Development and Validation of the Pediatric Medical Complexity Algorithm (PMCA) Version 2.0.

ABSTRACT:

Background and objectives

The Pediatric Medical Complexity Algorithm (PMCA) was developed to stratify children by level of medical complexity. We sought to refine PMCA and evaluate its performance based on the duration of eligibility and completeness of Medicaid data.

Methods

PMCA version 1.0 was applied to a cohort of 299 children insured by Washington State Medicaid with ≥1 Seattle Children's Hospital outpatient, emergency department, and/or inpatient encounter in 2012. Blinded assessment of the validation cohort's PMCA category was performed by using medical records. In-depth review of discrepant cases was performed and informed the development of PMCA version 2.0. The sensitivity and specificity of PMCA version 2.0 were assessed.

Results

Using Medicaid data, the s

SUBMITTER: Simon TD 

PROVIDER: S-EPMC5485351 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature