Effect of Present-on-Admission (POA) Reporting Accuracy on Hospital Performance Assessments Using Risk-Adjusted Mortality.

ABSTRACT:

Objective

To evaluate how the accuracy of present-on-admission (POA) reporting affects hospital 30-day acute myocardial infarction (AMI) mortality assessments.

Data sources

A total of 2005 California patient discharge data (PDD) and vital statistics death files.

Study design

We compared hospital performance rankings using an established model assessing hospital performance for AMI with (1) a model incorporating POA indicators of whether a secondary condition was a comorbidity or a complication of care, and (2) a simulation analysis that factored POA indicator accuracy into the hospital performance assessment. For each simulation, we changed POA indicators for six major acute risk factors of AMI mortality. The probability of POA being changed depended on patient and ho

SUBMITTER: Goldman LE 

PROVIDER: S-EPMC4450937 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature