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

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Preliminary Results Hospitals (60 day review) Preliminary risk-adjusted mortality rates for all hospitals Performance ratings – worse-, better-, or not differentthan state average Instructions on how to submit a comment letter for final report Surgeons (30 days to appeal) Preliminary risk-adjusted results for that surgeon Performance rating – worse-, better-, or not differentthan state average Instructions on how to appeal if “results do not accurately reflect the quality of care provided”
Surgeon “Appeal” Process Surgeons submit statements OSHPD reviews statements and agrees or disagrees with surgeon request Surgeons not satisfied with OSHPD decision may forward statement to Clinical Advisory Panel for review Panel will: Uphold the CCORP decision OR Reach one of the other conclusions set forth by the law Flaw in the risk model so report is flawed Flaw in surgeon data so corrections required Panel’s determination is final
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 26 and 27: Hospital Medical Chart Audits Audit
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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