Posts Tagged ‘skilled nursing

The mean age of study patients was 63 years and 52% were men (Table 1). Forty-one percent of patients were admitted through the emergency department; 37% of patients (n = 42,416) were postoperative (ie, admitted to the ICU after undergoing a surgical procedure), and 63% of patients (n = 73,924) were nonoperative. The 10 most […]

In addition to predictions based on the national normative sample, the predicted risk of in-hospital death was reestimated based on the current data set. This entailed the development of a second multivariable equation using logistic regression that included the APS score, admission source, and ICU admission diagnosis. Admission source and diagnosis were expressed as n-1 […]

Physiologic variables with missing data were assumed to have normal values, although a minimum of nine physiologic measurements were required for inclusion in the analysis. Other data elements included the following: gender; primary diagnosis prompting admission to the ICU, as classified according to a prior taxono-my; admission source, based on eight mutually exclusive categories (eg, […]

Hospitals The study was conducted in 38 ICUs in 28 hospitals participating in CHQC. Nineteen of the study ICUs were mixed medical and surgical units, eight ICUs were medical, eight ICUs were surgical, and three were neurologic and/or neurosurgical. Thirteen additional ICUs in study hospitals that specialized in coronary care (n = 11) or cardiovascular […]

In 1989, a collaborative and cooperative strategy formulated by hospitals, physicians, and employers in a large metropolitan region led to the implementation of a standardized measurement system to evaluate patient outcomes of intensive care and other services in acute care hospitals serving the region. This effort, Cleveland Health Quality Choice (CHQC), can be traced to […]

Implications for Critical Care Delivery From Cleveland Health Quality Choice Public accountability for outcomes derived from delivered health services is a growing expectation of consumers and purchasers. Many informed business leaders now advocate the use of outcomes data that are appropriately adjusted for case-mix in their selection of health-care providers. However, despite the wide geographic […]