The hard part is interpreting anything like an HL stat in light of the clustering. I would suggest doing a within-hospital lack of fit test for each hospital, as well as one overall that essentially ignored the clustering. If the latter shows a lack of fit, it might then be quickly identified as being due to a specific hospital. I think all of these tests would have to be obtained from PROC LOGISTIC, first with a by hospital statement, and then without. You might be able to take the within hospital p values as data for a generalized linear model with a beta distribution, and use the sample sizes as weights. This might provide a better pooled representation than the "ignore the clustering" approach. Good luck. Steve Denham
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