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

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Administrative Data Reports Heart Attack: 1992-94, 1994-96, 1996-98 Community-Acquired Pneumonia: 1999-2001, 2002-2004, 2003-2005 Agency for Healthcare Research and Quality (AHRQ) Inpatient Mortality Indicators: 2006-2007 AHRQ volume and utilization indicators: 2005-2007 Studies in preparation Maternal Outcomes Congestive Heart Failure Abdominal Aortic Aneurysm (AAA) Repair Hip Fracture Stroke Outcomes
Risk-Adjustment and Quality Ratings Hospital-level risk-adjusted death rate (RADR) Apply regression coefficients to patient data to obtain expected number of deaths for each hospital RADR = observed death rate * statewide death rate expected death rate Confidence Intervals – 98% Low volume hospitals generally will have wider confidence intervals Quality rating: “Better” = RADR < state rate “Worse” = RADR > state rate
Page 1 and 2: Hospital Outcomes Reports using Adm
Page 3 and 4: Healthcare Quality Robert Brook, El
Page 5: Public Reporting of Healthcare Outc
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 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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