Risk-Adjusted Mortality: Problems and Possibilities
نویسندگان
چکیده
منابع مشابه
Risk-Adjusted Mortality: Problems and Possibilities
The ratio of observed-to-expected deaths is considered a measure of hospital quality and for this reason will soon become a basis for payment. However, there are drivers of that metric more potent than quality: most important are medical documentation and patient acuity. If hositals underdocument and therefore do not capture the full "expected mortality" they may be tempted to lower their obser...
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This article describes one risk-adjustment method useful for minimizing threats to internal validity that stem from the impact on the outcomes under investigation from patients' own characteristics and their associated risks. Mortality is the outcome used to illustrate the risk-adjustment approach. A two-step approach to outcomes research is suggested. The first step includes risk-adjusting out...
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INTRODUCTION Hip replacement (HR) operations are increasing. Short term mortality is an indicator of quality; few studies include risk adjustment models to predict HR outcomes. We evaluated in-hospital and 30-day mortality in hospitalized patients for HR and compared the performance of two risk adjustment algorithms. MATERIALS AND METHODS A retrospective cohort study on hospital discharge rec...
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Provider profiles are an important component of efforts to improve both healthcare productivity and quality. Risk adjustment is the attempt to account for differences in the risk for specific outcomes of cases in different groups in order to facilitate more meaningful comparisons. The value of provider profiles, whether used internally or released to the public, depends both on adequate risk ad...
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ژورنال
عنوان ژورنال: Computational and Mathematical Methods in Medicine
سال: 2012
ISSN: 1748-670X,1748-6718
DOI: 10.1155/2012/829465