Table 2.
Observed and predicted 30-day unplanned readmission rates by model and state.
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Observed (%) | Predicteda (%) | ||||||||||||||||||||||||
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MD (n=1,857,658) | FL (n=8,733,002) | LACEb | HOSPITALc | CMSd as-is | CMS retrained | ||||||||||||||||||||
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MDe (n=1,857,658) | FLf (n=8,733,002) | MD (n=1,857,658) | FL (n=8,733,002) | MD (n=714,917) | FL (n=2,636,671) | MD (n=357,458) | FL (n=1,318,335) | |||||||||||||||||
| Total | 11.31 | 14.34 | 14.48 | 15.88 | 12 | 14.61 | 10.48 | 10.26 | 14.71 | 16.5 | ||||||||||||||||
| Race | ||||||||||||||||||||||||||
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White | 11.13 | 13.94 | 12.92 | 14.81 | 11.62 | 14.07 | 10.27 | 10.11 | 14.14 | 15.97 | |||||||||||||||
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Black | 12.77 | 17.14 | 18.62 | 21.33 | 14.12 | 18.26 | 10.82 | 10.85 | 15.84 | 18.93 | |||||||||||||||
| Income | ||||||||||||||||||||||||||
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Other | 10.59 | 13.6 | 12.88 | 14.62 | 10.84 | 13.66 | 10.37 | 10.19 | 14.3 | 16.17 | |||||||||||||||
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Low | 12.73 | 16.03 | 17.6 | 18.72 | 14.29 | 16.77 | 10.67 | 10.43 | 15.46 | 17.25 | |||||||||||||||
aPredicted: the predicted readmission rates for LACE and HOSPITAL were calculated as the percentage of patients at high risk of unplanned readmission based on the model output for the group; and the predicted readmission rates for the two CMS models were the predicted probability of being at high risk of unplanned readmission for the group.
bLACE: The LACE Index for readmission risk.
cHOSPITAL: The modified HOSPITAL score for readmission risk.
dCMS: Centers for Medicare & Medicaid Services (readmission measure).
eMD: Maryland.
fFL: Florida.