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The 2003 Index of Hospital Quality

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Figure 4. Minimum Severity <strong>of</strong> Illness Requirements<br />

Combination<br />

Type<br />

Combination <strong>of</strong><br />

Categories<br />

1 Specified combinations <strong>of</strong> two<br />

major categories<br />

2 Specified combinations <strong>of</strong> two<br />

moderate categories<br />

3 Specified combinations <strong>of</strong> a<br />

moderate and a minor category<br />

4 Specified combinations <strong>of</strong> two<br />

minor categories<br />

5 Specified combinations <strong>of</strong> two<br />

moderate categories<br />

Additional Secondary<br />

Diagnoses Required<br />

At least one additional<br />

major secondary diagnosis<br />

At least one additional<br />

moderate secondary diagnosis<br />

At least one additional<br />

moderate secondary diagnosis<br />

At least two additional minor<br />

secondary diagnoses<br />

Minimum<br />

Severity <strong>of</strong><br />

Illness<br />

Extreme<br />

Major<br />

Major<br />

Moderate<br />

None Major<br />

C <strong>The</strong> final patient Severity <strong>of</strong> Illness Subclass is selected based on the maximum <strong>of</strong><br />

the Phase II Base Patient Severity <strong>of</strong> Illness Subclass and the Phase III minimum<br />

Severity <strong>of</strong> Illness Subclass<br />

Both medical and surgical patients are assigned a severity <strong>of</strong> illness level <strong>of</strong> 1-4 based on<br />

the assignment process outlined previously.

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