Quality of care, process, and outcomes in elderly patients with pneumonia

JAMA

Volumn 278, Issue 23, 1997, Pages 2080-2084

  Meehan, Thomas P ^a,f   Fine, Michael J ^a,c   Krumholz, Harlan M ^a,d   Scinto, Jeanne D ^a   Galusha, Deron H ^a   Mockalis, Joyce T ^a   Weber, Georgina F ^a   Petrillo, Marcia K ^a   Houck, Peter M ^b   Fine, Jonathan M ^a,e  

^a Connecticut Peer Review Organization ^*  (United States)

^b Health Care Financing Administration   (United States)

^c UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^d YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e NORWALK HOSPITAL   (United States)

^f NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT;

AGED; ANTIBIOTIC THERAPY; ARTICLE; BLOOD CULTURE; COHORT ANALYSIS; ELDERLY CARE; FEMALE; HEALTH CARE QUALITY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICARE; MORTALITY; OXYGENATION; PNEUMONIA; PRIORITY JOURNAL; RETROSPECTIVE STUDY; TREATMENT OUTCOME;

EID: 0031472414     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.278.23.2080     Document Type: Article

References (27)

1. National Center for Health Statistics. Annual summary, 1993: National Hospital Discharge Survey. Vital Health Stat 13. 1993;121:6.
2. Centers for Disease Control and Prevention. Pneumonia and influenza death rates - United States, 1979-1994. MMWR Morb Mortal Wkly Rep. 1995;44:535-537.
3. Health Care Financing Administration. 1995 Data Compendium. Baltimore, Md: US Dept of Health and Human Services, Health Care Financing Administration; 1995:75. HCFA No. 03364.
4. Jencks SF, Wilensky GR. The health care quality improvement initiative. JAMA. 1992;268:900-903.
5. Health Care Financing Administration. Inpatient Management of Pneumonia in Medicare Beneficiaries: Ten Western. States, Fiscal Year 1993. Seattle, Wash: Health Care Financing Administration, Region 10; 1996.
6. Hand R, Pointek F, Klemka-Walden L, Inczauskis D. Use of statistical control charts to assess outcomes of medical care. Am J Med Sci. 1994;307: 329-334.
7. Ellerbeck EF, Jencks SF, Radford MJ, et al. Quality of care for Medicare patients with acute myocardial infarction. JAMA. 1995;273:1509-1514.
8. International Classification of Disease, Ninth Revision, Clinical Modification. Washington, DC: US Public Health Service, US Dept of Health and Human Services; 1988.
9. Fine MJ, Singer DE, Hanusa BH, Lave JR, Kaspor WN. Validation of a pneumonia prognostic index using the Medigroups comparative hospital database. Am J Med. 1993;94:153-159.
10. Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20:37-46.
11. Fine MJ, Auble TE, Yealy DM, et al. A prediction rule to identify patients with community-acquired pneumonia at low risk for mortality and other adverse medical outcomes. N Engl J Med. 1997;336:243-250.
12. Landwehr J, Pregibon D, Shoemaker A. Graphical methods for assessing logistic regression models. J Am Stat Assoc. 1984;79:61-63.
13. Hosmer DW, Lemeshow S. Applied Logistic Regression. New York, NY: John Wiley & Sons Inc; 1989.
14. Hanley JA, McNeil BJ. The meaning and use of the area under the receiver operating characteristic (ROC) curve. Radiology. 1992;143:29-36.
15. Mc Mahon LF, Wolfe RA, Tedeschi PJ. Variation in hospital admissions among small areas. Med Care. 1989;27:623-631.
16. Roos NP, Wennberg JE, McPherson K. Using diagnosis related groups for studying variations in hospital admissions. Health Care Financing Rev. 1988;9(4):53-62.
17. Wennberg JE, Frieman JL, Gulp WJ. Are hospital services rationed in New Haven or over-utilized in Boston? Lancet. 1987;1:1185-1189.
18. Fine MJ, Singer DE, Phelps AL, et al. Differences in length of hospital stay in patients with community-acquired pneumonia. Med Care. 1993;31:371-380.
19. Kahn KL, Rogers WH, Rubenstein LV, et al. Measuring quality of care with explicit process criteria before and after implementation of the DRG-based prospective payment system. JAMA. 1990; 264:1969-1973.
20. McGarvey RN, Harper JJ. Pneumonia mortality reduction and quality improvement in a community hospital. Qual Rev Bull. 1993;19:124-130.
21. Niederman MS, Bass JB, Campbell GD, et al. Guidelines for the initial management of adults with community-acquired pneumonia. Am Rev Respir Dis. 1993;148:1418-1420.
22. Fine MJ, Smith MA, Carson CA, et al. Prognosis and outcomes of patients with community-acquired pneumonia. JAMA. 1996;275:194-198.
23. Plouffe JF, Breiman RF, Facklam RR, for the Franklin County Pneumonia Study Group. Bacteremia with Streptococcus pneumoniae. JAMA. 1996; 275:194-198.
24. Fine MJ, Hanusa BH, Lave JR, et al. Comparison of a disease-specific and a generic severity of illness measure for patients with community-acquired pneumonia. J Gen Intern Med. 1995;10:359-368.
25. Whittle J, Fine MJ, Joyce DZ, et al. Community-acquired pneumonia: can it be defined with claims data? J Gen Intern Med. 1996;11(suppl):93A.
26. Brook RH, McGlynn EA, Cleary PD. Quality of health care, part 2: measuring quality of care. N Engl J Med. 1996;335:966-970.
27. Fine JM, Krinsky R, Hennen J, et al. The impact of timely initial treatment and evaluation of geriatric patients hospitalized with community-acquired pneumonia. Am J Respir Crit Care Med. 1996;153:A756.