The Prioritization Project will use existing detailed administrative data from 42 U.S. children's hospitals in the Pediatric Health Information System as well as over 600 hospitals in the Premier Perspectives database to identify pediatric hospital conditions that are prevalent and cumulatively expensive to the healthcare system, and that exhibit high degrees of variation in resource utilization. For a limited number of diagnoses, the Prioritization Project team will also seek explanations for extreme variation, both in terms of resource categories that may be driving variation (e.g. radiology, laboratory, or length of stay costs), and organizational factors associated with more cost-effective care (e.g. use of and adherence to clinical practice guidelines).
Specific tasks involved in the project include:
Extreme variation in resource utilization across hospitals for the same condition can be an indicator of opportunities for elucidation of best practices and standardization of care, which can result in improved outcomes and reduced costs. The information gained from this project will be used to guide PRIS in prioritizing those conditions that deserve the most urgent attention for future studies.
A Strategy for Prioritizing Pediatric Inpatient Comparative Effectiveness Research. Raj Srivastava, MD, MPH, Ron Keren, MD, MPH, Xianqun Luan, MS, Russell Localio, PhD, Dingwei Dai, MS, Lisa McLeod, MD, Matt Hall, PhD and for the PRIS NETWORK.