## Benchmarking & Clinician Profiles## Assigned ReadingUse data balancing to benchmark clinicians (use instructor's last name as password) Read► ## Presentations## Assignments
- What is the expected length of stay for each of the clinicians?
- What is the expected length of stay for Dr. Smith if he were to take care of patients of Dr. Jones?
- What is the expected length of stay for Dr. Jones if he were to take of patients of Dr. Smith?
- Regress "Cared for by Dr. Smith" on the HCC and other patient charcteristics. What type of patients are more likely to be cared for by Dr. Smith. Regression Results►
- Using regression results, identify which variables are likely to be in the Markov Blanket of the variable "Cared for by Dr. Smith".
- Use SQL to determine if the clinician is more efficient than his peer group. SQL► Mai's Teach One►
- Check that all variables are positively and monotonely related to prevalence of diabetes in the county. Monotone?►
- Assign a binary variable to each variable in such a manner that when the variable is 1, diabetes is more likely.
- Drop from analysis covariates that are not parents on Markov
Blanket of diabetes. Accomplish this task using the following
steps:
- Regress diabetes on all variables (with no interaction terms in the model), identify variables that are signficant predictors of diabetes and have a large effect size
- Do a second regression, verifying that no interaction terms that involve the signficant variables are predictors of diabetes (have a statistically signficant and large effect size). Include on the list of parents of Markov Blanket, any variable whose interactions is predictive of diabetes.
- Calculate the impact of access to food sources on diabetes, while controlling for other variables. Accomplish this task by stratifying the variables identified as parents in the Markov Blanket, then switch the distribution of controls (low-diabetic counties) with distribution of cases (high diabetic counties).
- Report overlap and impact of food access on diabetes.
- Use of synthetic cases. In the database there are not 30 cases with these two disabilities and 80 years of age. Therefore, we would like you to estimate the survial days using synthetic case outcomes. You can create a synthetic case from 80 year olds who are unable to walk and residents who are unable to toilet.
- Use of closest frequent strata. Stratify the data, using age, gender, and disabilities. Identify partial match as strata in which patients have less disabilities as the target patient. Identify excess match as strata in which patient has more disabilities than the target patient. Calculate the patient's mortality rate as the average of maximum of partial matches and minimum of excess matches. SQL►
Use the following dictionay of variables to create a header for the data. Data► Adel's Teach One►
## More- Practice profiling PubMed►
- Importance of risk adjustment in measuring performance in primary care PubMed►
Prepared by Farrokh Alemi, Ph.D. This page is part of the course on Statistical Process Improvement |