Risk-Adjusted Variation of Publicly Reported Emergency Department Timeliness Measures.

ABSTRACT:

Study objective

The Centers for Medicare & Medicaid Services (CMS) recently published emergency department (ED) timeliness measures. These data show substantial variation in hospital performance and suggest the need for process improvement initiatives. However, the CMS measures are not risk adjusted and may provide misleading information about hospital performance and variation. We hypothesize that substantial hospital-level variation will persist after risk adjustment.

Methods

This cross-sectional study included hospitals that participated in the Emergency Department Benchmarking Alliance and CMS ED measure reporting in 2012. Outcomes included the CMS measures corresponding to median annual boarding time, length of stay of admitted patients, length of stay of discharged pat

SUBMITTER: Sun BC 

PROVIDER: S-EPMC4690810 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature