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Quality Assurance

Healthcare report cards may increase disparities in bypass operations

Published in Health and Medicine Week, April 4th, 2005

Medical "report cards" intended to improve the quality of healthcare may sometimes reduce it for racial and ethnic minorities, according to a new report.

Several states began publishing coronary artery bypass graft (CABG) report cards in the 1990s in an effort to improve the quality of CABG care in those states. Report cards are a state-level initiative, typically administered by a state's Department of Health.

These report cards report risk-adjusted death rates for surgeons and hospitals that perform CABG surgery. They are designed to improve quality by enabling patients to select high-quality providers and giving providers benchmarks and incentives...

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