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Measuring Case Mix and Quality of Care

Rater Training and Reliability in the Graduate Medical Education Study

by Toni Richards, Nicole Lurie, William H. Rogers, Robert H. Brook, Lisa S. Meredith, George I. Monsivais, David Reboussin, Toshi Hayashi

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This report reviews the training of raters and the instructions associated with each instrument and assess the reliability of the quality-of-care and seriousness-of-illness measures in the Graduate Medical Education dataset. The authors found that reliability varied substantially from measure to measure. However, the overall reliability of the dataset is at least moderately good. In addition, the sources of unreliability lie with the instruments and the medical records as well as with the raters.

This report is part of the RAND Corporation Report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.

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