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Decision Analysis for Healthcare Managers
Farrokh Alemi, PhD
David H. Gustafson, PhD

Chapter 12: Benchmarking Clinicians
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Companion Items

In questions 2 and 3 of the Review What You Know section on page 316, “What is the expected cost” should read “What is the expected length of stay.”
Sample Rapid-Analysis Exercises
R. S. contrasts the practice patterns of a psychologist and psychiatrist in treating depression.
Cynthia contrasts three clinicians in treating foot ulcers.
Learning Tools
Listen to a narrated presentation on benchmarking clinicians
Download slides on benchmarking clinicians
Download slides on how to present your data and provide feedback
Websites of Interest
List of articles on physician profiling
Additional Readings
Epstein, A. 1995. “Performance Reports on Quality—Prototypes, Problems, and Prospects.” New England Journal of Medicine 333 (1): 57–61. This article disucsses the prospects of a national reporting system on the quality of care that covers all patients.
Greco, P. J., and J. M. Eisenberg. 1993. “Changing Physicians' Practices.” New England Journal of Medicine 329 (17): 1271–74. What causes physicians to change the way they practice? This question is especially important today because physicians' decisions influence not only the health of their patients but also the cost of care. Thus, the ability to change physicians' practices could improve the quality of health care while controlling expenditures.
Welch, G. H., M. E. Miller, and W. P. Welch. 1994. “Physician Profiling—An Analysis of Inpatient Practice Patterns in Florida and Oregon.” New England Journal of Medicine 330 (9): 607–12. An example of analyzing the inpatient practice patterns of physicians in wide areas is found in this article. The authors found that Florida physicians used markedly more resource than their colleagues in Oregon.