mortality index

kerryseekircherkerryseekircher
edited May 2016 in CDI Talk Archive
Does anyone know of a website that provides info about a hospitals risk adjusted mortality index/rates? We recently parted ways with a larger organization that had provided us with that data. I'm pulling together an annual summary and I would like to demonstrate the continued benefits of reviewing all expirations.
I've always been told (and educate our MD's) that this is publicly reported data-I just can't find it!! :)
Any feedback is appreciated. Thanks all!
Kerry

Kerry Seekircher, RN, CCDS
Documentation Specialist Supervisor
Northern Westchester Hospital
400 East Main Street
Mount Kisco, NY 10549
Email: kseekircher@nwhc.net
Phone: 914-666-1243
Fax: 914-666-1013

Comments

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    We get our O/E via a proprietary site (MIDAS Data Vision) - I am not sure this particular metric is publically reported data. There is 'some' outcomes data for various diseases, and also certain surgical procedures, (CABG, being one example) that is reported on Health Grades, and other similar sites. But, I do not 'think' the overall O/E metric is freely published?



    Paul Evans, RHIA, CCS, CCS-P, CCDS
  • kerryseekircherkerryseekircher
    edited May 2016
    Thanks Paul. I'm sure you are right and that is why I can't find anything.
    I'm going to reach out to my cmo to see if she access through a proprietary tool/site. Fingers crossed.
    Kerry

  • annnd2009@gmail.comannnd2009@gmail.com
    edited May 2016
    Maybe check with your quality department. Who ever your core measure
    vendor is should have the capability within their software-per my
    understanding.
    Ann

  • don.cdi.rn@gmail.comdon.cdi.rn@gmail.com
    edited May 2016
    One website to look at is Healthgrades.com, they do provide expected & observed mortality data. However, since it is based on a total of 3 years Medpar data, and that by definition is at least one year old before the data can be purchased ... I suspect might be limited utility for what you seem to be looking for.

    The CMS Hospital compare website provides risk adjusted rates for certain conditions for death and re-admission.

    There appears to be significant overlap (as one would expect from good statistical modeling) between various risk adjustment methodologies. One can see on the CMS website (unfortunately I don't have a link) what dx's play into the risk adjustment they are planning on incorporating into the VBP program. There are many similarities between those dx's and for example the models used by University Health Consortium.

    Don

  • kerryseekircherkerryseekircher
    edited May 2016
    Thank you Don. I will definitely take a look at Healthgrades. Through 2012, I was able to report out a number based on the definition below. I believe through our former affiliate, we received this info from Thomson Reuters.
    For reporting purposes, it was one simple way to demonstrate the ongoing benefit of CDI conducting mortality reviews summed up into one number:)

    To interpret the mortality index data, we take the following into consideration:

    = 1: The hospital's mortality rate is in line with the expected mortality rate

    >1: The hospital's mortality rate is worse than expected

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    Don,
    Where do you find this on healthgrades? We have access to our own data and I have always been under the impression that it is publically reported. But I recently tried to find it and I could not find it on healthgrades. I did find the piece under 'safety' that states whether the number of deaths after a low-mort procedure was low/average/above average, but not anything like an O:E ratio.

    Thanks!

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404

  • wendy.clesiwendy.clesi
    edited May 2016
    Kerry,

    There are multiple resources, most of which are private reporting entities such as Healthgrades, Leapfrog, Thompson Reuters, etc. You can also find hospital specific data on the Medicare Hospital Compare site.

    http://www.medicare.gov/hospitalcompare

    Hope this helps!

    Wendy

    Wendy Clesi, RN, CCDS
    Director, CDI Services
    Huff DRG Review Services
    Cell: 985-778-8489
    Wendy.clesi@drgreview.com

    Huff DRG Review
  • don.cdi.rn@gmail.comdon.cdi.rn@gmail.com
    edited May 2016
    Under Hospital Quality --> Clinical Quality (the other options include patient safety, patient experience, Readmission rates)

    Under each clinical speciality, can look at specific dx or procedure and when click on that detail button, will see both actual and predicted mortality rates as well as volume of cases. The star rating (1, 3 or 5) correlates to the O:E ratio in comparison (as I recall) to the national norm. Used to show the national actual and predicted, but don't see that anymore.

    Many are mortality based, others are complications based ratings, and these are clearly shown. The complications rating does show the national average.

    Don

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    Thanks Don, I see it now!

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404

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