You are viewing the site in preview mode

Skip to main content

Advertisement

Table 3 Hospital Performance based on the Composite Outcome versus Readmission Performance Metric

From: Impact on hospital ranking of basing readmission measures on a composite endpoint of death or readmission versus readmissions alone

  Readmission or death
High-performance Average-performance Low-performance
  AMI, CHF, or PNEU Hospital AOR, median (range) Kappa
Readmission, No. (%) 0.54
 High-performance 12 (80.0) 3 (20.0) 0 (0) 0.81 (0.69-0.90)
 Average-performance 23 (14.0) 130 (79.3) 11 (6.7) 0.99 (0.81-1.17)
 Low-performance 0 (0) 5 (20.8) 19 (79.2) 1.24 (1.13-1.43)
 Hospital AOR, median (range) 0.79 (0.48-0.92) 0.99 (0.63-1.46) 1.33 (1.16-1.66)   
  Acute Myocardial Infarction   0.13
Readmission, No. (%)
 High-performance 2 (100) 0 (0) 0 (0) 0.76 (0.70-0.81)
 Average-performance 16 (8.7) 164 (88.7) 5 (2.7) 1.00 (0.81-1.26)
 Low-performance 0 (0) 1 (100) 0 (0) 1.23 (NA)
 Hospital AOR, median (range) 0.80 (0.59-0.88) 1.02 (0.78-1.35) 1.41 (1.23-1.44)   
  Congestive Heart Failure   0.53
Readmission, No. (%)
 High-performance 8 (88.9) 2 (11.1) 0 (0) 0.80 (0.73-0.88)
 Average-performance 10 (5.6) 158 (88.3) 11 (6.15) 1.00 (0.83-1.23)
 Low-performance 0 (0) 3 (27.3) 8 (72.7) 1.29 (1.13-1.37)
 Hospital AOR, median (range) 0.77 (0.51-0.86) 0.98 (0.70-1.39) 1.33 (1.16-1.51)   
  Pneumoniae   0.45
Readmission, No. (%)
 High-performance 4 (66.7) 2 (33.3) 0 (0) 0.77 (0.74-0.81)
 Average-performance 7 (3.7) 168 (88.9) 14 (7.4) 0.99 (0.83-1.31)
 Low-performance 0 (0) 1 (12.5) 7 (87.5) 1.27 (1.21-1.44)
 Hospital AOR, median (range) 0.76 (0.57-0.81) 0.99 (0.76-1.44) 1.34 (1.16-1.48)   
  1. NA not applicable, No number, AOR adjusted odds ratio, AMI acute myocardial infarction, CHF congestive heart failure, PNEU pneumonia
  2. kappa – weighted kappa analysis