Inappropriate Hospital Care and Severity of Illness: Results from a Nationwide Study

American Journal of Medical Quality

Volumn 13, Issue 1, 1998, Pages 36-43

  Booth, Brenda M ^a,b,e   Ludke, Robert L ^c,e   Fisher, Eileen M ^d,e  

^a CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM   (United States)

^b UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES   (United States)

^c XAVIER UNIVERSITY   (United States)

^d UNIVERSITY OF IOWA   (United States)

^e VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; FEMALE; HEALTH SERVICE; HOSPITALIZATION; HUMAN; MALE; MARRIAGE; METHODOLOGY; MIDDLE AGED; POSTOPERATIVE PERIOD; PUBLIC HOSPITAL; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

ADULT; AGED; AGED, 80 AND OVER; FEMALE; HEALTH SERVICES MISUSE; HOSPITALIZATION; HOSPITALS, VETERANS; HUMANS; MALE; MARITAL STATUS; MIDDLE AGED; POSTOPERATIVE PERIOD; SEVERITY OF ILLNESS INDEX; UNITED STATES; UTILIZATION REVIEW;

EID: 0032012930     PISSN: 10628606     EISSN: None     Source Type: Journal    
DOI: 10.1177/106286069801300105     Document Type: Article

References (26)

1. Arbitman DB. Severity systems add new dimension to utilization management. Healthcare Finan Mgmt 1989;43:42-48.
2. Restuccia JD, Kreger BE, Payne SMC, et al. Factors affecting appropriateness of hospital use in Massachusetts. Health Care Finan Rev 1986;8:47-54.
3. Siu AL, Manning WG, Benjamin B. Patient, provider and hospital characteristics associated with inappropriate hospitalization. Am J Public Health 1990;80:1253-1256.
4. Booth BM, Ludke RL, Wakefield DS, et al. Nonacute inpatient admissions to Department of Veterans Affairs Medical Centers. Med Care 1991;29(suppl):AS40-50.
5. Smith CB, Goldman RL, Martin DC, et al. Overutilization of acute-care beds in Veterans Affairs hospitals. Med Care 1996;34:85-96.
6. Knaus WA, Draper EA, Wagner DP, et al. Apache II: A severity of disease classification system. Crit Care Med 1985;13:818-829.
7. Young WW, Swinkola RB, Zorn DM. The measurement of hospital case mix. Med Care 1982;20:501-512.
8. Ludke RL, Wakefield DS, Booth BM, et al. Nonacute utilization of Department of Veterans Affairs inpatient services: Background and design of a nationwide study. Med Care 1991;29:AS29-39.
9. Booth BM, Ludke RL, Wakefield DS, et al. Nonacute days of care within Department of Veterans Affairs Medical Centers. Med Care 1991;29:AS51-63.
10. Booth BM, Ludke RL, Wakefield DS, et al. Relationship between inappropriate admissions and days of care: Implications for utilization management. Hosp Health Serv Admin 1991;36:421-437.
11. Restuccia JD. The effect of concurrent feedback in reducing inappropriate hospital utilization. Med Care 1982;20:46-62.
12. Trumwasser I, Paranjpe NV, Ronis DL, et al. Reliability and validity of utilization review criteria: Appropriateness Evaluation Protocol, Standardized Medreview Instrument, and Intensity-Severity-Discharge criteria. Med Care 1990;28:95-109.
13. Siu AL, Sonnenberg FA, Manning WG, et al. Inappropriate use of hospitals in a randomized trial of health insurance plans. N Engl J Med 1986;315:1259-1266.
14. Zimmer JG. Length of stay and hospital bed misutilization. Med Care 1974;12:453-462.
15. Longest BB Jr, Terrell SA, Moynihan C, Gibson G. Measuring inappropriate utilization: What educators, students, and administrators must know in a prospective payment environment [unpublished]:, 1984.
16. Booth BM, Ludke RL, Fisher EM. Reliability of a utilization review instrument in a large field study. Am J Med Qual 1994;9:68-73.
17. Ludke RL, Wakefield DS, Booth BM, et al. Pilot study of nonacute utilization of VAMC inpatient services (SDR 87[hyphen:003), Final Report, 1990.
18. Knaus WA, Draper EA, Wagner DP, et al. An evaluation of outcome from intensive care in major medical centers. Ann Intern Med 1986;104:410-418.
19. Schein M, Gecelter G, Freinkel W, et al. Peritoneal lavage in abdominal sepsis: A controlled clinical study. Arch Surg 1990;125:1132-1135.
20. Mustard RA, Bohnen JMA, Rosati C, et al. Pneumonia complicating abdominal sepsis: An independent risk factor for mortality. Arch Surg 1991;126:170-175.
21. Solomkin JS, Dellinger EP, Christou NV, et al. Results of a multicenter trial comparing imipenem/cilastatin to tobramycin/clindamycin for intra-abdominal infections. Ann Surg 1990;212:581-591.
22. Rhee KJ, Baxt WG, Mackenzie JR, et al. APACHE II scoring in the injured patient. Crit Care Med 1990;18:827-830.
23. Thomas JW, Ashcraft MLF. Measuring severity of illness: A comparison of interrater reliability among severity methodologies Inquiry 1989;26:483-92
24. Thomas JW, Ashcraft MLF. Measuring severity of illness: Six severity systems and their ability to explain cost variations. Inquiry 1991;28:39-55
25. Horn SD, Sharkey PD, Buckle JM, et al. The relationship between severity of illness and hospital length of stay and mortality. Med Care 1991;29:305-317
26. Winickoff RN, Restuccia JD, Fincke BG, et al. Concurrent application of the Appropriateness Evaluation Protocol to acute admissions in Department of Veterans Affairs Medical Centers. Med Care 1991;29:AS64-76