Accuracy of hospital report cards based on administrative data.

ABSTRACT:

Context

Many of the publicly available health quality report cards are based on administrative data. ICD-9-CM codes in administrative data are not date stamped to distinguish between medical conditions present at the time of hospital admission and complications, which occur after hospital admission. Treating complications as preexisting conditions gives poor-performing hospitals "credit" for their complications and may cause some hospitals that are delivering low-quality care to be misclassified as average- or high-performing hospitals.

Objective

To determine whether hospital quality assessment based on administrative data is impacted by the inclusion of condition present at admission (CPAA) modifiers in administrative data as a date stamp indicator.

Design, setting, and

SUBMITTER: Glance LG 

PROVIDER: S-EPMC1797077 | biostudies-literature | 2006 Aug

REPOSITORIES: biostudies-literature