an administrative claims model for profiling hospital 30-day mortality rates for pneumonia patients行政索赔模型分析对肺炎病人医院30天死亡率.pdfVIP

An Administrative Claims Model for Profiling Hospital 30- Day Mortality Rates for Pneumonia Patients 1 2 3 4 5 Dale W. Bratzler , Sharon-Lise T. Normand , Yun Wang , Walter J. O’Donnell , Mark Metersky , Lein F. Han6, Michael T. Rapp6,7, Harlan M. Krumholz3,8* 1 Oklahoma Foundation for Medical Quality, Oklahoma City, Oklahoma, United States of America, 2 Department of Health Care Policy, Harvard Medical School and Department of Biostatistics, Harvard School of Public Health, Boston, Massachusetts, United States of America, 3 Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, and Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, United States of America, 4 Pulmonary and Critical Care Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States of America, 5 Division of Pulmonary and Critical Care Medicine, University of Connecticut School of Medicine, Farmington, Connecticut, United States of America, 6 Centers for Medicare and Medicaid Services, Baltimore, Maryland, United States of America, 7 Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, D.C., United States of America, 8 Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine, and Section of Health Policy and Administration, School of Public Health, Yale University School of Medicine, New Haven, Connecticut, United States of America Abstract Background: Outcome measures for patients hospitalized with pneumonia may complement process measures in characterizing quality of care. We sought to develop and validate a hierar