Comorbidity-Adjusted Complication Risk: A New Outcome Quality Measure

Medical Care

Volumn 34, Issue 5, 1996, Pages 490-505

  Brailer, David J ^a   Kroch, Eugene ^b   Pauly, Mark V ^a   Huang, Jianping ^c  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b VILLANOVA UNIVERSITY   (United States)

^c Care Management Science Corporation   (United States)

Author keywords

Clinical performance measurement; Complications; Outcome measurement; Risk adjustment

Indexed keywords

AGED; ARTICLE; COMORBIDITY; FEMALE; HEALTH CARE QUALITY; HEALTH SERVICES RESEARCH; HOSPITAL; HOSPITALIZATION; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; POSTOPERATIVE COMPLICATION; PROBABILITY; RISK FACTOR; STANDARD; STATISTICAL MODEL; STATISTICS; TREATMENT OUTCOME; UNITED STATES;

AGED; CALIFORNIA; COMORBIDITY; FEMALE; FLORIDA; HEALTH SERVICES RESEARCH; HOSPITALS; HUMANS; MALE; MIDDLE AGED; MODELS, STATISTICAL; PENNSYLVANIA; POSTOPERATIVE COMPLICATIONS; PROBABILITY; QUALITY OF HEALTH CARE; RISK FACTORS; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME;

EID: 0030139511     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199605000-00010     Document Type: Article

References (19)

1. DesHarnais SI, McMahon LF, Wroblewski RT, Hogan AJ. Measuring hospital performance: The development and validation of risk-adjusted indexes of mortality, readmissions, and complications. Med Care 1990;28:1127.
2. Rontal R, Kiess MJ, DesHarnais SI, Reutter K. Applications for risk-adjusted outcomes measures. Quality Assurance in Health Care 1991;3:283.
3. Luft HS Hunt SS. Evaluating individual hospital quality through outcome statistics. JAMA 1986;225:2780.
4. Riley G, Lubitz J, Gornick M, Mentnech R, Eggers P, McBean M. Medicare beneficiaries: Adverse outcomes after hospitalization for eight procedures. Med Care 1993;31:921.
5. Silber JH, Williams SV, Krakauer H, Schwartz JS. Hospital and patient characteristics associated with death after surgery. Med Care 1992;30:615.
6. Rosen AK, Geraci JM, Ash AS, McNiff KJ, Moskowitz MA. Postoperative adverse events of common surgical procedures in the Medicare population. Med Care 1992;30:753.
7. Cleary PD, Greenfield S, Mulley AG, et al. Variations in length of stay and outcomes for six medical and surgical conditions in Massachusetts and California. JAMA 1991;266:73.
8. Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients: Results of the Harvard Medical Practice Study II. N Engl J Med 1991;324:377.
9. Hand R, Piontek F, Waiden LK, Inczauskis D. Use of statistical control charts to assess outcomes of medical care: Pneumonia in Medicare patients. Am J Med Sci 1994;307:329.
10. Iezzoni LI, Daley J, Heeren T, et al. Using administrative data to screen hospitals for high complication risks. Inquiry 1994;31:40.
11. Hannan EL, Bernard HR, O'Donnell JF, Kilburn H. A methodology for targeting hospital cases for quality care record reviews. Am J Public Health 1989;79:430.
12. Roos LL, Cageorge SM, Austen E, Lohr KN. Using computers to identify complications after surgery. Am J Public Health 1985;75:1288.
13. Iezzoni LI, Foley SM, Daley J, Hughes J, Fisher ES, Heeren T. Comorbidities, complications and coding bias: Does the number of diagnosis codes matter in predicting in-hospital mortality? JAMA 1992;267:2197.
14. Goldmann DR, Brown FH, Guarnieri DM, eds. Perioperative medicine. New York, NY: McGraw Hill, 1994.
15. Pauly MV, Brauer DJ, Kroch E, Even-Shoshan O. The corporate hospital rating project: Measuring hospital outcomes from a buyer's perspective. Am J Med Qual 1996. In press.
16. Fetter RB, Freeman JL, Park H, et al. DRG Refinement with diagnostic specific comorbidities and complications: A synthesis of current approaches to patient classification. Final Report. New Haven, CT: Yale University, 1989. Health Care Financing Agreement contract 15-C-98930/1-01 and 17-C-98930/1-0251.
17. Romano PS, Mark DH. Bias in the coding of hospital discharge data and its implications for quality assessment. Med Care 1994;32:81.
18. Fisher ES, Whaley FS, Krushat WM, et al. The accuracy of Medicare's hospital claims data: Progress has been made, but problems remain. Am J Public Health 1992;82:243.
19. Hsia DC, Ahern CA, Ritchie BP Moscoe LM, Krushat WM. Medicare reimbursement accuracy under the Prospective Payment System, 1985 to 1988. JAMA 1992;268:896.