APPENDIX 7Empirical Evaluation Results Tables
This appendix summarizes the empirical results for each indicator in table format.
Indicators are in order according to their unique identifier.
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Indicator 1: AAA repair volume
|
| Type: Volume |
|
Definition: Provider level. Number of AAA Procedures
Threshold 1: 10/yr, Threshold 2: 32/yr
|
|
Procedure volume:
| |
Number of procedures performed per year
|
| # Hosp with >=1 procedures/yr | Mean | Standard deviation | 50th percentile | 90th percentile | 95th percentile |
| 1995 | 716 | 14 | 16 | 8 | 35 | 47 |
| 1996 | 727 | 14 | 16 | 8 | 36 | 46 |
| 1997 | 717 | 14 | 16 | 8 | 34 | 52 |
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Procedure share:
| Share of procedures done at high volume hospitals | Share of hospitals at high volume |
| Threshold 1 | Threshold 2 | Threshold 1 | Threshold 2 |
| 1995 | 84.19% | 43.11% | 46.09% | 12.57% |
| 1996 | 83.87% | 42.99% | 44.43% | 12.24% |
| 1997 | 84.70% | 41.73% | 46.44% | 11.58% |
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Persistence of high volume:
| Share of high volume hospitals
remaining high volume |
| Threshold 1 | Threshold 2 |
| 1995-1996 | 86.24% | 81.11% |
| 1996-1997 | 87.03% | 75.86% |
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Indicator 2: Carotid endarterectomy volume
|
| Type: Volume |
|
Definition: Provider level. Number of Carotid
Endarterectomy Procedures
Threshold 1: 50/yr, Threshold 2: 101/yr
|
|
Procedure volume:
| |
Number of procedures performed per year
|
| # Hosp with >=1 procedures/yr | Mean | Standard deviation | 50th percentile | 90th percentile | 95th percentile |
| 1995 | 893 | 52 | 60 | 32 | 127 | 158 |
| 1996 | 904 | 52 | 60 | 31.5 | 129 | 169 |
| 1997 | 884 | 54 | 64 | 32 | 133 | 175 |
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Procedure share:
| Share of procedures done at high volume hospitals | Share of hospitals at high volume |
| Threshold 1 | Threshold 2 | Threshold 1 | Threshold 2 |
| 1995 | 76.08% | 50.32% | 35.05% | 16.35% |
| 1996 | 77.77% | 51.03% | 36.61% | 16.70% |
| 1997 | 78.71% | 52.54% | 37.33% | 17.08% |
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Persistence of high volume:
| Share of high volume hospitals
remaining high volume |
| Threshold 1 | Threshold 2 |
| 1995-1996 | 93.53% | 87.50% |
| 1996-1997 | 89.72% | 87.76% |
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Indicator 3: CABG volume
|
| Type: Volume |
|
Definition: Provider level. Number of CABG Procedures
Threshold 1: 100/yr, Threshold 2: 200/yr
|
|
Procedure volume:
| |
Number of procedures performed per year
|
| # Hosp with >=1 procedures/yr | Mean | Standard deviation | 50th percentile | 90th percentile | 95th percentile |
| 1995 | 304 | 375 | 323 | 280 | 804 | 998 |
| 1996 | 307 | 399 | 338 | 293 | 830 | 1095 |
| 1997 | 307 | 401 | 345 | 301 | 892 | 1074 |
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Procedure share:
| Share of procedures done at high
volume hospitals | Share of hospitals at high
volume |
| Threshold 1 | Threshold 2 | Threshold 1 | Threshold 2 |
| 1995 | 98.03% | 89.50% | 86.18% | 65.13% |
| 1996 | 98.28% | 90.65% | 87.62% | 67.75% |
| 1997 | 98.30% | 90.71% | 87.95% | 68.08% |
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Persistence of high volume:
| Share of high volume hospitals remaining high
volume |
| Threshold 1 | Threshold 2 |
| 1995-1996 | 98.85% | 96.94% |
| 1996-1997 | 98.08% | 97.49% |
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Indicator 4: Esophageal resection volume
|
| Type: Volume |
|
Definition: Provider level. Number of Esophageal
Resection Procedures
Threshold 1: 6/yr, Threshold 2: 7/yr
|
|
Procedure volume:
| |
Number of procedures performed per year
|
| # Hosp with >=1 procedures/yr | Mean | Standard deviation | 50th percentile | 90th percentile | 95th percentile |
| 1995 | 265 | 2 | 3 | 1 | 4 | 7 |
| 1996 | 265 | 2 | 3 | 1 | 4 | 6 |
| 1997 | 233 | 2 | 3 | 1 | 5 | 8 |
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Procedure share:
| Share of procedures done at high
volume hospitals | Share of hospitals at high
volume |
| Threshold 1 | Threshold 2 | Threshold 1 | Threshold 2 |
| 1995 | 30.43% | 26.26% | 6.79% | 5.28% |
| 1996 | 39.51% | 34.26% | 8.58% | 6.43% |
| 1997 | 30.85% | 24.47% | 5.15% | 3.43% |
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Persistence of high volume:
| Share of high volume hospitals
remaining high volume |
| Threshold 1 | Threshold 2 |
| 1995-1996 | 50.00% | 57.14% |
| 1996-1997 | 58.33% | 60.00% |
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Indicator 5: Pancreatic resection volume
|
| Type: Volume |
|
Definition: Provider level. Number of Pancreatic
Resection Procedures
Threshold 1: 10/yr, Threshold 2: 11/yr
|
|
Procedure volume:
| |
Number of procedures performed per year
|
| # Hosp with >=1 procedures/yr | Mean | Standard deviation | 50th percentile | 90th percentile | 95th percentile |
| 1995 | 461 | 3 | 5 | 2 | 5 | 8 |
| 1996 | 429 | 3 | 4 | 2 | 5 | 10 |
| 1997 | 453 | 3 | 5 | 2 | 6 | 8 |
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Procedure share:
| Share of procedures done at high
volume hospitals | Share of hospitals at high
volume |
| Threshold 1 | Threshold 2 | Threshold 1 | Threshold 2 |
| 1995 | 30.22% | 27.96% | 4.77% | 4.12% |
| 1996 | 30.25% | 27.03% | 5.13% | 4.19% |
| 1997 | 31.58% | 31.58% | 4.41% | 4.41% |
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Persistence of high volume:
| Share of high volume hospitals
remaining high volume |
| Threshold 1 | Threshold 2 |
| 1995-1996 | 72.73% | 73.68% |
| 1996-1997 | 71.43% | 82.35% |
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Indicator 6: Pediatric heart surgery volume
|
| Type: Volume |
|
Definition: Provider level. Number of Pediatric Heart
Surgery Procedures
Threshold 1: 100/yr, Threshold 2: 100/yr
|
|
Procedure volume:
| |
Number of procedures performed per year
|
| # Hosp with >=1 procedures/yr | Mean | Standard deviation | 50th percentile | 90th percentile | 95th percentile |
| 1995 | 135 | 52 | 86 | 2 | 145 | 244 |
| 1996 | 126 | 53 | 90 | 2.5 | 149 | 245 |
| 1997 | 126 | 52 | 91 | 2 | 143 | 263 |
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Procedure share:
| Share of procedures done at high
volume hospitals | Share of hospitals at high
volume |
| Threshold 1 | Threshold 2 | Threshold 1 | Threshold 2 |
| 1995 | | 72.88% | | 19.26% |
| 1996 | | 75.52% | | 20.63% |
| 1997 | | 74.33% | | 19.05% |
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Persistence of high volume:
| Share of high volume hospitals
remaining high volume |
| Threshold 1 | Threshold 2 |
| 1995-1996 | | 84.62% |
| 1996-1997 | | 84.00% |
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Indicator 7: PTCA volume
|
| Type: Volume |
|
Definition: Provider level. Number of PTCA Procedures
Threshold 1: 200/yr, Threshold 2: 400/yr
|
|
Procedure volume:
| |
Number of procedures performed per year
|
| # Hosp with >=1 procedures/yr | Mean | Standard deviation | 50th percentile | 90th percentile | 95th percentile |
| 1995 | 354 | 379 | 367 | 292 | 803 | 1066 |
| 1996 | 356 | 418 | 400 | 330 | 869 | 1157 |
| 1997 | 354 | 447 | 428 | 338 | 934 | 1290 |
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Procedure share:
| Share of procedures done at high
volume hospitals | Share of hospitals at high
volume |
| Threshold 1 | Threshold 2 | Threshold 1 | Threshold 2 |
| 1995 | 94.41% | 72.54% | 65.82% | 37.29% |
| 1996 | 95.70% | 77.01% | 68.82% | 42.13% |
| 1997 | 95.38% | 79.06% | 69.21% | 44.63% |
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Persistence of high volume:
| Share of high volume hospitals
remaining high volume |
| Threshold 1 | Threshold 2 |
| 1995-1996 | 97.84% | 98.47% |
| 1996-1997 | 97.88% | 96.53% |
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Indicator 8: Cesarean section delivery rate
|
| Type: Provider level utilization |
|
Definition: Provider level. Number of cesarean section
delivery per 100 deliveries.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.214 | 0.087 | 0.045 | 0.012 | 0.880 | 0.922 |
| Demographics | - | - | 0.045 | 0.012 | 0.882 | 0.925 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.956 | 0.054 | 0.724 | 0.793 | 0.026 |
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Indicator 9: Incidental appendectomy among elderly
rate
|
| Type: Provider level utilization |
|
Definition: Provider level. Number of incidental
appendectomies per 100 patients age 65 years or older
undergoing intra-abdominal surgery.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.027 | 0.035 | 0.019 | 0.015 | 0.554 | 0.670 |
| Demographics | - | - | 0.019 | 0.018 | 0.590 | 0.689 |
| APR-DRG | - | - | 0.019 | 0.014 | 0.554 | 0.673 |
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Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.988 | 0.050 | 0.829 | 0.946 | 0.003 |
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Indicator 10: Bi-lateral cardiac catheterization
rate
|
| Type: Provider level utilization |
|
Definition: Provider level. Number of bilateral cardiac
catheterizations per 100 heart catheterizations.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.193 | 0.200 | 0.163 | 0.147 | 0.944 | 0.963 |
| Demographics | - | - | 0.162 | 0.140 | 0.942 | 0.961 |
| APR-DRG | - | - | 0.161 | 0.144 | 0.943 | 0.962 |
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Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.988 | 0.061 | 0.707 | 0.966 | 0.002 |
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Indicator 11: Successful vaginal birth after cesarean
section (VBAC) rate
|
| Type: Provider level utilization |
|
Definition: Provider level. Number of successful vaginal
deliveries per 100 deliveries in women with previous
cesarean section.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.336 | 0.148 | 0.115 | 0.055 | 0.825 | 0.889 |
| Demographics | - | - | 0.117 | 0.057 | 0.831 | 0.895 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.995 | 0.031 | 0.931 | 0.943 | 0.000 |
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Indicator 12: Laparoscopic cholecystectomy rate
|
| Type: Provider level utilization |
|
Definition: Provider level. Number of laparoscopic
cholecystectomies per 100 cholecystectomies (open and
laparoscopic) performed.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.662 | 0.192 | 0.137 | 0.083 | 0.836 | 0.893 |
| Demographics | - | - | 0.133 | 0.079 | 0.831 | 0.891 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.966 | 0.039 | 0.938 | 0.788 | 0.025 |
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Indicator 13: Coronary artery bypass graft (CABG)
rate
|
| Type: Area level utilization |
|
Definition: Area level. Number of CABGs per 100,000
population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.001804 | 0.005716 | 0.002508 | 0.002152 | 0.973 | 0.974 |
| Demographics | - | - | 0.002486 | 0.002117 | 0.973 | 0.973 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.6548 | 0.126 | 0.364 | 0.955 | 0.350 |
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Indicator 14: Hysterectomy rate
|
| Type: Area level utilization |
|
Definition: Area level. Number of hysterectomies per
100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.004194 | 0.003233 | 0.001840 | 0.000940 | 0.933 | 0.935 |
| Demographics | - | - | 0.001881 | 0.000983 | 0.936 | 0.937 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9964 | 0.030 | 0.818 | 0.909 | 0.000 |
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Indicator 15: Laminectomy and/or spinal fusion rate
|
| Type: Area level utilization |
|
Definition: Area level. Number of laminectomies per
100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.001390 | 0.003475 | 0.001328 | 0.001020 | 0.967 | 0.967 |
| Demographics | - | - | 0.001320 | 0.001009 | 0.967 | 0.967 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9333 | 0.063 | 0.318 | 0.955 | 0.074 |
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Indicator 16: Percutaneous transluminal coronary
angioplasty (PTCA) rate
|
| Type: Area level utilization |
|
Definition: Area level. Number of PTCAs per 100,000
population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.001908 | 0.004556 | 0.002780 | 0.002163 | 0.973 | 0.974 |
| Demographics | - | - | 0.002750 | 0.002120 | 0.973 | 0.973 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.6712 | 0.104 | 0.364 | 0.955 | 0.355 |
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Indicator 17: Dehydration admission rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for
dehydration per 100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.001399 | 0.001032 | 0.000484 | 0.000216 | 0.900 | 0.903 |
| Demographics | - | - | 0.000446 | 0.000184 | 0.885 | 0.889 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9572 | 0.092 | 0.818 | 0.909 | 0.046 |
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Indicator 18: Bacterial pneumonia admission rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for
bacterial pneumonia per 100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.003956 | 0.002085 | 0.000971 | 0.000343 | 0.932 | 0.933 |
| Demographics | - | - | 0.000948 | 0.000326 | 0.929 | 0.931 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9234 | 0.111 | 0.682 | 0.909 | 0.097 |
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Indicator 19: Urinary infection admission rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for urinary
infection per 100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.001451 | 0.000895 | 0.000395 | 0.000134 | 0.854 | 0.859 |
| Demographics | - | - | 0.000386 | 0.000128 | 0.849 | 0.854 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9143 | 0.115 | 0.682 | 0.909 | 0.088 |
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Indicator 20: Perforated appendix admission rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for
perforated appendix per 100 admissions for appendicitis
within an area.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.332740 | 0.144097 | 0.032117 | 0.004604 | 0.308 | 0.436 |
| Demographics | - | - | 0.027529 | 0.003387 | 0.265 | 0.394 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9687 | 0.020 | 0.900 | 0.850 | 0.025 |
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Indicator 21: Angina (without procedure) admission
rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for angina
(without procedure) per 100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.001660 | 0.001357 | 0.000639 | 0.000392 | 0.921 | 0.923 |
| Demographics | - | - | 0.000614 | 0.000362 | 0.916 | 0.919 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9677 | 0.106 | 0.636 | 0.909 | 0.032 |
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Indicator 22: Adult asthma admission rate.
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for adult
asthma per 100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.001079 | 0.000817 | 0.000443 | 0.000158 | 0.840 | 0.846 |
| Demographics | - | - | 0.000435 | 0.000153 | 0.836 | 0.842 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9879 | 0.038 | 0.864 | 0.955 | 0.000 |
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Indicator 23: Chronic obstructive pulmonary disease (COPD)
admission rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for COPD
per 100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.003240 | 0.002038 | 0.001153 | 0.000646 | 0.950 | 0.950 |
| Demographics | - | - | 0.000986 | 0.000472 | 0.934 | 0.935 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9333 | 0.135 | 0.682 | 0.864 | 0.069 |
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|
Indicator 24: Congestive heart failure admission
rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for CHF per
100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.005210 | 0.002865 | 0.001772 | 0.000708 | 0.954 | 0.954 |
| Demographics | - | - | 0.001404 | 0.000444 | 0.930 | 0.932 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.8577 | 0.196 | 0.545 | 0.818 | 0.166 |
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|
Indicator 25: Diabetes - short term complications
admissions rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for
diabetes short term complications (uncontrolled diabetes,
DKA, hyperosmolarity, and coma) per 100,000
population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.000360 | 0.000246 | 0.000092 | 0.000022 | 0.518 | 0.543 |
| Demographics | - | - | 0.000092 | 0.000022 | 0.517 | 0.543 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9951 | 0.006 | 1.000 | 1.000 | 0.005 |
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|
Indicator 26: Uncontrolled diabetes
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for
uncontrolled diabetes per 100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.000347 | 0.000281 | 0.000152 | 0.000078 | 0.735 | 0.751 |
| Demographics | - | - | 0.000147 | 0.000074 | 0.726 | 0.742 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9764 | 0.079 | 0.773 | 0.909 | 0.023 |
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|
Indicator 27: Diabetes - long-term complications admission
rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for
diabetes long-term complications (neurological, circulatory,
eye, kidney, NOS), per 100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.000808 | 0.000581 | 0.000265 | 0.000077 | 0.741 | 0.752 |
| Demographics | - | - | 0.000279 | 0.000085 | 0.756 | 0.766 |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9264 | 0.124 | 0.727 | 0.909 | 0.083 |
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|
Indicator 28: Hypertension admission rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for
hypertension per 100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.000371 | 0.000322 | 0.000142 | 0.000066 | 0.716 | 0.728 |
| Demographics | - | - | 0.000138 | 0.000060 | 0.699 | 0.712 |
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|
Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9631 | 0.091 | 0.727 | 1.000 | 0.032 |
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|
Indicator 29: Lower extremity amputation in diabetics
admission rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for lower
extremity amputation and diagnosis code for diabetes per
100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.000305 | 0.000427 | 0.000146 | 0.000064 | 0.706 | 0.722 |
| Demographics | - | - | 0.000137 | 0.000057 | 0.685 | 0.702 |
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|
Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9192 | 0.131 | 0.591 | 0.909 | 0.074 |
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|
Indicator 30: Low birth weight rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of infants with a birth
weight of under 2500 grams per 100 births within
area.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.039108 | 0.023135 | 0.011832 | 0.002720 | 0.671 | 0.812 |
| Demographics | - | - | 0.011836 | 0.002722 | 0.671 | 0.812 |
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|
Minimum bias:
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | NA | NA | NA | NA | NA |
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|
Indicator 31: Pediatric asthma admission rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for asthma
in patients age 18 years and younger per 100,000
population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.001541 | 0.001439 | 0.001137 | 0.000514 | 0.853 | 0.858 |
| Demographics | - | - | 0.001129 | 0.000506 | 0.851 | 0.856 |
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|
Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9938 | 0.053 | 1.000 | 0.955 | 0.000 |
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|
Indicator 32: Pediatric gastroenteritis admission
rate
|
| Type: Avoidable hospitalization/ Ambulatory Care
Sensitive Condition (ACSC) |
|
Definition: Area level. Number of admissions for
gastroenteritis in patients age 18 years and younger per
100,000 population.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.000985 | 0.001012 | 0.000535 | 0.000291 | 0.778 | 0.788 |
| Demographics | - | - | 0.000537 | 0.000293 | 0.778 | 0.788 |
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|
Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.9953 | 0.055 | 0.909 | 1.000 | 0.000 |
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|
Indicator 33: Acute myocardial infarction (AMI) mortality
rate
|
| Type: In-patient mortality |
|
Definition: Provider level. Number of deaths per 100
patients with diagnosis of AMI.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.244 | 0.161 | 0.078 | 0.043 | 0.718 | 0.826 |
| Demographics | - | - | 0.061 | 0.023 | 0.617 | 0.756 |
| APR-DRG | - | - | 0.034 | 0.008 | 0.428 | 0.590 |
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|
Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.747 | 0.324 | 0.363 | 0.673 | 0.290 |
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|
Indicator 34: Congestive heart failure (CHF) mortality
rate
|
| Type: In-patient mortality |
|
Definition: Provider level. Number of deaths per 100
patients with diagnosis of CHF.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.075 | 0.095 | 0.025 | 0.010 | 0.598 | 0.750 |
| Demographics | - | - | 0.021 | 0.007 | 0.505 | 0.696 |
| APR-DRG | - | - | 0.021 | 0.007 | 0.535 | 0.697 |
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Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.794 | 0.137 | 0.398 | 0.729 | 0.235 |
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|
Indicator 35: Gastrointestinal (GI) hemorrhage mortality
rate
|
| Type: In-patient mortality |
|
Definition: Provider level. Number of deaths per 100
patients with diagnosis of GI hemorrhage.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.046 | 0.057 | 0.016 | 0.006 | 0.323 | 0.589 |
| Demographics | - | - | 0.013 | 0.003 | 0.224 | 0.607 |
| APR-DRG | - | - | 0.011 | 0.003 | 0.202 | 0.555 |
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Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.803 | 0.105 | 0.504 | 0.678 | 0.229 |
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|
Indicator 36: Hip fracture mortality rate
|
| Type: In-patient mortality |
|
Definition: Provider level. Number of deaths per 100
patients with diagnosis of hip fracture.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.144 | 0.160 | 0.079 | 0.062 | 0.544 | 0.670 |
| Demographics | - | - | 0.072 | 0.048 | 0.476 | 0.635 |
| APR-DRG | - | - | 0.078 | 0.060 | 0.543 | 0.653 |
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|
Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.880 | 0.225 | 0.556 | 0.788 | 0.151 |
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|
Indicator 37: Pneumonia mortality rate
|
| Type: In-patient mortality |
|
Definition: Provider level. Number of deaths per 100
patients with diagnosis of pneumonia.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.138 | 0.102 | 0.052 | 0.022 | 0.744 | 0.850 |
| Demographics | - | - | 0.045 | 0.015 | 0.675 | 0.822 |
| APR-DRG | - | - | 0.037 | 0.012 | 0.629 | 0.781 |
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|
Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.596 | 0.219 | 0.306 | 0.603 | 0.408 |
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|
Indicator 38: Acute stroke mortality rate
|
| Type: In-patient mortality |
|
Definition: Provider level. Number of deaths per 100
patients with diagnosis of stroke (not TIA).
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.213 | 0.137 | 0.070 | 0.029 | 0.626 | 0.756 |
| Demographics | - | - | 0.067 | 0.025 | 0.589 | 0.738 |
| APR-DRG | - | - | 0.053 | 0.017 | 0.519 | 0.707 |
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Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.803 | 0.131 | 0.638 | 0.629 | 0.244 |
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|
Indicator 39: Abdominal aortic aneurysm repair mortality
rate
|
| Type: Post-procedural mortality |
|
Definition: Provider level. Number of deaths per 100
patients having undergone AAA repair.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.215 | 0.268 | 0.085 | 0.060 | 0.423 | 0.540 |
| Demographics | - | - | 0.067 | 0.035 | 0.037 | 0.571 |
| APR-DRG | - | - | NA | NA | NA | NA |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.890 | 0.234 | 0.708 | 0.646 | 0.141 |
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|
Indicator 40: Coronary artery bypass graft (CABG)
mortality rate
|
| Type: Post-procedural mortality |
|
Definition: Provider level. Number of deaths per 100
patients having undergone CABG.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.051 | 0.062 | 0.017 | 0.007 | 0.611 | 0.726 |
| Demographics | - | - | 0.016 | 0.006 | 0.552 | 0.727 |
| APR-DRG | - | - | 0.014 | 0.005 | 0.545 | 0.698 |
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Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.743 | 0.152 | 0.414 | 0.655 | 0.301 |
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|
Indicator 41: Craniotomy mortality rate
|
| Type: Post-procedural mortality |
|
Definition: Provider level. Number of deaths per 100
patients having undergone craniotomy.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.162 | 0.185 | 0.084 | 0.071 | 0.589 | 0.719 |
| Demographics | - | - | 0.077 | 0.054 | 0.527 | 0.704 |
| APR-DRG | - | - | 0.037 | 0.015 | 0.289 | 0.490 |
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Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.786 | 0.338 | 0.296 | 0.611 | 0.274 |
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|
Indicator 42: Esophageal resection mortality rate
|
| Type: Post-procedural mortality |
|
Definition: Provider level. Number of deaths per 100
patients having undergone esophageal resection for
cancer.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.202 | 0.366 | 0.043 | 0.026 | 0.120 | 0.353 |
| Demographics | - | - | 0.024 | 0.008 | 0.089 | 0.210 |
| APR-DRG | - | - | NA | NA | NA | NA |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.858 | 0.168 | 0.667 | 1.000 | 0.095 |
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Indicator 43: Hip replacement mortality rate
|
| Type: Post-procedural mortality |
|
Definition: Provider level. Number of deaths per 100
patients having undergone total or partial hip
arthroplasty.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.012 | 0.057 | 0.013 | 0.029 | 0.339 | 0.346 |
| Demographics | - | - | 0.012 | 0.021 | 0.202 | 0.218 |
| APR-DRG | - | - | 0.009 | 0.012 | 0.200 | 0.216 |
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Minimum bias:
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.642 | 0.489 | 0.278 | 0.708 | 0.361 |
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|
Indicator 44: Pancreatic resection mortality rate
|
| Type: Post-procedural mortality |
|
Definition: Provider level. Number of deaths per 100
patients having undergone pancreatic resection for
cancer.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.154 | 0.313 | 0.079 | 0.084 | 0.315 | 0.359 |
| Demographics | - | - | 0.042 | 0.032 | 0.165 | 0.347 |
| APR-DRG | - | - | NA | NA | NA | NA |
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Minimum bias (age-sex):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.540 | 0.419 | 0.714 | 0.286 | 0.381 |
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|
Indicator 45: Pediatric heart surgery mortality
rate
|
| Type: Post-procedural mortality |
|
Definition: Provider level. Number of deaths per 100
patients age 18 and under having undergone heart
surgery.
|
|
Precision:
|
Provider Level
|
Provider Signal
|
| | Mean | Std Dev | Std Dev (1) | Share (2) | Univariate Ratio (3) | MSX R2 (4) |
| Unadjusted | 0.072 | 0.170 | 0.022 | 0.008 | 0.357 | 0.496 |
| Demographics | - | - | 0.017 | 0.005 | 0.263 | 0.430 |
| APR-DRG | - | - | 0.015 | 0.003 | 0.222 | 0.379 |
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Minimum bias (APR-DRG):
| Rank Corr. (1) | Absolute Diff (2) | High 10% (3) | Low 10% (4) | Two Decile Diff (5) |
| MSX | 0.674 | 0.128 | 0.167 | 0.667 | 0.351 |
