Comparison of hospital risk-standardized mortality rates calculated by using in-hospital and 30-day models: An observational study with implications for hospital profiling

Annals of Internal Medicine

Volumn 156, Issue 1, 2012, Pages 19-26

  Drye, Elizabeth E ^a   Normand, Sharon Lise T ^b   Wang, Yun ^a   Ross, Joseph S ^c   Schreiner, Geoffrey C ^d   Han, Lein ^b   Rapp, Michael ^b   Krumholz, Harlan M ^a  

^a YALE NEW HAVEN HOSPITAL   (United States)

^b Department of Health Care Policy ^*  (United States)

^c YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d DARTMOUTH MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE HEART INFARCTION; ARTICLE; CALCULATION; COMPARATIVE STUDY; CONTROLLED STUDY; HEART FAILURE; HOSPITAL ADMISSION; HOSPITAL MANAGEMENT; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MEDICARE; MORTALITY; OBSERVATIONAL STUDY; PERFORMANCE MEASUREMENT SYSTEM; PNEUMONIA; PRIORITY JOURNAL; RISK STANDARDIZED MORTALITY RATE; UNITED STATES;

EID: 84855280813     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/0003-4819-156-1-201201030-00004     Document Type: Article

References (23)

1. Piantadosi S. Clinical Trials: A Methodologic Perspective. New York: J Wiley; 1997.
2. Agency for Healthcare Research and Quality. Inpatient Quality Indicators Overview. AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; 2006.
3. Agency for Healthcare Research and Quality. Health Care Report Card Compendium. Rockville, MD: Agency for Healthcare Research and Quality. Accessed at www.talkingquality.ahrq.gov/content/reportcard/search.aspx on 26 October 2011.
4. Baker DW, Einstadter D, Thomas CL, Husak SS, Gordon NH, Cebul RD. Mortality trends during a program that publicly reported hospital performance. Med Care. 2002;40:879-890. [PMID: 12395022]
5. Jencks SF, Williams DK, Kay TL. Assessing hospital-associated deaths from discharge data. The role of length of stay and comorbidities. JAMA. 1988;260: 2240-2246. [PMID: 3050163]
6. Rosenthal GE, Baker DW, Norris DG, Way LE, Harper DL, Snow RJ. Relationships between in-hospital and 30-day standardized hospital mortality: implications for profiling hospitals. Health Serv Res. 2000;34:1449-1468. [PMID: 10737447]
7. Chassin MR, Park RE, Lohr KN, Keesey J, Brook RH. Differences among hospitals in Medicare patient mortality. Health Serv Res. 1989;24:1-31. [PMID: 2654083]
8. Centers for Medicare & Medicaid Services. CMS Measures Management System Blueprint. Version 8.0. Baltimore: Centers for Medicare & Medicaid Services; 2011. Accessed at www.cms.gov/MMS/19_MeasuresManagementSystemBlueprint.asp on 7 November 2011.
9. Krumholz HM, Brindis RG, Brush JE, Cohen DJ, Epstein AJ, Furie K, et al; American Heart Association. Standards for statistical models used for public reporting of health outcomes: an American Heart Association Scientific Statement from the Quality of Care and Outcomes Research Interdisciplinary Writing Group: cosponsored by the Council on Epidemiology and Prevention and the Stroke Council. Endorsed by the American College of Cardiology Foundation. Circulation. 2006;113:456-462. [PMID: 16365198]
10. Centers for Medicare & Medicaid Services. Hospital Compare. Washington, DC: U.S. Department of Health & Human Services; 2011. Accessed at www.hospitalcompare.hhs.gov on 26 October 2011.
11. Centers for Medicare & Medicaid Services (CMS), HHS. Medicare program; hospital inpatient value-based purchasing program. Final rule. Fed Regist. 2011;76:26490-26547. [PMID: 21548401]
12. Bueno H, Ross JS, Wang Y, Chen J, Vidán MT, Normand SL, et al. Trends in length of stay and short-term outcomes among Medicare patients hospitalized for heart failure, 1993-2006. JAMA. 2010;303:2141-2147. [PMID: 20516414]
13. Grosso LM, Schreiner GC, Wang Y, Grady JN, Wang Y, Duffy CO, et al. 2009 Measures Maintenance Technical Report: Acute Myocardial Infarction, Heart Failure, and Pneumonia 30-Day Risk-Standardized Mortality Measures. New Haven: Yale-New Haven Health Services Corporation Center for Outcomes Research and Evaluation; 2009. Accessed at www.qualitynet.org.
14. Krumholz HM, Wang Y, Mattera JA, Wang Y, Han LF, Ingber MJ, et al. An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with heart failure. Circulation. 2006; 113:1693-701. [PMID: 16549636]
15. Krumholz HM, Wang Y, Mattera JA, Wang Y, Han LF, Ingber MJ, et al. An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with an acute myocardial infarction. Circulation. 2006;113:1683-92. [PMID: 16549637]
16. Krumholz HM, Normand ST, Bratzler DW, Mattera JA, Rich AS, Wang Y, et al. Risk-Adjustment Methodology for Hospital Monitoring/Surveillance and Public Reporting. Supplement 1: 30-Day Mortality Model for Pneumonia. New Haven: Yale Univ; 2006. Accessed at www.qualitynet.org/dcs/BlobServer?blobkey=id&blobnocache=true&blobwhere=1228861744769&blobheader=multipart%2Foctet-stream&blobheadername1=Content-Disposition&blobheadervalue1=attachment%3Bfilename%3DYaleCMS_PN_Report%2C0.pdf&blobcol=urldata&blobtable=MungoBlobs
17. Bhat KR, Drye EE, Krumholz HM, Normand ST, Schreiner GC, Wang Y, et al. Acute Myocardial Infarction, Heart Failure, and Pneumonia Mortality Measures Maintenance. New Haven: Yale Univ, Yale-New Haven Hospital Center for Outcomes Research and Evaluation; 2008. Accessed at www.qualitynet.org/dcs/BlobServer?blobkey=id&blobnocache=true&blobwhere=1228873653578&blobheader=multipart%2Foctet-stream&blobheadername1=Content-Disposition&blobheadervalue1=attachment%3Bfilename%3DMortMeasMaint_TechnicalReport_March_31#_#08_FINAL.pdf&blobcol=urldata&blobtable=MungoBlobs on 26 October 2011.
18. Krumholz HM, Normand ST, Galusha DH, Mattera JA, Rich AS, Wang Y, et al. Risk-Risk-Adjustment Models for AMI and HF 30-Day Mortality. New Haven: 2007. 1-118.www.qualitynet.org/dcs/BlobServer?blobkey=id&blobnocache=true&blobwhere=1228861777994&blobheader=multipart%2Foctet-stream&blobheadername1=Content-Disposition&blobheadervalue1=attachment%3Bfilename%3DYale_AMI-HF_Report_7-13-05%2C0.pdf&blobcol=urldata&blobtable=MungoBlobs on September 14, 2011.
19. Bratzler DW, Normand SL, Wang Y, O'Donnell WJ, Metersky M, Han LF, et al. An administrative claims model for profiling hospital 30-day mortality rates for pneumonia patients. PLoS One. 2011;6:e17401. [PMID: 21532758]
20. Normand S, Shahian DM. Statistical and clinical aspects of hospital outcomes profiling. Stat Sci. 2007;22:206-29.
21. Iezzoni LI. Risk Adjustment for Measuring Health Care Outcomes. 3rd ed. Chicago: Health Administration Pr; 2003.
22. Zaslavsky AM. Statistical issues in reporting quality data: small samples and casemix variation. Int J Qual Health Care. 2001;13:481-8. [PMID: 11769751]
23. National Quality Forum. NQF-Endorsed Standards. Washington, DC: National Quality Forum; 2010. Accessed at www.qualityforum.org/Measures_List.aspx on 26 October 2011.