study findings: hospital c
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o One study found that patients tre
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condition found declines for CHF (7
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developed (HCAHPS) and public repor
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Key Question 6. Context Two studies
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• Survey responses of hospitals i
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activity would influence hospital c
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Lab-Type Experiments The two articl
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Table 3. Summary of evidence: publi
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Individual Clinicians and Outpatien
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public reports influenced the contr
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New York State to trends in other S
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One study evaluated use of a Web si
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Patients. Patient reactions to publ
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Table 4. Summary of evidence: quali
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Table 4. Summary of evidence: Quali
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Health Plans Rating and reporting o
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The public reporting intervention i
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that included adjustment for severa
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Key Question 6. Context Five studie
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about patient-physician relationshi
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CAHPS results. Credibility of the r
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Long-Term Care Services Prior syste
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o Improvement in one QM (influenza
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studies that examined change and tr
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Table 6. Study findings: change in
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ehospitalizations for these patient
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improvements in the pain measure we
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Werner et al. 107 2012 included ext
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Table 7. Summary of evidence: long-
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Figure 3. Number of included quanti
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suggests the possibility that addit
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Table 8. Summary evidence table: Ef
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literature sources that we were abl
Page 155 and 156: of public reports have a wide range
Page 157 and 158: approaches to reducing bias in heal
Page 159 and 160: 21. Young G. Multistakeholder regio
Page 161 and 162: 60. Castle NG, Liu D, Engberg J. Th
Page 163 and 164: 99. Knutson DJ, Kind EA, Fowles JB,
Page 165 and 166: 141. Schneider EC, Epstein AM. Infl
Page 167 and 168: 181. Scanlo DP, Chernew M, McLaughl
Page 169 and 170: 222. Ketelaar NA, Faber MJ, Flottor
Page 171 and 172: Appendix A. Literature Search Datab
Page 173 and 174: CINAHL EBSCO Plus with Full Text Da
Page 175 and 176: EMBASE - Elsevier (1973-present) Da
Page 177 and 178: Public Affairs Information Service
Page 179 and 180: Full Text Review Include: Based on
Page 181 and 182: Appendix C. Included and Excluded S
Page 183 and 184: 29. Castle NG, Sonon K, Antonova J.
Page 185 and 186: 58. Gabel JR. When employers choose
Page 187 and 188: 86. Hibbard JH, Peters E, Dixon A,
Page 189 and 190: 117. Marshall M, Noble J, Davies H,
Page 191 and 192: 145. Pettijohn TL, Lawrence ME. The
Page 193 and 194: 174. Spranca MD, Elliott MN, Shaw R
Page 195 and 196: 6. NCQA releases HEDIS 2.0 standard
Page 197 and 198: 40. Pacific Business Group on Healt
Page 199 and 200: 74. The effect of report cards on M
Page 201 and 202: 110. MGMA addresses accuracy concer
Page 203 and 204: 137. Applebaum R, Kunkel S, Wilson
Page 205: 165. Barkauskas VH, Pohl JM, Benker
Page 209 and 210: 219. Bratzler DW. Development of na
Page 211 and 212: 247. Caldwell B. Employers use perf
Page 213 and 214: 275. Centre for R, Dissemination. P
Page 215 and 216: 301. Chesanow N. Managed care 1999.
Page 217 and 218: 329. Commonwealth Fund. Commission
Page 219 and 220: 358. Daly JM, Jogerst GJ. Associati
Page 221 and 222: 386. DeLiberty RN. Developing a pub
Page 223 and 224: 412. Doty MM, Koren MJ, Sturla EL,
Page 225 and 226: 439. Elliott MN, Beckett MK, Kanous
Page 227 and 228: 467. Feeley TW, Fly HS, Albright H,
Page 229 and 230: 494. French J. 2003 E.I. Hood Award
Page 231 and 232: 522. Ginsburg PB, Kemper, N. M. Hea
Page 233 and 234: 551. Graham JD. Is reporting of qua
Page 235 and 236: 581. Gruber T, Rudnitsky B. Can we
Page 237 and 238: 608. Hardingham L. Informed decisio
Page 239 and 240: 633. Heidenreich PA, Lewis WR, LaBr
Page 241 and 242: 660. Hodgson ES, Simpson L, Lannon
Page 243 and 244: 689. Izakovic M. New trends in the
Page 245 and 246: 718. Kakkar A, Jacobson BC. Interne
Page 247 and 248: 747. Ketelaar N, Faber M, Flottorp
Page 249 and 250: 772. . Importance of stratification
Page 251 and 252: 800. Leonardi MJ, McGory ML, Ko CY.
Page 253 and 254: 827. Livingston EH. Bariatric surge
Page 255 and 256: 856. Mantone J. Massachusetts site
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882. Mazza G, Fazzi B. Five good re
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907. McKibben L, Horan T, Tokars JI
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935. Miller R, Lazar J. Public repo
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963. Morrison K. The road to JCAHO
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989. National Committee for Quality
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1017. O’Malley C. Quality measure
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1045. Peabody J. Why we love qualit
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1073. Qaseem A, Snow V, Gosfield A,
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1100. Robinowitz DL, Dudley RA. Pub
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1129. Roski J, Kim MG. Current effo
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1156. Sangl JA, Wolf LF. Role of co
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1183. Schull MJ, Guttmann A, Leaver
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1212. Shea JA, Guerra CE, Weiner J,
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1238. Simpson AG, DeGuzman PB, Barb
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1264. Sofaer S. What information do
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1292. Stewart DW, Hickson GB, Pechm
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1320. Tjia J, Field TS, Fischer SH,
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1346. Van Beek K, Duchemin S, Gersh
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1374. Weingarten JP, Jr., Fan W, Pe
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1401. Wiljer D, Bogomilsky S, Catto
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1426. Zaslavsky AM, Shaul JA, Zabor
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Appendix E. Description of Public R
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Table E1. Descriptive information a
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Table E1. Descriptive information a
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Appendix F. Method for Quality Asse
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the time periods actually prior to
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Application to Public Reporting Thi
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Table G1. Quality assessment criter
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Table G1. Quality assessment criter
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Section A Appendix H. Hospitals: Qu
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Table H1. Hospital quantitative stu
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Section B Table H2. C Hospital quan
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Author, Year (QA) Baker 2003 4 (Fai
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Author, Year (QA) Clough 2002 10 (F
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Author, Year (QA) Dranove 2003 13 (
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Author, Year (QA) Foreman 1995 16 (
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Author, Year (QA) Guru 2006 19 (Fai
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Author, Year (QA) Hibbard 2003 24 (
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Author, Year (QA) Jang 2011 28 (Fai
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Author, Year (QA) Mennemeyer 1997 3
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Author, Year (QA) Omoigui 1996 34 (
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Author, Year (QA) Pope 2009 36 (Fai
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Author, Year (QA) 9. Context: Decis
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Author, Year (QA) Vladeck 1988 42 (
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Author, Year (QA) Wuebker, 2008 45
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Table I1. Hospital qualitative stud
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Section B Table I2. Hospital qualit
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Author, Year 10. KQ3:Results 11. KQ
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Author, Year 10. KQ3:Results design
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Author, 15. Funder of Research/ Yea
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Regarding the least useful aspects,
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Section A Appendix J. Individual Pr
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Author Year (QA) Hannan 1994 21 (Go
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Author Year (QA) Mukamel 1998 33 (F
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Author Year (QA) Werner 53 2005 (Go
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Author Year (QA) Glance 2008 48 (Fa
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Author Year (QA) Hannan 1994 21 (Go
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Author Year (QA) Results: KQ1: (Hea
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Author Year (QA) Ranganathan 2009 5
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Author Year (QA) Werner 2005 53 (Go
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Author Year Barr 2008 144 1. Study
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Author Year Casalino 2007 146 1. St
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Author Year Fanjiang 2007 150 1. St
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Author Year Friedber g 2010 151 1.
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Author Year 1. Study Purpose and/or
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Author Year Longo 2003 119 1. Study
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Author Year Marshall 2006 154 Mayth
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Author Year 1. Study Purpose and/or
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Author Year Schneid er 1996 138 Con
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Author Year Schultz 2001 158 Stein
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Author Year QA Beaulieu 2002 56 Fai
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Author Year QA Chernew 2004 58 Fair
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Author Year QA Farley 2002 62 Good
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Author Year QA Hendricks 2009 66 Po
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Author Year QA 1. Study Purpose and
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Author Year QA Beaulieu 2002 56 Fai
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Author Year QA Chernew 2004 58 Fair
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Author Year QA 11. Results: KQ1: (H
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Author Year QA Farely 2002 62 Good
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Author Year QA Fowles 2000 63 Good
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Author Year QA Jung 2010 68 Good Kn
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Author Year QA 11. Results: KQ1: (H
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Author Year QA Pham 2002 73 Good 11
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Author Year QA Tae-Seale 2004 76 Fa
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Appendix M. Health Plans: Qualitati
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Author Year Farley-Short 2002 162 1
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Author Year Gabel 1998 163 1. Study
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Author Year Gibbs 1996 164 1. Study
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Author Year 1. Study Purpose 2. Geo
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Author Year Harris- Koejetin 2000 1
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Author Year Hibbard 1997 171 1. Stu
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Author Year Hibbard 2001 178 Hibbar
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Author Year Paulsbo 2007 183 Peters
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Author Year Rosenthal 2007 186 1. S
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Author Year Scanlon 2001 188 1. Stu
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Author Year Spranca 2000 190 1. Stu
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Author Year Teleki 2007 192 1. Stud
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Author Year Uhrig 2006 194 1. Study
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Section A Appendix N. Long-Term Car
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Author Year Jung 2010 85 Konetzka 2
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Author Year Werner 2009a 92 Werner
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Author Year Zinn 2010 99 1. Study P
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Author Year Castle 2007 79 Cont. 11
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Author Year Castle 2010 81 11. Resu
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Author Year Jung 2010 85 11. Result
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Author Year Mukamel 2008 86 Mukamel
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Author Year Park 2011 b 90 11. Resu
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Author Year Werner 2009 b 93 11. Re
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Author Year Werner 2010 94 Werner 2
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Author Year Zinn 2005 97 11. Result
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Author Year Zinn 2010 99 11. Result
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Appendix O. Long-Term Care: Qualita
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Author Year Castle 2005 197 1. Stud
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Author Year Gerteis 2007 198 1. Stu
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References 1. AHRQ. Methods Guide f
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36. Pope DG. Reacting to rankings:
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77. Wedig GJ, Tai-Seale M. The effe
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118. Laschober M, Maxfield M, Felt-
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157. Pettijohn TL, Lawrence ME. The
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198. Gerteis M, Gerteis JS, Newman
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