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An Administrative Claims Measure Suitable for Profiling Hospital Performance Based on 30-Day All-Cause Readmission Rates Among Patients With Acute Myocardial Infarction

An Administrative Claims Measure Suitable for Profiling Hospital Performance Based on 30-Day... Methods Papers An Administrative Claims Measure Suitable for Profiling Hospital Performance Based on 30-Day All-Cause Readmission Rates Among Patients With Acute Myocardial Infarction Harlan M. Krumholz, MD, SM; Zhenqiu Lin, PhD; Elizabeth E. Drye, MD, SM; Mayur M. Desai, PhD; Lein F. Han, PhD; Michael T. Rapp, MD, JD; Jennifer A. Mattera, MPH; Sharon-Lise T. Normand, PhD Background—National attention has increasingly focused on readmission as a target for quality improvement. We present the development and validation of a model approved by the National Quality Forum and used by the Centers for Medicare & Medicaid Services for hospital-level public reporting of risk-standardized readmission rates for patients discharged from the hospital after an acute myocardial infarction. Methods and Results—We developed a hierarchical logistic regression model to calculate hospital risk-standardized 30-day all-cause readmission rates for patients hospitalized with acute myocardial infarction. The model was derived using Medicare claims data for a 2006 cohort and validated using claims and medical record data. The unadjusted readmission rate was 18.9%. The final model included 31 variables and had discrimination ranging from 8% observed 30-day readmission rate in the lowest predictive decile to 32% in the highest decile and a C statistic of 0.63. The 25th http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Circulation: Cardiovascular Quality and Outcomes Wolters Kluwer Health

An Administrative Claims Measure Suitable for Profiling Hospital Performance Based on 30-Day All-Cause Readmission Rates Among Patients With Acute Myocardial Infarction

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References (27)

Copyright
© 2011 American Heart Association, Inc.
ISSN
1941-7713
DOI
10.1161/CIRCOUTCOMES.110.957498
pmid
21406673
Publisher site
See Article on Publisher Site

Abstract

Methods Papers An Administrative Claims Measure Suitable for Profiling Hospital Performance Based on 30-Day All-Cause Readmission Rates Among Patients With Acute Myocardial Infarction Harlan M. Krumholz, MD, SM; Zhenqiu Lin, PhD; Elizabeth E. Drye, MD, SM; Mayur M. Desai, PhD; Lein F. Han, PhD; Michael T. Rapp, MD, JD; Jennifer A. Mattera, MPH; Sharon-Lise T. Normand, PhD Background—National attention has increasingly focused on readmission as a target for quality improvement. We present the development and validation of a model approved by the National Quality Forum and used by the Centers for Medicare & Medicaid Services for hospital-level public reporting of risk-standardized readmission rates for patients discharged from the hospital after an acute myocardial infarction. Methods and Results—We developed a hierarchical logistic regression model to calculate hospital risk-standardized 30-day all-cause readmission rates for patients hospitalized with acute myocardial infarction. The model was derived using Medicare claims data for a 2006 cohort and validated using claims and medical record data. The unadjusted readmission rate was 18.9%. The final model included 31 variables and had discrimination ranging from 8% observed 30-day readmission rate in the lowest predictive decile to 32% in the highest decile and a C statistic of 0.63. The 25th

Journal

Circulation: Cardiovascular Quality and OutcomesWolters Kluwer Health

Published: Mar 1, 2011

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