A Five-Tier System for Improving the Categorization of Transplant Program Performance

Andrew Wey, Nicholas Salkowski, Bert L Kasiske, Ajay K. Israni, Jon J. Snyder

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Objective: To better inform health care consumers by better identifying differences in transplant program performance. Data Source: Adult kidney transplants performed in the United States, January 1, 2012–June 30, 2014. Study Design: In December 2016, the Scientific Registry of Transplant Recipients instituted a five-tier system for reporting transplant program performance. We compare the differentiation of program performance and the simulated misclassification rate of the five-tier system with the previous three-tier system based on the 95 percent credible interval. Data Collection: Scientific Registry of Transplant Recipients database. Principal Findings: The five-tier system improved differentiation and maintained a low misclassification rate of less than 22 percent for programs differing by two tiers. Conclusion: The five-tier system will better inform health care consumers of transplant program performance.

Original languageEnglish (US)
Pages (from-to)1979-1991
Number of pages13
JournalHealth services research
Volume53
Issue number3
DOIs
StatePublished - Jun 2018

Bibliographical note

Funding Information:
auspices of the Minneapolis Medical Research Foundation, contractor for the Scientific Registry of Transplant Recipients, as a deliverable under contract number HHSH250201500009C (US Department of Health and Human Services, Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation). As a U.S. Government–sponsored work, there are no restrictions on its use. The views expressed herein are those of the authors and not necessarily those of the U.S. Government. AKI was partially supported by R01 HS 24527. Disclosures: None. Disclaimer: None.

Funding Information:
Address correspondence to Andrew Wey, Ph.D., Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, 701 Park Avenue, Suite S4.100, Minneapolis, MN 55415. e-mail: awey@cdrg.org. Nicholas Salkowski, Ph.D., is with the Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN. Bertram L. Kasiske, M.D., is with the Department of Medicine, Hennepin County Medical Center, Minneapolis, MN, and Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN. Ajay K. Israni, M.D., M.S., is with the Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN; Department of Medicine, Hennepin County Medical Center, Minneapolis, MN, and Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN. Jon J. Snyder, Ph.D., is with the Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN, and Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN.

Funding Information:
Joint Acknowledgment/Disclosure Statement: This work was conducted under the auspices of the Minneapolis Medical Research Foundation, contractor for the Scientific Registry of Transplant Recipients, as a deliverable under contract number HHSH250201500009C (US Department of Health and Human Services, Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation). As a U.S. Government?sponsored work, there are no restrictions on its use. The views expressed herein are those of the authors and not necessarily those of the U.S. Government. AKI was partially supported by R01 HS 24527. Disclosures: None. Disclaimer: None.

Keywords

  • Rating system
  • transplant program performance

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