ahrq-gov/archive.ahrq.gov/research/findings/final-reports/efficiency/hcemappg2.html
2025-02-28 14:14:25 -05:00

236 lines
44 KiB
HTML

<!doctype html>
<!--[if lt IE 7]> <html class="no-js lt-ie9 lt-ie8 lt-ie7" lang="en"> <![endif]-->
<!--[if IE 7]> <html class="no-js lt-ie9 lt-ie8" lang="en"> <![endif]-->
<!--[if IE 8]> <html class="no-js lt-ie9" lang="en"> <![endif]-->
<!-- Consider adding a manifest.appcache: h5bp.com/d/Offline -->
<!--[if gt IE 8]><!--> <html class="no-js" lang="en"> <!--<![endif]-->
<head>
<meta charset="utf-8">
<meta name="perc_linkback" id="perc_linkback" content="FmZjZG1jeAdmeAFjZ2x4BmZnYHgTZ2JtZGE="/> <!-- Use the .htaccess and remove these lines to avoid edge case issues. More info: h5bp.com/i/378 -->
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
<title>Appendix G (continued): Characteristics of Health Care Efficiency Measures Published in Peer-Reviewed Literature [1982-2006] | AHRQ Archive</title>
<meta name="title" content="Appendix G (continued): Characteristics of Health Care Efficiency Measures Published in Peer-Reviewed Literature [1982-2006] | AHRQ Archive">
<meta name="description" content="This Medicaid Care Management Guide reflects the experiences of the initial 13 Learning Network States.">
<!-- Mobile viewport optimized: h5bp.com/viewport -->
<meta name="viewport" content="width=device-width">
<!-- link rel="stylesheet" href="/css/style.css" -->
<!-- More ideas for your <head> here: h5bp.com/d/head-Tips -->
<!-- All JavaScript at the bottom, except this Modernizr build.
Modernizr enables HTML5 elements & feature detects for optimal performance.
Create your own custom Modernizr build: www.modernizr.com/ -->
<script src="/js/libs/modernizr-2.5.3.min.js"></script>
<!-- "metadata" -->
<meta name="keywords" content="Agency for Health Care Policy and Research, Agency for Healthcare Research and Quality, AHRQ, AHCPR, access, adverse outcomes, ambulatory care, benchmark, best practices, blood clots, CAHPS, case studies, chronic care, complication, conditions, Consumer Assessment of Health Plans, disparities, error, HAI, health cost, hepatitis, hospital procedure, health care-associated infections, indicators, infection, insurance, measures, medical errors, methodology, nursing, patient care, patient safety, performance measure, quality, study, survey, thrombosis, treatment, urgent care" />
<meta name="creator" content="Agency for Healthcare Research and Quality (AHRQ)">
<meta name="datecreated" content="September 2012">
<meta name="datereviewed" content="November 2014">
<meta name="language" content="en-us">
<!-- end="metadata" -->
<link rel="stylesheet" href="/css/archive.css">
<link rel="stylesheet" href="/css/ahrqstyleprint_arch.css" media="print">
<script>
(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
})(window,document,'script','//www.google-analytics.com/analytics.js','ga');
ga('create', 'UA-75759936-1', 'auto');
ga(' set', 'anonymizeIp', true);
ga('send', 'pageview');
</script></head>
<body><!-- Google Tag Manager -->
<noscript><iframe src="//www.googletagmanager.com/ns.html?id=GTM-W4DST4"
height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
<script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
'//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
})(window,document,'script','dataLayer','GTM-W4DST4');</script>
<!-- End Google Tag Manager -->
<!-- Prompt IE 6 users to install Chrome Frame. Remove this if you support IE 6.
chromium.org/developers/how-tos/chrome-frame-getting-started -->
<!--[if lt IE 7]><p class=chromeframe>Your browser is <em>ancient!</em> <a href="http://browsehappy.com/">Upgrade to a different browser</a> or <a href="http://www.google.com/chromeframe/?redirect=true">install Google Chrome Frame</a> to experience this site.</p><![endif]-->
<!-- Add your site or application content here -->
<noscript>Your browser doesn't support JavaScript. Please upgrade to a modern browser or enable JavaScript in your existing browser.</noscript>
<!-- Page Header v2.0 --><!--Begin Banner CodeS-->
<div id="ahrqbanner">
<div class="hhsportion" id="top" name="top">
<a class="skipnav" href="#h1">Skip Navigation</a>
<a title="Archive: U.S. Department of Health and Human Services" href="http://archive.hhs.gov/"><img border="0" alt="Archive: U.S. Department of Health and Human Services" src="/images/hhs_banner_arch.gif" width="376" height="49"></a>
<a class="hhsright" title="U.S. Department of Health and Human Services" href="http://www.hhs.gov/"><img alt="U.S. Department of Health and Human Services" src="/images/hhs_link_arch.gif" width="127" height="41"></a>
</div>
<div class="ahrqportion">
<a title="Archive: Agency for Healthcare Research Quality" href="/"><img border="0" alt="Archive: Agency for Healthcare Research Quality" src="/images/ahrq_banner_arch.jpg" width="566" height="69"></a>
<form id="banner_searchform" method="get" name="searchForm" action="https://search.ahrq.gov/search">
<label style="Z-INDEX: -1; POSITION: relative; FONT-SIZE: 0px; MARGIN-RIGHT: -65px" for="search">Search</label>
<input id="search" class="gotext" onfocus="this.value='';" value=" Search Archive" size="11" type="text" name="q" label="Search archive"/>
<input type="hidden" name="siteDomain" value="archive.ahrq.gov">
<input class="gobtn" onclick="javascript:document.searchForm.submit();" alt="Search" src="/images/topbn_GoButton.gif" type="image" name="Submit"/>
</form><a class="ahrqright" title="AHRQ Home—Live Site" href="http://www.ahrq.gov">www.ahrq.gov</a>
</div>
<div class="ahrqlinks">
<a href="https://www.ahrq.gov/">AHRQ Home—Live Site</a> | <a href="/">Archive Home</a> | <a href="/sitemap.htm">Site Map</a>
</div>
</div>
<div id="PrintBanner"><img alt="Archival print banner" src="/images/printbanner_arch.jpg"/></div><a id="h1" name="h1"></a><!-- End of Page header -->
<!-- Content Body -->
<div id="mainContent">
<!-- Main Content -->
<!-- Center Content section -->
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr valign="top">
<td width="70%">
<!-- Center Content section -->
<table style="margin-left: 10px; margin-right: 10px; margin-top: 5px;" summary="This table gives the layout format of the bread crumb area and the center content area." border="0" cellpadding="0" cellspacing="0" width="100%">
<!--DWLayoutTable-->
<tbody><tr>
<td class="crumb_link"><div id="crumbContent">
</span></p>
</div>
</td>
</tr>
<tr>
<td>
<div id="centerContent">
<div class="headnote">
<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information.</p>
<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p>
</div>
<!-- T:ahrqPgPublication -->
<div role="main" id="page-container">
<div id="breadcrumb-container">
<div id="breadcrumbs" class="container_12">
<!-- T:SnBreadcrumbs -->
</div>
</div>
<div id="toolbar-container">
<div id="pub-toolbar" class="container_12">
<!-- T:ahrqSnPubNav -->
<div id="prev-next-buttons">
</div>
<div id="pub-utility-buttons">
<ul id="utility-groups">
<li class="utility content-button">
<a href="#" class=""><span>Table of Contents</span></a>
<div class="toc-dropdown">
<div class="arrow-up"></div>
<div class="toc-content">
</div>
</div>
</li>
<li class="utility download-button"><a href="#"><span>Download</span></a><div class="dl-dropdown"><div class="arrow-up"></div><div class="dl-content"><ul><li>
<span><a href="/research/findings/final-reports/efficiency/efficiency.pdf">Health Care Efficiency Measures (PDF)</a> [ <img src="/resources/file_logos/pdf.gif" alt="PDF file" title="PDF file" class="icon" /> - 1.38&nbsp;MB]</span>
</li></ul></div></div></li> </ul>
</div>
</div>
</div>
<div id="page-backdrop" class="container_12">
<div class="page">
<div id="left-col" class="alpha grid_3">
<nav id="left"><!-- T:SnleftNav -->
</nav> </div>
<!--<div id="content-col" class="grid_9">-->
<article class="grid_9">
<!-- Right Rail -->
<aside class="three-col">
<!-- T:ahrqSnPubCover -->
<div id="pub-nums">
<ul>
<li>Publication # 08-0030</li> </ul>
</div>
<ul id="pub-buttons">
<li id="all-pubs-button"><a href="https://ahrqpubs.ahrq.gov/OA_HTML/ibeCCtpItmDspRte.jsp?section=10152&item=34942"></a></li>
</ul>
</aside>
<!-- Center Rail -->
<h1>Appendix G (continued): Characteristics of Health Care Efficiency Measures Published in Peer-Reviewed Literature [1982-2006]</h1>
<h2>Health Care Efficiency Measures: Identification, Categorization, and Evaluation</h2> <div id="basic-modal"><!-- start: Basic Modal -->
<p><strong>Contents</strong><br /><a href="hcemappg.html#obshosp">United States Only - Unit of Observation: Hospital</a><br />&#160;&#160;&#160;&#160;<a href="hcemappg2.html#obshosp2">Unit of Observation: Hospital (Continued)</a><br /><a href="hcemappg3.html#obsphys">United States Only - Unit of Observation: Physician</a><br /><a href="hcemappg3.html#obsplans">United States Only - Unit of Observation: Health Plans</a><a href="hcemappg4.html#obsnurses"><br />United States Only - Unit of Observation: Nurses</a><br /><a href="hcemappg4.html#obsother">United States Only - Unit of Observation: Other</a></p><h3><a id="obshosp2" name="obshosp2"></a>United States Only - Unit of Observation: Hospital N=93 (Continued)</h3><table border="1" cellpadding="4" cellspacing="0" style=" width: 100%;"><tbody><tr align="left" valign="bottom"><th scope="col">Author,<br />year</th><th scope="col">Type of<br />paper</th><th scope="col">Unit of<br />observation</th><th scope="col">Sample<br />size</th><th scope="col">Data<br />source</th><th scope="col">Time frame</th><th scope="col">Years</th><th scope="col">Inputs</th><th scope="col">Outputs</th><th scope="col">PR</th><th scope="col">AC</th><th scope="col">PT</th><th scope="col">CM</th><th scope="col">PM</th><th scope="col">Method</th><th scope="col">Data on<br />reliability,<br />sensitivity<br />analysis,<br />validity<br />reported?</th></tr><tr valign="top"><td scope="row">Rosko MD, 1999<sup><a href="hcemappgrefs.html#ref51">51</a></sup></td><td>Research</td><td>Hospital</td><td>3,262 Hospitals</td><td>Secondary data</td><td>Cross-sectional</td><td>1994</td><td>Other capital costs(f), Total costs(f), Wage rate/wages(p)<br />Physical<br />Financial</td><td>Physician visit, Hosp discharge, Hosp days<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>X</td><td>&#160;</td><td>SFA</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">Chern JY et al., 2000<sup><a href="hcemappgrefs.html#ref52">52</a></sup></td><td>Research</td><td>Hospital</td><td>80 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1984-1993</td><td>Number of other personnel(p), Beds (counts)(p), Other counts(p), Other costs(f)<br />Physical<br />Financial</td><td>Physician visit, Hosp discharge<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td></tr><tr valign="top"><td scope="row">Frech HE et al., 2000<sup><a href="hcemappgrefs.html#ref53">53</a></sup></td><td>Research</td><td>Hospital</td><td>378 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1983-1984-1990-1991</td><td>Number of physicians(p), Operating cost(f), Total assets(p)<br />Physical<br />Financial</td><td>Physician visit, Hosp discharge, Training<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>SFA, Other regression-based approach</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">Harris J et al., 2000<sup><a href="hcemappgrefs.html#ref54">54</a></sup></td><td>Research</td><td>Hospital</td><td>20 Hospitals</td><td>Secondary data</td><td>Cross-sectional</td><td>1991-1993</td><td>Number of other personnel(p), Beds (counts)(p), Other counts(p), Operating cost(f)<br />Physical<br />Financial</td><td>Physician visit, Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>DEA</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">100 Top Hospitals, 2001<sup><a href="hcemappgrefs.html#ref55">55</a></sup></td><td>Descriptive</td><td>Hospital</td><td>887,172 Patients, 707 Hospitals</td><td>Secondary data</td><td>Cross-sectional</td><td>1998</td><td>Hosp days<br />Physical</td><td>Hosp discharge<br />Health services</td><td>X</td><td>&#160;</td><td>X</td><td>X</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Total costs<br />Financial</td><td>Hosp discharge<br />Health services</td><td>X</td><td>&#160;</td><td>X</td><td>X</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>ICU-related ancillary cost<br />Financial</td><td>ICU days<br />Health services</td><td>X</td><td>&#160;</td><td>X</td><td>X</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Brown HS, 2001<sup><a href="hcemappgrefs.html#ref56">56</a></sup></td><td>Research</td><td>Hospital</td><td>613 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1992-1996</td><td>Other capital costs(f), Beds (counts)(p) personnel(p), Number of other<br />Physical<br />Financial</td><td>Hosp discharge<br />Health services</td><td>X</td><td>X</td><td>X</td><td>X</td><td>&#160;</td><td>SFA</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">Folland ST et al., 2001<sup><a href="hcemappgrefs.html#ref57">57</a></sup></td><td>Research, Develop methodology</td><td>Hospital</td><td>2,007 Hospitals</td><td>Secondary data</td><td>Cross-sectional</td><td>1985</td><td>Other capital costs(f), Total costs(f), Wage rate/wages(p)<br />Physical<br />Financial</td><td>Physician visit, Hosp days<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>SFA</td><td>Yes/Yes/No</td></tr><tr valign="top"><td scope="row">Li T et al., 2001<sup><a href="hcemappgrefs.html#ref58">58</a></sup></td><td>Research</td><td>Hospital</td><td>90 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1988-1993</td><td>Other capital costs(f), Total costs(f), Wage rate/wages(p)<br />Physical<br />Financial</td><td>Physician visit, Hosp days<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>SFA</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">Rosko MD, 2001<sup><a href="hcemappgrefs.html#ref59">59</a></sup></td><td>Research</td><td>Hospital</td><td>1,966 Hospitals</td><td>Secondary data</td><td>Cross-sectional</td><td>1997</td><td>Other capital costs(f), Total costs(f), Wage rate/wages(p)<br />Physical<br />Financial</td><td>Physician visit, Hosp discharge<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>X</td><td>&#160;</td><td>SFA</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">Brown HS, 2003<sup><a href="hcemappgrefs.html#ref60">60</a></sup></td><td>Research</td><td>Hospital</td><td>613 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1992-1996</td><td>Number of other personnel(p), Other capital costs(f), Beds (counts)(p)<br />Physical<br />Financial</td><td>Hosp discharge<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>SFA</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">100 Top Hospitals, 2003<sup><a href="hcemappgrefs.html#ref61">61</a></sup></td><td>Descriptive</td><td>Hospital</td><td>NR</td><td>Not specified</td><td>Longitudinal</td><td>Yrs<br />N/R</td><td>Other labor costs, Total costs<br />Financial</td><td>Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Beds (counts)<br />Physical</td><td>Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Number of other personnel<br />Physical</td><td>Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Chu HL et al., 2004<sup><a href="hcemappgrefs.html#ref62">62</a></sup></td><td>Research</td><td>Hospital</td><td>246 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1997-1999</td><td>Number of other personnel(p), Nurse time(p), Other time(p), Equipment capital costs(f), Other capital costs(f), Supplies (counts)(p)<br />Physical<br />Financial</td><td>Inpatient procedure, Physician visit, Hosp discharge, Hosp days<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>X</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Jordan SD, 1994<sup><a href="hcemappgrefs.html#ref63">63</a></sup></td><td>Descriptive</td><td>Hospital</td><td>160 Patients, 2 Hospitals</td><td>Primary data</td><td>Cross-sectional</td><td>Yrs<br />N/R</td><td>Nurse labor costs, Other labor costs<br />Financial</td><td>Charges<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Young ST, 1992<sup><a href="hcemappgrefs.html#ref64">64</a></sup></td><td>Research</td><td>Hospital</td><td>22 Hospitals</td><td>Not specified</td><td>Cross-sectional</td><td>Yrs<br />N/R</td><td>Other time<br />Physical</td><td>Fill rate, Inventory turns, Purchase price index<br />Other</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios, DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Bellin E et al., 2004<sup><a href="hcemappgrefs.html#ref65">65</a></sup></td><td>Descriptive, Develop methodology</td><td>Hospital department</td><td>1,733 Patients</td><td>Primary data</td><td>Longitudinal</td><td>2001-2002</td><td>Hosp days<br />Physical</td><td>Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>&#160;</td><td>Other regression-based approach</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">Mathiasen RA et al., 2001<sup><a href="hcemappgrefs.html#ref66">66</a></sup></td><td>Descriptive</td><td>Hospital department</td><td>57 Patients</td><td>Primary data, Secondary data</td><td>Longitudinal</td><td>1997-1998</td><td>Hosp days<br />Physical</td><td>Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>X</td><td>X</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Total costs<br />Financial</td><td>Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>X</td><td>X</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Kyriacou DN et al., 1999<sup><a href="hcemappgrefs.html#ref67">67</a></sup></td><td>Descriptive</td><td>Hospital department</td><td>826 Patients</td><td>Primary data</td><td>Longitudinal</td><td>1993-1998</td><td>Hosp days<br />Physical</td><td>Emergency visit<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Finkler MD et al., 1993<sup><a href="hcemappgrefs.html#ref68">68</a></sup></td><td>Research</td><td>Hospital department</td><td>9 Hospital depts</td><td>Primary data</td><td>Cross-sectional</td><td>Yrs<br />N/R</td><td>Physician time, Nurse time<br />Physical</td><td>Inpatient procedure<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>DEA</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">Wilson GW et al., 1982<sup><a href="hcemappgrefs.html#ref69">69</a></sup></td><td>Research</td><td>Hospital department</td><td>922 Hospital depts</td><td>Secondary data</td><td>Cross-sectional</td><td>Yrs<br />N/R</td><td>Number of technical staff(p), Equipment capital costs(f)<br />Physical<br />Financial</td><td>Procedure<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>DEA, Other regression-based approach</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">Seltzer SE et al., 1998<sup><a href="hcemappgrefs.html#ref70">70</a></sup></td><td>Descriptive</td><td>Hospital department</td><td>2 Hospital depts</td><td>Primary data</td><td>Longitudinal</td><td>1992-1996</td><td>Total costs<br />Financial</td><td>Inpatient procedure<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Total costs<br />Financial</td><td>Relative value unit<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Number of other personnel<br />Physical</td><td>Inpatient procedure<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Number of other personnel<br />Physical</td><td>Relative value unit<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Sternick E, 1990<sup><a href="hcemappgrefs.html#ref71">71</a></sup></td><td>Descriptive</td><td>Hospital department</td><td>NR</td><td>Not specified</td><td>Cross-sectional</td><td>Yrs<br />NR</td><td>Other labor costs, Other capital costs, Total costs<br />Financial</td><td>Charges<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Ozgen H et al., 2004<sup><a href="hcemappgrefs.html#ref72">72</a></sup></td><td>Research</td><td>Hospital department, Dialysis centers</td><td>140 Dialysis centers</td><td>Secondary data</td><td>Longitudinal</td><td>1994-2000</td><td>Number of physicians(p), Number of nurses(p), Number of technical staff(p), Number of other personnel(p), Equipment capital costs(f), Drug capital costs(f), Supply capital costs(f), Other capital costs(f), Equipment (counts)(p)<br />Physical<br />Financial</td><td>Outpatient procedure(s), Training(other), Home dialysis treatments(s)<br />Health services<br />Other</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Malmquist or other index numbers, DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Starfield B et al., 1994<sup><a href="hcemappgrefs.html#ref73">73</a></sup></td><td>Descriptive</td><td>Hospital department, Primary health center</td><td>135 Primary health centers</td><td>Secondary data</td><td>Cross-sectional</td><td>1998</td><td>Total costs<br />Financial</td><td>Week, month, or year of care provided<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Wang BB et al., 1999<sup><a href="hcemappgrefs.html#ref74">74</a></sup></td><td>Research</td><td>Hospital, Geographic region</td><td>6,010 Hospitals, 314 Geographic regions</td><td>Secondary data</td><td>Longitudinal</td><td>1989-1993</td><td>Number of other personnel(p), Beds (counts)(p), Total costs(f)<br />Physical<br />Financial</td><td>Physician visit, Hosp discharge<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>X</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Goodman DC et al., 2006<sup><a href="hcemappgrefs.html#ref75">75</a></sup></td><td>Descriptive</td><td>Hospital, Geographic region</td><td>306 Geographic regions, 97 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1999-2001</td><td>Number of physicians<br />Physical</td><td>Covered lives<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Dewar DM et al., 2000<sup><a href="hcemappgrefs.html#ref76">76</a></sup></td><td>Research</td><td>Hospital, Health plan</td><td>39,697 Patients</td><td>Secondary data</td><td>Longitudinal</td><td>1992-1996</td><td>Total costs<br />Financial</td><td>Health outcome<br />Health outcomes</td><td>&#160;</td><td>&#160;</td><td>X</td><td>X</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Conrad D et al., 1996<sup><a href="hcemappgrefs.html#ref77">77</a></sup></td><td>Research</td><td>Hospital, Health plan</td><td>44,397 Patients, 37 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1991-1992</td><td>Total costs<br />Financial</td><td>Hosp discharge<br />Health services</td><td>X</td><td>X</td><td>X</td><td>X</td><td>&#160;</td><td>Other regression-based approach</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Broyles RW, 1990<sup><a href="hcemappgrefs.html#ref78">78</a></sup></td><td>Research</td><td>Hospital, Hospital department</td><td>81 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1979-1982</td><td>Direct costs<br />Financial</td><td>Hosp discharge<br />Health services</td><td>X X</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>Other regression-based approach</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Direct costs<br />Financial</td><td>Hosp days<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>X</td><td>&#160;</td><td>Other regression-based approach</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Service volume<br />Physical</td><td>Hosp discharge<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>X</td><td>&#160;</td><td>Other regression-based approach</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Service volume<br />Physical</td><td>Hosp days<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>X</td><td>&#160;</td><td>Other regression-based approach</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">DeLia D et al., 2002<sup><a href="hcemappgrefs.html#ref79">79</a></sup></td><td>Research</td><td>Hospital, Primary health center</td><td>155 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1997-1999</td><td>Number of physicians, Number of nurses, Number of other personnel, Other counts<br />Physical</td><td>Physician visit<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Other regression-based approach</td><td>No /Yes/No</td></tr><tr valign="top"><td scope="row">Burgess,James FJr et al., 1993<sup><a href="hcemappgrefs.html#ref80">80</a></sup></td><td>Research</td><td>Hospital, Veterans Affairs</td><td>89 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1985-1987</td><td>Number of nurses, Number of other personnel, Physician time, Beds (counts)<br />Physical</td><td>Outpatient procedure, Inpatient procedure, Physician visit, Hosp discharge, Hosp days<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Hao S et al., 1994<sup><a href="hcemappgrefs.html#ref81">81</a></sup></td><td>Research</td><td>Hospital, Veterans Affairs</td><td>93 Hospitals</td><td>Not specified</td><td>Cross-sectional</td><td>1988</td><td>Number of physicians, Number of nurses, Beds (counts)<br />Physical</td><td>Inpatient procedure, Physician visit, Hosp discharge, Emergency visit<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Beds (counts)<br />Physical</td><td>Hosp discharge<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Beds (counts)<br />Physical</td><td>Inpatient procedure<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Beds (counts)<br />Physical</td><td>Physician visit<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Number of nurses<br />Physical</td><td>Hosp discharge<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Number of nurses<br />Physical</td><td>Inpatient procedure<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Number of nurses<br />Physical</td><td>Physician visit<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Number of physicians<br />Physical</td><td>Hosp discharge<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Number of physicians<br />Physical</td><td>Inpatient procedure<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Number of physicians<br />Physical</td><td>Physician visit<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Burgess JF et al., 1995<sup><a href="hcemappgrefs.html#ref82">82</a></sup></td><td>Research</td><td>Hospital, Veterans Affairs</td><td>1,545 Hospitals</td><td>Primary data, Secondary data</td><td>Longitudinal</td><td>1984-1988</td><td>Number of nurses, Number of technical staff, Number of other personnel, Beds (counts), Other counts<br />Physical</td><td>Outpatient procedure, Inpatient procedure, Physician visit, Hosp discharge, Hosp days<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>Malmquist or other index numbers</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Burgess JF et al., 1996<sup><a href="hcemappgrefs.html#ref83">83</a></sup></td><td>Research</td><td>Hospital, Veterans Affairs</td><td>2,246 Hospitals</td><td>Secondary data</td><td>Cross-sectional</td><td>1987-1988</td><td>Number of nurses, Number of other personnel, Beds (counts)<br />Physical</td><td>Outpatient procedure, Inpatient procedure, Physician visit, Hosp discharge, Hosp days<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Burgess JF et al., 1998<sup><a href="hcemappgrefs.html#ref84">84</a></sup></td><td>Research</td><td>Hospital, Veterans Affairs</td><td>1,545 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1984-1988</td><td>Number of nurses, Number of other personnel, Beds (counts)<br />Physical</td><td>Outpatient procedure, Inpatient procedure, Physician visit, Hosp discharge, Hosp days<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Bannick RR et al., 1995<sup><a href="hcemappgrefs.html#ref85">85</a></sup></td><td>Research</td><td>Hospital, Veterans Affairs</td><td>284 Hospitals</td><td>Secondary data</td><td>Cross-sectional</td><td>1989</td><td>Number of physicians(p), Number of nurses(p), Number of other personnel(p), Beds (counts)(p), Other counts(p), Operating cost(f)<br />Physical<br />Financial</td><td>Physician visit, Hosp days<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Harrison JP et al., 2005<sup><a href="hcemappgrefs.html#ref86">86</a></sup></td><td>Research</td><td>Hospital, Veterans Affairs</td><td>121 Hospitals</td><td>Secondary data</td><td>Longitudinal</td><td>1998-2001</td><td>Number of other personnel(p), Beds (counts)(p), Total costs(f)<br />Physical<br />Financial</td><td>Inpatient procedure, Physician visit, Hosp days<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Sexton TR et al., 1989<sup><a href="hcemappgrefs.html#ref87">87</a></sup></td><td>Research</td><td>Hospital, Veterans Affairs</td><td>159 Hospitals</td><td>Secondary data</td><td>Cross-sectional</td><td>1985</td><td>Number of physicians(p), Number of nurses(p), Number of technical staff(p), Equipment capital costs(f), Other capital costs(f)<br />Physical<br />Financial</td><td>Relative value unit<br />Health services</td><td>X</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Eastaugh SR, 2002<sup><a href="hcemappgrefs.html#ref88">88</a></sup></td><td>Research</td><td>Nurse, Hospital</td><td>37 Hospitals</td><td>Primary data</td><td>Longitudinal</td><td>1997-2000</td><td>Other capital costs(f) Other time(p), Nurse time(p),<br />Physical<br />Financial</td><td>Relative value unit<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>SFA</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Weingarten SR et al., 2002<sup><a href="hcemappgrefs.html#ref89">89</a></sup></td><td>Research</td><td>Physician, Hospital</td><td>301 Physicians</td><td>Primary data</td><td>Cross-sectional</td><td>1997</td><td>Hosp days<br />Physical</td><td>Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>X</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Auerbach AD et al., 2002<sup><a href="hcemappgrefs.html#ref90">90</a></sup></td><td>Research</td><td>Physician, Hospital</td><td>5,308 Patients</td><td>Secondary data</td><td>Longitudinal</td><td>1997-1999</td><td>Hosp days<br />Physical</td><td>Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Total costs<br />Financial</td><td>Hosp discharge<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Ghosh D et al., 2003<sup><a href="hcemappgrefs.html#ref91">91</a></sup></td><td>Research, Develop methodology</td><td>Physician, Hospital department</td><td>1 Hospital depts</td><td>Primary data</td><td>Cross-sectional</td><td>1997</td><td>Total costs<br />Financial</td><td>Physician visit<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Total charges<br />Financial</td><td>Physician visit<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Brenn BR et al., 2003<sup><a href="hcemappgrefs.html#ref92">92</a></sup></td><td>Descriptive</td><td>Physician, Hospital department</td><td>2,226 Patients</td><td>Primary data</td><td>Longitudinal</td><td>2000</td><td>Physician time<br />Physical</td><td>Inpatient procedure<br />Health services</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>&#160;</td><td>Ratios</td><td>No /No /No</td></tr><tr valign="top"><td scope="row">Ozcan YA et al., 1996<sup><a href="hcemappgrefs.html#ref93">93</a></sup></td><td>Research</td><td>Psychiatric hospital</td><td>85 Psychiatric hospitals</td><td>Secondary data</td><td>Cross-sectional</td><td>1990</td><td>Number of other personnel(p), Supply capital costs(f), Beds (counts)(p)<br />Physical<br />Financial</td><td>Physician visit, Hosp discharge<br />Health services</td><td>X</td><td>X</td><td>&#160;</td><td>X</td><td>&#160;</td><td>DEA</td><td>No /No /No</td></tr></tbody></table><p class="size2"><a id="ast" name="ast"></a>*Explanatory variables: PR=Provider characteristics, AC=Area characteristics, PT=Patient characteristics, CM=Case mix adjustment, PM=Payment method</p> </div><!-- end: Basic Modal -->
<div class="current-as-of">Page last reviewed April 2008</div>
<div class="citation">
<span>Internet Citation: Appendix G (continued): Characteristics of Health Care Efficiency Measures Published in Peer-Reviewed Literature [1982-2006]: Health Care Efficiency Measures: Identification, Categorization, and Evaluation.
April 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/final-reports/efficiency/hcemappg2.html</span>
<div class="citation-flag"></div>
</div>
</article>
</div>
</div>
</div>
<p>&nbsp;</p>
<div class="footnote">
<p> The information on this page is archived and provided for reference purposes only.</p>
</div>
<p>&nbsp;</p>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div><!-- End of Content Body -->
<!-- Footer graphic 1.2-->
<table border="0" cellSpacing="0" cellPadding="0" width="100%">
<tbody>
<tr>
<td background="/images/bottom_ahrq_bkg.jpg" width="125">
<img alt="AHRQ" src="/images/bottom_ahrq_1.jpg" width="125">
</td>
<td background="/images/bottom_ahrq_bkg.jpg" width="100%">
<img alt="" src="/images/bottom_ahrq_bkg.jpg" width="10" height="34">
</td>
<td background="/images/bottom_ahrq_bkg.jpg" width="310">
<img alt="Advancing Excellence in Health Care" src="/images/bottom_ahrq_2.gif" width="310" height="34">
</td>
</tr>
</tbody>
</table>
<!-- Footer links section -->
<div id="banner_Footer2">
<p>
<a href="https://www.ahrq.gov/">AHRQ Home</a> |
<a class="footer_navlink" href="https://info.ahrq.gov/cgi-bin/ahrq.cfg/php/enduser/std_alp.php">Questions?</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/contact/index.html">Contact AHRQ</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/accessibility/index.html">Accessibility</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/privacy/index.html">Privacy Policy</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/news/foia.htm">Freedom of Information Act</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/disclaimers/index.html">Disclaimers</a> |
<a class="footer_navlink" href="http://www.hhs.gov/open/recordsandreports/plainwritingact/index.html">Plain Writing Act</a>
<br/>
<a class="footer_navlink" href="http://www.hhs.gov">U.S. Department of Health &amp; Human Services</a> |
<a class="footer_navlink" href="http://www.whitehouse.gov">The White House</a> |
<a class="footer_navlink" href="http://www.usa.gov">USA.gov: The U.S. Government's Official Web Portal</a>
</p>
</div>
<div id="banner_Footeraddress">
<p>
Agency for Healthcare Research and Quality <img alt="" src="/images/bottom_dot.gif"> 5600 Fishers Lane Rockville, MD 20857 <img alt="" src="/images/bottom_dot.gif">
Telephone: (301) 427-1364
</p>
</div>
<!-- End of Footer links section -->
<!-- JavaScript at the bottom for fast page loading: http://developer.yahoo.com/performance/rules.html#js_bottom -->
<!-- Grab Google CDN's jQuery, with a protocol relative URL; fall back to local if offline -->
<script src="//ajax.googleapis.com/ajax/libs/jquery/1.7.2/jquery.min.js"></script>
<script>window.jQuery || document.write('<script src="js/libs/jquery-1.7.2.min.js"><\/script>')</script>
<!-- scripts concatenated and minified via build script -->
<script src="/js/plugins.js"></script>
<script src="/js/script.js"></script>
<script src="/scripts/javascript.js"></script>
<!-- end scripts -->
</body>
</html>