Does adding clinical data to administrative data improve agreement among hospital quality measures?

ABSTRACT:

Background

Hospital performance measures based on patient mortality and readmission have indicated modest rates of agreement. We examined if combining clinical data on laboratory tests and vital signs with administrative data leads to improved agreement with each other, and with other measures of hospital performance in the nation's largest integrated health care system.

Methods

We used patient-level administrative and clinical data, and hospital-level data on quality indicators, for 2007-2010 from the Veterans Health Administration (VA). For patients admitted for acute myocardial infarction (AMI), heart failure (HF) and pneumonia we examined changes in hospital performance on 30-d mortality and 30-d readmission rates as a result of adding clinical data to administrative dat

SUBMITTER: Hanchate AD 

PROVIDER: S-EPMC5772776 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature