HAS AUPHA FAILED?
This paper, by a team at Boston Consulting was published recently in PLOS ONE:
Quantifying Geographic Variation in Health Care Outcomes in the United States before and after Risk-Adjustment, Barry L. Rosenberg, Joshua A. Kellar, Anna Labno, et al. http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0166762
It documents that our industry, healthcare delivery, is a chaotic mess. From the abstract:
We compared outcome variation at state, hospital referral region, hospital service area, county, and hospital levels. Risk-adjusted outcomes were calculated after adjusting for population factors, co-morbidities,...