Measuring Hospital Performance

In this study we used information from discharge abstracts to develop three different risk-adjusted measures of hospital performance: a Risk-Adjusted Mortality Index, a Risk-Adjusted Readmissions Index, and a Risk-Adjusted Complications Index. The adjustments have face validity, and appear to account for much of the variation across hospitals in the rates of these adverse events. The indexes are stable over time, and are not biased with respect to hospital size, ownership, or teaching status. All three indexes appear to have construct validity when tested against the changes in hospital care that occurred when PPS was introduced

Construct validity · Face validity · Index (typography) · Patient satisfaction · Psychometrics · Statistics · Computer Science · Emergency Medicine · Global Health Care Issues · Healthcare Policy and Management · Mathematics · Medicine · Nursing · Patient Satisfaction in Healthcare

• Identifying Complications of Care Using Administrative Data

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• Registries and Administrative Data

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• Evaluation of Screening Criteria for Adverse Events in Medical Patients

  David W Bates, Anne C O??Neil et al.•Medical Care•1995

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• Selecting Disease-Outcome Pairs for Monitoring the Quality of Hospital Care

  Nelda P Wray, Carol M Ashton et al.•Medical Care•1995

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• Medicare Beneficiaries

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• Mortalidade hospitalar como indicador de qualidade

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• Maternal Complications of Normal Deliveries

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• Risk‐adjusted In‐hospital Death Rates for Peer Hospitals in Rural and Urban Regions

  Open Access•L Lee Glenn, Caroline R Jijon•The Journal of Rural Health•1999

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• Failure-to-Rescue

  Jacob Needleman, Jack Needleman et al.•Medical Care•2007

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• The Mismeasurement of Quality by Readmission Rate

  Juliet Rumball-Smith, Juliet Rumball‐Smith et al.•Medical Care•2013

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• Comorbidity-Adjusted Complication Risk

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• Can Administrative Data Be Used to Compare Postoperative Complication Rates Across Hospitals

  Patrick S Romano, Benjamin K Chan et al.•Medical Care•2002

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• Interpreting Risk-Adjusted Length of Stay Patterns for VA Hospitals

  J W Thomas, ELIZABETH W BATES et al.•Medical Care•1998

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• Application of an Analytic Model to Early Readmission Rates Within the Department of Veterans Affairs

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• The Performance of Different Lookback Periods and Sources of Information for Charlson Comorbidity Adjustment in Medicare Claims

  James Zhang, James X Zhang et al.•Medical Care•1999

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• Marriage, widowhood, and health-care use

  Open Access•Theodore J Iwashyna, Nicholas A Christakis•Social Science & Medicine•2003

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• Using administrative databases to evaluate the quality of medical care

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• Physician and Hospital Factors Associated With Mortality of Surgical Patients

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• "Risk" Factors Affecting Readmission of the Elderly Into the Health Care System

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• Severity of Illness Within DRGs

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• The Measurement of Hospital Case Mix

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• The Risk-Adjusted Mortality Index

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