Hospital Outcomes Reports using Administrative Data - Office of ...

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Hospital Medical Chart Audits Audit Sample Preliminary hospital and surgeon outliers Near hospital and surgeon outliers Hospitals with probable over-reporting or underreporting of risk factors Hospitals from a random pool Number of records proportional to hospital size All deaths and highest-risk patients Blinded on-site audits Detailed audit results provided to hospitals to improve coding Audit data replaces submitted data
Subset of CCORP audit results Agreement Statistics Comparison of CCORP Audit Data from 2003 - 2006 Audited Data Element Kappa/Pearson Correlation Percent Coded Correctly N 2003 2004 2005 2006 2003 2004 2005 2006 Arrhythmia 952 0.517 0.541 0.568 0.603 85.95 89.14 90.65 91.50 Arrhythmia Type 952 0.507 0.517 0.558 0.586 84.91 88.11 90.10 91.00 Cardiogenic Shock 952 0.458 0.623 0.622 0.621 95.07 95.79 96.35 98.10 Cerebrovascular Accident (CVA) 953 0.642 0.747 0.755 0.771 93.08 95.11 94.22 96.00 Cerebrovascular Accident Timing 952 0.627 0.723 0.757 0.761 92.66 94.61 93.98 95.80 Congestive Heart Failure (CHF) 954 0.554 0.551 0.595 0.563 83.23 82.11 84.47 85.90 Dialysis 953 0.886 0.931 0.924 0.942 98.64 99.21 99.37 99.50 Ejection Fraction (%) 927 0.880 0.870 0.881 0.884 51.57 49.43 52.22 51.00 Hepatic Failure 953 0.398 0.174 -0.003 0.132 99.27 98.29 99.21 99.50
Page 1 and 2: Hospital Outcomes Reports using Adm
Page 3 and 4: Healthcare Quality Robert Brook, El
Page 5 and 6: Public Reporting of Healthcare Outc
Page 7 and 8: Risk-Adjustment and Quality Ratings
Page 9 and 10: Improving Administrative Data Admin
Page 11 and 12: Challenges Poor quality data can im
Page 13: Hospital Ratings for Pneumonia Repo
Page 16 and 17: IQI 17: Stroke Mortality In-Hosp. M
Page 18 and 19: Clinical Data Outcomes Reports Why
Page 20 and 21: Clinical Data Outcomes Reports Coro
Page 22 and 23: CCMRP: Limitations Voluntary partic
Page 24 and 25: Coronary CABG Outcomes Reporting Pr
Page 28 and 29: Preliminary Results Hospitals (60 d
Page 30 and 31: 2003-2004 Report 31 Statements - 15
Page 32 and 33: Risk Model Report Contents Risk-adj
Page 34 and 35: Volume of Isolated CABG, Non-Isolat
Page 36 and 37: In-Hospital Mortality Rates for Iso
Page 38 and 39: What’s New 2005-2006 Hospital and

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