Abstract: A method and apparatus for objectively monitoring the performance of a group of health-care providers. In-patient payment claim records representative of in-patient health-care services performed for patients by health-care providers within the group of health-care providers and out-patient payment claim records representative of out-patient health-care services performed for patients by health-care providers within group of health-care providers are stored in databases. A plurality of sickness episode data records are built from the in-patient payment claim records and the out-patient payment claim records, and an objective severity adjustment analysis is performed on the sickness episode data records to form a plurality of severity-adjusted sickness episode data records.

Abstract: A method and apparatus for objectively assessing the complexity of health-care services delivered by each health-care provider within a group of health-care providers to patients serviced by the group of health-care providers. In-patient data records representative of inpatient health-care services performed for patients by health-care providers with the group of health-care providers are stored in a database. Out-patient data records representative of out-patient health-care services performed for patients by health-care providers with the group of health-care providers are also stored in a database. A plurality of sickness episode data records are built by combining information from the in-patient and out-patient data records. Each sickness episode data record corresponds to an individual sickness episode for which health-care services were performed for one of the patients by at least one health-care provider from the group of health-care providers.