5. Public Reporting as a Quality Improvement Strategy

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Author Year QA Dafny 2008 60 Fair Farley 2002 61 Good 11. Results: KQ1: (Health Care Outcomes) 12. Results: KQ2 (Harms) 13. Results: KQ3 (Provider Outcomes-QI and other behaviors) 14. Results KQ4: (Selection by Patients and Payers) 0.265 (NS) National affiliation: 0.117 (NS) Blue cross blue shield affiliation: 0.258 (NS) None None None Medicare enrollees were switching to high quality plans independent of the report cards during the period. A response to the report card is still found controlling for switching already happening. This effect is due to the CAHPS me<strong>as</strong>ure not the HEDIS me<strong>as</strong>ure. The coefficients on the best-care* post interaction variable are all significant at p
Author Year QA Farely 2002 62 Good 11. Results: KQ1: (Health Care Outcomes) 12. Results: KQ2 (Harms) 13. Results: KQ3 (Provider Outcomes-QI and other behaviors) 14. Results KQ4: (Selection by Patients and Payers) 2. Standardized CAHPS rating of plan selected: Int: -0.03 (1813), Con: 0.03 (1775) 3. Proportion selecting the dominant HMO: Int: 0.28 (1813), Con: 0.27 (1775) 3. Standardized CAHPS rating of selected plan, for those not selecting dominant HMO Int: 1.80 (1253), Con: 1.73 (1255) Receptive Subgroup: 1. Proportion choosing a plan: Int: 0.95 (334), Con: 0.96 (341) 2. Standardized CAHPS rating of plan selected: Int: 0.62# (318), Con: 0.00 (327) 3. Proportion selecting the dominant HMO: Int: 0.25# (318), Con: 0.32 (327) 3. Standardized CAHPS rating of selected plan, for those not selecting dominant HMO Int: 2.58** (232), Con: 1.81 (226) #p
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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
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of public reports have a wide range
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approaches to reducing bias in heal
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21. Young G. Multistakeholder regio
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60. Castle NG, Liu D, Engberg J. Th
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99. Knutson DJ, Kind EA, Fowles JB,
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141. Schneider EC, Epstein AM. Infl
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181. Scanlo DP, Chernew M, McLaughl
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222. Ketelaar NA, Faber MJ, Flottor
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Appendix A. Literature Search Datab
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CINAHL EBSCO Plus with Full Text Da
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EMBASE - Elsevier (1973-present) Da
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Public Affairs Information Service
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Full Text Review Include: Based on
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Appendix C. Included and Excluded S
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29. Castle NG, Sonon K, Antonova J.
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58. Gabel JR. When employers choose
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86. Hibbard JH, Peters E, Dixon A,
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117. Marshall M, Noble J, Davies H,
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145. Pettijohn TL, Lawrence ME. The
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174. Spranca MD, Elliott MN, Shaw R
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6. NCQA releases HEDIS 2.0 standard
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40. Pacific Business Group on Healt
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74. The effect of report cards on M
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110. MGMA addresses accuracy concer
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137. Applebaum R, Kunkel S, Wilson
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165. Barkauskas VH, Pohl JM, Benker
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193. Bindman AB, Wholey DR, Christi
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219. Bratzler DW. Development of na
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247. Caldwell B. Employers use perf
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275. Centre for R, Dissemination. P
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301. Chesanow N. Managed care 1999.
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329. Commonwealth Fund. Commission
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358. Daly JM, Jogerst GJ. Associati
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386. DeLiberty RN. Developing a pub
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412. Doty MM, Koren MJ, Sturla EL,
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439. Elliott MN, Beckett MK, Kanous
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467. Feeley TW, Fly HS, Albright H,
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494. French J. 2003 E.I. Hood Award
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522. Ginsburg PB, Kemper, N. M. Hea
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551. Graham JD. Is reporting of qua
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581. Gruber T, Rudnitsky B. Can we
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608. Hardingham L. Informed decisio
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633. Heidenreich PA, Lewis WR, LaBr
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660. Hodgson ES, Simpson L, Lannon
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689. Izakovic M. New trends in the
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718. Kakkar A, Jacobson BC. Interne
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747. Ketelaar N, Faber M, Flottorp
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772. . Importance of stratification
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800. Leonardi MJ, McGory ML, Ko CY.
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827. Livingston EH. Bariatric surge
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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) Mukamel 2002 49 (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
Page 495 and 496: Author Year (QA) Mukamel 2000 50 (F
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Page 499 and 500: Author Year (QA) Ranganathan 2009 5
Page 503 and 504: Author Year (QA) Werner 2005 53 (Go
Page 507 and 508: Author Year Barr 2008 144 1. Study
Page 509 and 510: Author Year Casalino 2007 146 1. St
Page 511 and 512: Author Year Fanjiang 2007 150 1. St
Page 513 and 514: Author Year Friedber g 2010 151 1.
Page 515 and 516: Author Year 1. Study Purpose and/or
Page 517 and 518: Author Year Longo 2003 119 1. Study
Page 519 and 520: Author Year Marshall 2006 154 Mayth
Page 521 and 522: Author Year 1. Study Purpose and/or
Page 523 and 524: Author Year Schneid er 1996 138 Con
Page 525 and 526: Author Year Schultz 2001 158 Stein
Page 527 and 528: Author Year QA Beaulieu 2002 56 Fai
Page 529 and 530: Author Year QA Chernew 2004 58 Fair
Page 531 and 532: Author Year QA Farley 2002 62 Good
Page 533 and 534: Author Year QA Hendricks 2009 66 Po
Page 535 and 536: Author Year QA 1. Study Purpose and
Page 541 and 542: Author Year QA Beaulieu 2002 56 Fai
Page 543 and 544: Author Year QA Chernew 2004 58 Fair
Page 545: Author Year QA 11. Results: KQ1: (H
Page 549 and 550: Author Year QA Fowles 2000 63 Good
Page 555 and 556: Author Year QA Jung 2010 68 Good Kn
Page 557 and 558: Author Year QA 11. Results: KQ1: (H
Page 559 and 560: Author Year QA Pham 2002 73 Good 11
Page 561 and 562: Author Year QA Tae-Seale 2004 76 Fa
Page 563 and 564: Appendix M. Health Plans: Qualitati
Page 565 and 566: Author Year Farley-Short 2002 162 1
Page 567 and 568: Author Year Gabel 1998 163 1. Study
Page 569 and 570: Author Year Gibbs 1996 164 1. Study
Page 571 and 572: Author Year 1. Study Purpose 2. Geo
Page 573 and 574: Author Year Harris- Koejetin 2000 1
Page 575 and 576: Author Year Hibbard 1997 171 1. Stu
Page 583 and 584: Author Year Hibbard 2001 178 Hibbar
Page 585 and 586: Author Year 1. Study Purpose 2. Geo
Page 587 and 588: Author Year Paulsbo 2007 183 Peters
Page 589 and 590: Author Year Rosenthal 2007 186 1. S
Page 591 and 592: Author Year Scanlon 2001 188 1. Stu
Page 593 and 594: Author Year Spranca 2000 190 1. Stu
Page 595 and 596: 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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Author Year 1. Study Purpose 2. Geo
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Author Year 1. Study Purpose 2. Geo
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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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5. Public Reporting as a Quality Improvement Strategy

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