Does a claims-based model produce similar hospital risk-standardized 30-day all-cause readmission rates for AMI patients compared to a medical record model?
A claims-based model for hospital risk-standardized 30-day all-cause readmission rates for AMI patients produces estimates that are excellent surrogates for those from a medical record model, supporting its use for public reporting.
BACKGROUND: National attention has increasingly focused on readmission as a target for quality improvement. We present the development and validation of a model approved by the National Quality Forum and used by the Centers for Medicare median difference, 0.02 percentage points). CONCLUSIONS: This claims-based model of hospital risk-standardized readmission rates for patients with acute myocardial infarction produces estimates that are excellent surrogates for those produced from a medical record model.
Krumholz et al. (2011) studied this question.
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