The 2003 Index of Hospital Quality

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Figure 1. Universe Definition by Specialty Specialty Minimum Total Discharges 6 Minimum Surgical Discharges Number of Eligible Hospitals Cancer 349 78 890 Digestive Disorders 744 209 1,426 Ear, Nose, and Throat 38 4 1,295 Geriatrics* 5,967 -- 1,392 Gynecology 49 46 1,493 Heart and Heart Surgery** 1,285 500 770 Hormonal Disorders 381 -- 1,040 Kidney Disease 200 -- 1,527 Neurology and Neurosurgery 455 80 1,245 Orthopedics 387 345 1,511 Respiratory disorders 873 -- 1,547 Rheumatology 23 -- 1,536 Urology 121 106 1,467 * In addition to the discharge eligibility criteria, a hospital must have a score of 1 or more on the Geriatrics service index for inclusion in the Geriatrics universe. Discharges for Geriatrics are calculated on a hospital-wide basis and are not DRG-specific. ** In addition to the discharge eligibility criteria, a hospital must have a cardiac catheterization lab, offer open-heart surgery, or offer angioplasty for inclusion in the Heart and Heart Surgery universe.
Figure 2. Analysis Procedure for “America’s Best Hospitals 2003" Yes Final universe contains nominations data, mortality data and AHA data Test for sufficient discharges (per specialty): Range of discharges: 23-1,285 (total) 4-500 (surgical) Yes 13 files created (one for each IHQ-driven specialty) Rankings for the 13 IHQ-driven specialties are produced Top 50 hospitals are published Yes Hospitals in the FY2001 AHA database (n=6,003) Does hospital m eet eligibility criteria? 1: COTH membership or 2: Sufficient technology (score of 9 - 17) or 3: Medical school affliliation or 4: (For reputation-only specialties): received one or more nominations Yes Hospitals eligible for ranking (n=2,072) W as hospital a FY2001 AHA responder? Final universe file contains nominations data, mortality data and average of the FY2000 and FY1999 AHA survey data Is specialty one of the 13 IHQdriven? Non-zero reputational score Eliminated from analysis 7 No W as hospital a FY2000 AND FY1999 AHA responder? Yes No Yes No No No Final universe file contains only nominations data and mortality data Rankings for reputation-only specialties are produced: (Eyes, Pediatrics, Psychiatry, Rehabilitation) Those at or above 3.0% are published No
Page 1 and 2: The 2003 Index of Hospital Quality
Page 3 and 4: NORC 6126
Page 5 and 6: I Introduction Health care provider
Page 7 and 8: Mortality The outcomes measure is b
Page 9: We then created separate analytic u
Page 13 and 14: Figure 3. Technology Indices by Spe
Page 15 and 16: Figure 4. Percentile Where Volume a
Page 17 and 18: 8) Gynecology services: This indica
Page 19 and 20: Figure 5. Factor Loading by Special
Page 21 and 22: Eligibility requirements We defined
Page 23 and 24: Stratification To compensate for th
Page 25 and 26: Figure 7. Response Rate by Year* Sp
Page 27 and 28: D. Outcome Many healthcare professi
Page 29 and 30: dampen the effect of year-to-year f
Page 31 and 32: IHQ scores for the specialties of E
Page 33 and 34: F. Summary of Changes for 2003 •
Page 35 and 36: IV References 1. Donabedian A. Eval
Page 37 and 38: V Appendices
Page 39 and 40: The following variables, used to co
Page 41 and 42: Geriatrics Technology Index 1 point
Page 43 and 44: Geriatric Services 1 point if ADULT
Page 45: Appendix B 2002 Sample Physician Qu
Page 53 and 54: Appendix D Predicted Mortality: APR
Page 55 and 56: Current AP-DRG Structure In 1987, t
Page 57 and 58: All Patient Refined DRGs APR-DRG Ob
Page 59 and 60: Phase I have their own hierarchical
Page 61 and 62:
Phase II C All secondary diagnoses
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Figure 4. Minimum Severity of Illne
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Phase II C All secondary diagnoses
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Cancer 2003 Diagnosis-Related Group
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#206 DISORDERS OF LIVER EXCEPT MALI
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Heart and Heart Surgery #75 MAJOR C
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Neurology and Neurosurgery #1 CRANI
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Respiratory Disorders #76 OTHER RES
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Appendix F Index of Hospital Qualit
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2003 Digestive Disorders Best Hospi
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2003 Geriatrics Best Hospital List
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2003 Heart and Heart Surgery Best H
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2003 Kidney Disease Best Hospital L
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2003 Orthopedics Best Hospital List
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2003 Rheumatology Best Hospital Lis
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Appendix G Reputation Rankings for
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2003 Pediatrics Reputational Score
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2003 Rehabilitation Reputational Sc
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The Honor Roll To lend additional p
Page 99:
Contact Information This document c
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The 2003 Index of Hospital Quality

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