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Table 3 Levels of Agreement Between MDS and Administrative Health Care Use Records; Value (95% Confidence Limits)

From: How well does the minimum data set measure healthcare use? a validation study

  Count Sensitivity Specificity Positive Predicted Value Negative Predicted Value Kappa
Nursing Home User Status       
i) Newly Admitted NH Residents 8695 0.97 (0.96; 0.98) 0.99 (0.99; 1.00) 0.99 (0.98; 0.99) 0.98 (0.98; 0.99) 0.97 (0.96; 0.97)
ii) Residents Admitted from Hospital versus Another Locationa 3164 0.91 (0.90; 0.92) 0.82 (0.80; 0.84) 0.91 (0.90; 0.92) 0.83 (0.81; 0.85) 0.74 (0.71; 0.76)
ii) Residents with 1+ NH Transfer 8695 0.86 (0.84; 0.88) 0.99 (0.99; 0.99) 0.98 (0.97; 0.99) 0.98 (0.97; 0.98) 0.90 (0.89; 0.92)
iii) Residents who Died 8695 0.94 (0.93; 0.95) 0.99 (0.99; 1.00) 0.99 (0.99; 0.99) 0.97 (0.96; 0.97) 0.95 (0.94; 0.95)
Health Care Use       
i) Hospital Inpatient Visitsb 20,551 0.58 (0.55; 0.61) 0.97 (0.97; 0.97) 0.45 (0.42; 0.48) 0.98 (0.98; 0.98) 0.49 (0.46; 0.51)
Frequency of visitsc 484 0.60 (0.46; 0.72) 0.90 (0.86; 0.92) 0.41 (0.30; 0.52) 0.95 (0.92; 0.97) 0.41 (0.29; 0.52)
ii) ED Visits not ending in Hospitalizationb 20,551 0.34 (0.32; 0.36) 0.98 (0.98; 0.98) 0.57 (0.54; 0.60) 0.95 (0.94; 0.95) 0.39 (0.37; 0.42)
Frequency of visitsc 532 0.34 (0.26; 0.44) 0.92 (0.90; 0.95) 0.54 (0.42; 0.65) 0.85 (0.81; 0.88) 0.31 (0.21; 0.41)
iii) Days of Physician Examinations 44,003 0.52 (0.52; 0.53) 0.72 (0.71; 0.72) 0.63 (0.63; 0.64) 0.62 (0.61; 0.62) 0.24 (0.23; 0.25)
Frequency of daysc 11,135 0.24 (0.23; 0.26) 0.87 (0.86; 0.88) 0.47 (0.44; 0.49) 0.71 (0.70; 0.72) 0.13 (0.11; 0.15)
  1. aConducted on residents defined as newly admitted in both data systems
  2. bResults exclude MDS assessments completed within 90 days of any NH admission (N = 4354)
  3. cAnalyses conducted on residents with one or more health care contacts in each data system