CORR Insights®: What Associations Exist Between Comorbidity Indices and Postoperative Adverse Events After Total Shoulder Arthroplasty?

摘要

The current trend toward value-based health care requires a focus on the quality of our outcomes and the costs paid to achieve those outcomes. Measuring quality is complex but remains the foundation for improvement. Numerous quality measures are currently being used in attempts to improve care, but also to hold clinicians and hospitals accountable via payment programs or ratings. Unfortunately, many measures may not be as meaningful as hoped, with their validity being scrutinized [ ]. In addition to being evidence-based, valid, and reliable, a meaningful measure must also have appropriate risk adjustment to account for differences in baseline patient characteristics [ , ].