Circulation: Cardiovascular Quality and Outcomes
Lauren Gilstrap, MD, MPH, Jonathan S. Skinner, PhD, Barbara Gladders, MS, A. James O’Malley, PhD, Amber E. Barnato, MD,MPH, Anna N. A. Tosteson, ScD, Andrea M. Austin, PhD
To combat the high cost and increasing burden of quality reporting, the Medicare Payment Advisory (MedPAC) has recommended using claims data wherever possible to measure clinical quality. In this article, we use a cohort of Medicare beneficiaries with heart failure with reduced ejection fraction and existing quality metrics to explore the impact of changes in quality metric methodology on measured quality performance, the association with patient outcomes, and hospital rankings.