Dr Sylvia Cimer and Dr

question 52

Multiple Choice

Dr. Sylvia Cimer and Dr. Andrew Donne are obstetrician/gynecologists who participate in the same provider network. Dr. Comer treats a large number of high-risk patients, whereas Dr. Donne's patients are generally healthy and rarely present complications. As a result, Dr. Comer typically uses medical resources at a much higher rate than does Dr. Donne. In order to equitably compare Dr. Comer's performance with Dr. Donne's performance, the health plan modified its evaluation to account for differences in the providers' patient populations and treatment protocols. The health plan modified Dr. Comer's and Dr. Donne's performance data by means of

• A) Acase mix/severity adjustment
• B) An external performance standard
• C) Structural measures
• D) Behavior modification

---

Definitions:

Positive Skew

A distribution shape where the tail is longer on the right side of the peak, indicating that the majority of values are concentrated on the left.

Percentile

A measure used in statistics indicating the value below which a given percentage of observations in a group of observations falls.

Very High

"Very High" is an adjective used to describe an extreme or significantly above average level or degree of a certain measure or attribute.

Very Low

A descriptor indicating a significantly below-average quantity, degree, or level.