Date post: | 11-Jan-2016 |
Category: |
Documents |
Upload: | albert-junior-wood |
View: | 216 times |
Download: | 0 times |
Better Health Care for All Floridians
FloridaHealthFinder.gov
Data Standards and Transparency Committee Meeting
State Display of Hospital and Health Plan Quality Measures
and Small NumbersMay 14, 2012
Better Health Care for All Floridians
FloridaHealthFinder.gov
State Display of AHRQ Measures
Risk Adjustment: The Risk Adjusted Mortality Rates (RAMR) presented here adjust the observed mortality rates. This statistical methodology takes into account pre-existing health problems that put some patients at greater risk of death to “level the playing field” and allow fair comparisons across hospitals.
Quality Ratings are risk-adjusted using age, gender APR-DRG base category, and APR-DRG risk of mortality scores.
Significantly better or significantly worse than the statewide rate are noted when upper 95% confidence level of the RAMR falls below the statewide rate (“better”) or lower 95% confidence level of the RAMR is higher than the statewide rate (“worse”).
Cells with no quality ratings indicate a hospital’s performance is considered “not significantly different” from the statewide average.
California
Colorado
Florida
Iowa
Kentucky
Risk Adjusted Rate Lower Confidence Level (LCL) and Upper Confidence Level (UCL) – Confidence limits represent the margin of error based upon the number of cases and may vary by hospital. Typically, fewer cases result in larger margins of error and more cases result in smaller margins of error.
Massachusetts (a)
Massachusetts (b)
New York
Oregon
Oregon
Texas
Texas
Utah
Vermont
Vermont
Better Health Care for All Floridians
FloridaHealthFinder.gov
CMS Display(Centers for Medicare & Medicaid Services)
Better Health Care for All Floridians
FloridaHealthFinder.gov
State Display of Small Numbers
Better Health Care for All Floridians
FloridaHealthFinder.gov
California Blank Cells = Fewer than 3 cases
Colorado * = Statistical significance not calculated for less than 30 cases
(Number of cases is still shown) Florida
X = Less than 30 cases Y = Not enough data to calculate Too Few Cases = less than 5 cases
Iowa Blank cell = fewer than 30 cases
Better Health Care for All Floridians
FloridaHealthFinder.gov
Massachusetts Health Care Quality and Cost Council See Footnote = Sample size too small to report (less than 30) N/A = Not enough information was reported
Massachusetts Executive Office of Health and Human Services
“Rates not calculated for hospitals with fewer than 30 patients”
New York <5/yellow circle = Facility with fewer than 5 cases. Number of Cases/yellow circle = facility had fewer than 30
cases (no statistical analyses performed)
Better Health Care for All Floridians
FloridaHealthFinder.gov
Texas Charts - Column with number of cases only = Facilities with
fewer than 30 cases (no calculations – other columns are blank) Graphs - “Fewer than 30 cases” appears next to facility name
Utah
Hospital names only are listed under the following heading: “The following hospitals treated at least one patient but less than 30 patients”
Web Addresses
Better Health Care for All Floridians
FloridaHealthFinder.gov
State Display of Health Plan Measures
California
Florida
Maryland
Maryland
New York