2011
An Administrative Claims Model for Profiling Hospital 30-Day Mortality Rates for Pneumonia Patients
Bratzler DW, Normand SL, Wang Y, O'Donnell WJ, Metersky M, Han LF, Rapp MT, Krumholz HM. An Administrative Claims Model for Profiling Hospital 30-Day Mortality Rates for Pneumonia Patients. PLOS ONE 2011, 6: e17401. PMID: 21532758, PMCID: PMC3075250, DOI: 10.1371/journal.pone.0017401.Peer-Reviewed Original ResearchConceptsMortality rateDerivation cohortValidation cohortModel derivation cohortAge 66 yearsPrincipal discharge diagnosisAdministrative diagnosis codesStandardized mortality rateRisk-adjustment variablesQuality of careState mortality ratesAdministrative Claims ModelClaims-based modelsIndex hospitalizationPatient demographicsDischarge diagnosisOutpatient encountersPneumonia mortalityPneumonia patientsRetrospective studyDiagnosis codesPneumonia casesMortality estimatesOutcome measuresProfiling Hospitals
2008
An Administrative Claims Measure Suitable for Profiling Hospital Performance on the Basis of 30-Day All-Cause Readmission Rates Among Patients With Heart Failure
Keenan PS, Normand SL, Lin Z, Drye EE, Bhat KR, Ross JS, Schuur JD, Stauffer BD, Bernheim SM, Epstein AJ, Wang Y, Herrin J, Chen J, Federer JJ, Mattera JA, Wang Y, Krumholz HM. An Administrative Claims Measure Suitable for Profiling Hospital Performance on the Basis of 30-Day All-Cause Readmission Rates Among Patients With Heart Failure. Circulation Cardiovascular Quality And Outcomes 2008, 1: 29-37. PMID: 20031785, DOI: 10.1161/circoutcomes.108.802686.Peer-Reviewed Original ResearchConceptsRisk-standardized readmission ratesCause readmission rateReadmission ratesHeart failureHospital-level readmission ratesAdjusted readmission ratesAdministrative Claims MeasureUnadjusted readmission ratesHeart failure patientsHospital risk-standardized readmission ratesMedical record dataProfiling Hospital PerformanceHierarchical logistic regression modelsUse of MedicareMedical record modelNational Quality ForumLogistic regression modelsCause readmissionClaims-based modelsHospital dischargeFailure patientsC-statisticPreventable eventsPatientsQuality Forum