6th CEN Conference

Session

TC5: Statistical issues in health care provider comparisons

21 May 2026, 13:45

Room 1 B

Conveners

TC5: Statistical issues in health care provider comparisons

• Johannes Rauh (IQTIG)

42. Causal Inference for Healthcare Profiling in Low-Event Settings

Sharon-lise Normand (Harvard Medical School)

21/05/2026, 13:45

oral presentation

In healthcare provider profiling, accurately assessing hospital performance is crucial for informed decision-making and quality improvement. Traditional approaches rely heavily on parametric regression models for risk adjustment, but these methods often fail to account for between-center heterogeneity and may produce biased estimates, especially in the presence of low event rates or small...

36. Measuring performance for end-of-life care

Sebastien Haneuse (Harvard T.H. Chan School of Public Health)

21/05/2026, 14:03

oral presentation

Although not without controversy, readmission is entrenched as a hospital quality metric with statistical analyses generally based on fitting a logistic-Normal generalized linear mixed model. Such analyses, however, ignore death as a competing risk, although doing so for clinical conditions with
high mortality can have profound effects; a hospital’s seemingly good performance for readmission...

34. Timely yearly assessment of follow-up outcomes using a period-based survival data approach

Lisa Steyer (Federal Institute for Quality Assurance and Transparency in Healthcare)

21/05/2026, 14:21

oral presentation

Quality assessment in healthcare frequently relies on quality indicators based on follow-up data tracking patient outcomes after treatment. However, conventional cohort-based indicators require complete follow-up, which can result in substantial lag between data collection and analysis. To enable more timely yearly assessment, we propose a period-based approach, in which all data collected...

52. Improved predictions of quality of care indicators in the tail of its distribution

Els Goetghebeur (Ghent University)

21/05/2026, 14:39

oral presentation

Improved predictions of quality of care indicators in the tail of its distribution

Els Goetghebeur, Ghent University

Standard mixed methods have been popular for evaluating performance across care centers in terms of indicators that summarize residents’ outcomes. Their results tend to lack power, however, for the detection of poor performance [1]. This stems from regression to the...

56. Comparing the usefulness of patient and clinician reported outcomes measures to compare providers of arthroscopic rotator cuff repair – Methodological considerations

Werner Vach (Basel Academy for Quality and Research in Medicine)

21/05/2026, 14:57

oral presentation

Background: There is an increasing interest in making use of patient reported outcome measures for provider comparisons, However, guidance on the choice of outcomes and selection of variables for case-mix adjustment for specific patient groups is lacking.

Material: In the ACRF-pred study 973 patients from 19 different clinics were followed after arthroscopic rotator cuff repair for 24...