scholarly journals Reproducibility of Hospital Rankings Based on Centers for Medicare & Medicaid Services Hospital Compare Measures as a Function of Measure Reliability

2021 ◽  
Vol 4 (12) ◽  
pp. e2137647
Author(s):  
Laurent G. Glance ◽  
David R. Nerenz ◽  
Karen E. Joynt Maddox ◽  
Bruce L. Hall ◽  
Andrew W. Dick
Keyword(s):  
Measure Reliability ◽  
Hospital Compare

scholarly journals Evaluation of Initial Participation in Public Reporting of American College of Surgeons NSQIP Surgical Outcomes on Medicare's Hospital Compare Website

2014 ◽  
Vol 218 (3) ◽  
pp. 374-380.e5 ◽  
Author(s):  
Allison R. Dahlke ◽  
Jeanette W. Chung ◽  
Jane L. Holl ◽  
Clifford Y. Ko ◽  
Ravi Rajaram ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Public Reporting ◽  
American College Of Surgeons ◽  
Hospital Compare

scholarly journals Does a Reduction in Readmissions Result in Net Savings for Most Hospitals? An Examination of Medicare’s Hospital Readmissions Reduction Program

2018 ◽  
Vol 77 (4) ◽  
pp. 334-344 ◽  
Author(s):  
Olga Yakusheva ◽  
Geoffrey J. Hoffman
Keyword(s):  
Program Effectiveness ◽  
Hospital Readmissions ◽  
Fiscal Year ◽  
Medicare Reimbursement ◽  
Data Set ◽  
Average Hospital ◽  
Reduction Program ◽  
Program Costs ◽  
Hospital Compare ◽  
The Impact

This study aimed (1) to estimate the impact of an incremental reduction in excess readmissions on a hospital’s Medicare reimbursement revenue, for hospitals subject to penalties under the Medicare’s Hospital Readmissions Reduction Program and (2) to evaluate the economic case for an investment in a readmission reduction program. For 2,465 hospitals with excess readmissions in the Fiscal Year 2016 Hospital Compare data set, we (1) used the Hospital Readmissions Reduction Program statute to estimate hospital-specific Medicare reimbursement gains per an avoided readmission and (2) carried out a pro forma analysis of investment in a broad-scale readmission reduction program under conservative assumptions regarding program effectiveness and using program costs from earlier studies. For an average hospital, avoiding one excess readmission would result in reimbursement gains of $10,000 to $58,000 for Medicare discharges. The economic case for investments in a readmission reduction effort was strong overall, with the possible exception of hospitals with low excess readmissions.

PRODUCTION ENGINEERING MEASURE RELIABILITY THRU PROCESS IMPROVEMENT (2N1506)

1963 ◽  
Author(s):  
R. Austin ◽  
G. Kamienski ◽  
P. Kellow ◽  
J. Logan ◽  
I. Massaron
Keyword(s):  
Process Improvement ◽  
Production Engineering ◽  
Engineering Measure ◽  
Measure Reliability

Exploring Visual Analytics to Measure Reliability for IoT Oriented Pollution Detection Software Perspectives

2019 ◽  
Vol 10 (2) ◽  
pp. 1-19
Author(s):  
Nishi Kant Kumar ◽  
Soumya Banerjee
Keyword(s):  
Visual Analytics ◽  
Actual Data ◽  
Use Case ◽  
Specific Requirement ◽  
Software Bugs ◽  
Measure Reliability ◽  
Pollution Detection ◽  
Detection Software

The measurement of the reliability of such IoT based application requires an embedded analysis. The parameters are the number of imprecise or faulty measures as well as the identification of core modules. This article investigates that how far visual introspection can assist in troubleshooting of IoT-based software bugs. This specific requirement improvises a new idea, where the shape of the plots with actual data can indicate the cause of the error and further they can be patched if the software repairing strategies are implemented adjudging the visual analytics. It is quite indifferent to analyze faults for existing applications as a variation of topological and practicing parameters which takes substantial numbers of iterations and observations. Categorically, the present use-case establishes the fact to analyze and infer concerning the shape of the visual plots derived from embedded modules.

Rotter Internal-External Scale in an African Context: Problems of Construct and Equivalence

1979 ◽  
Vol 9 (1-2) ◽  
pp. 61-66 ◽  
Author(s):  
D. Munro
Keyword(s):  
White Students ◽  
Cross Cultural ◽  
External Scale ◽  
Black And White ◽  
Reliable Instrument ◽  
African Context ◽  
Measure Reliability ◽  
Item Content ◽  
To Receive ◽  
Scale Data

It is argued, in relation to the cross-cultural equivalence of personality measures, that of the three phases of test development namely construction, establishment of reliability and of validity, the second tends to receive too little attention. Accordingly, Rotter I-E Scale data from black and white students in Zambia and Rhodesia were compared with each other and with data collected in other countries. It is concluded that the Rotter I-E Scale is not a reliable instrument even for American groups; that responses may reflect manifest item content more than underlying cognitions about control; and that while locus-of-control seems a valuable and perhaps valid construct for cross-cultural personality and motivation research, we need better scales to measure reliability.

Association of Hospital Characteristics With Early SEP-1 Performance

2019 ◽  
Vol 35 (2) ◽  
pp. 110-116 ◽  
Author(s):  
Jeff Liao ◽  
Emily Aaronson ◽  
Jungyeon Kim ◽  
Xiu Liu ◽  
Colleen Snydeman ◽  
...  
Keyword(s):  
Case Mix ◽  
Linear Modeling ◽  
For Profit ◽  
Case Mix Index ◽  
Teaching Status ◽  
Acute Hospitals ◽  
Patient Complexity ◽  
Hospital Compare ◽  
Teaching Intensity ◽  
Hospital Characteristics

A variety of hospital characteristics, including teaching status, ownership, location, and size, have been shown to be associated with quality measure performance. The association of hospital characteristics, including teaching intensity, with performance on the Centers for Medicare & Medicaid Services (CMS) SEP-1 sepsis measure has not been well studied. Utilizing a statewide, all-payer database and the CMS Hospital Compare database, this study investigated the association of various hospital characteristics with early SEP-1 performance in 48 acute hospitals in Massachusetts. Hospital teaching intensity and Magnet designation did not have a statistically significant association with SEP-1 performance in multivariable linear modeling. However, SEP-1 performance was higher in smaller, for-profit hospitals with higher case mix index. This finding suggests that emergency department activity, hospital ownership, and patient complexity should be studied further across a larger geographic spectrum and longitudinally as hospitals implement efforts to reduce morbidity associated with sepsis.

Quality and Safety Performance in Teaching Hospitals

2006 ◽  
Vol 72 (11) ◽  
pp. 1051-1054
Author(s):  
Richard M. Knapp
Keyword(s):  
Pay For Performance ◽  
Surgical Care ◽  
Hospital Performance ◽  
Teaching Hospitals ◽  
Improvement Project ◽  
Specific Patient ◽  
Surgical Services ◽  
Surgical Care Improvement Project ◽  
Care Improvement ◽  
Hospital Compare

The Hospital Quality Alliance created a vehicle to display Hospital Performance data which is known as Hospital Compare. Overall, the data shows that teaching hospitals perform very well in the areas of Heart Failure and Heart Attack and not as well in Pneumonia care. Unique issues at teaching hospitals, such as timing for specific patient services, continue to be a concern in achieving high scores relative to their non-teaching peers. Most hospitals and specifically surgical services will be challenged in the upcoming years with the addition of the Surgical Care Improvement Project (SCIP) measures as we move into the pay-for-performance era.

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