SCHSRCecil G. Sheps Center for Health Services Research
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By coincidence, it was exactly 30 years ago that Ann Barry Flood published the first article from her thesis on hospital structure and performance (Flood and Scott 1978) and was a coauthor on the last major report on quality of care in US hospitals from the Stanford Center of Health Care Research (SCHSR) (Forrest et al.
What has changed since the SCHSR's reports and how is the field advanced by current work in this issue?
Thirty years ago, in follow-up to a provocative article that suggested that American hospitals varied dramatically in their quality of surgical care, SCHSR was among the first to use detailed risk adjustments based on patient level overall health and treatment to "adjust" for outcomes in order to assess hospital-level performance.