TY - JOUR
T1 - Measuring Value in Internal Medicine Residency Training Hospitals Using Publicly Reported Measures
AU - Schickedanz, Adam
AU - Gupta, Reshma
AU - Arora, Vineet M.
AU - Braddock, Clarence H.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Graduate medical education (GME) lacks measures of resident preparation for high-quality, cost-conscious practice. The authors used publicly reported teaching hospital value measures to compare internal medicine residency programs on high-value care training and to validate these measures against program director perceptions of value. Program-level value training scores were constructed using Centers for Medicare & Medicaid Services Value-Based Purchasing (VBP) Program hospital quality and cost-efficiency data. Correlations with Association of Program Directors in Internal Medicine Annual Survey high-value care training measures were examined using logistic regression. For every point increase in program-level VBP score, residency directors were more likely to agree that GME programs have a responsibility to contain health care costs (adjusted odds ratio [aOR] 1.18, P =.04), their faculty model high-value care (aOR 1.07, P =.03), and residents are prepared to make high-value medical decisions (aOR 1.07, P =.09). Publicly reported clinical data offer valid measures of GME value training.
AB - Graduate medical education (GME) lacks measures of resident preparation for high-quality, cost-conscious practice. The authors used publicly reported teaching hospital value measures to compare internal medicine residency programs on high-value care training and to validate these measures against program director perceptions of value. Program-level value training scores were constructed using Centers for Medicare & Medicaid Services Value-Based Purchasing (VBP) Program hospital quality and cost-efficiency data. Correlations with Association of Program Directors in Internal Medicine Annual Survey high-value care training measures were examined using logistic regression. For every point increase in program-level VBP score, residency directors were more likely to agree that GME programs have a responsibility to contain health care costs (adjusted odds ratio [aOR] 1.18, P =.04), their faculty model high-value care (aOR 1.07, P =.03), and residents are prepared to make high-value medical decisions (aOR 1.07, P =.09). Publicly reported clinical data offer valid measures of GME value training.
KW - cost-effectiveness
KW - graduate medical education
KW - quality
KW - value
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U2 - 10.1177/1062860618767312
DO - 10.1177/1062860618767312
M3 - Article
C2 - 29637791
AN - SCOPUS:85045270463
VL - 33
SP - 604
EP - 613
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
SN - 1062-8606
IS - 6
ER -