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Quality Improvement Organizations and Hospital Care
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To the Editor: In their study of QIOs and the quality of hospital care, Drs Snyder and Anderson1 cite our study of the effects of the Cooperative Cardiovascular Project,2 a QIO project undertaken in 4 pilot states. We compared the performance of these states with the rest of the nation, using the latter as a control group. Snyder and Anderson write, "Significant improvements were found in the pilot states, but evidence from the study suggests the nation as a whole also improved during this time." While true, this does not take into account our most striking finding.
During our baseline period (June-September 1992), postinfarction mortality was not significantly different between the pilot states and the rest of the nation. However, follow-up data from August-November 1995, a period after the pilot QIOs had conducted interventions with the hospitals in their states, showed that postinfarction mortality was significantly better in the pilot . . . [Full Text of this Article]
Jay A. Gold, MD, JD, MPH
jgold@metastar.com
MetaStar Inc
Madison, Wis
Edward F. Ellerbeck, MD, MPH
University of Kansas Medical Center
Kansas City
Robert A. Vogel, MD
University of Maryland Medical System
Baltimore
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