Table 1.
Comparison of 11-State All Patient, 11-State Medicare Only, and National Medicare Length of Stay and Rates for 11 Patient Complications
| Outcome or Complication Rates | Correlation of All-Patient and Medicare Rates, 11-State Sample | Proportion of Hospitals with No Coded Patient Complications | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| All Patient | Medicare | MedPAR | All Patient | Medicare | MedPAR | |||||
| Medical Patients | ||||||||||
| Length of Stay | 5.02 | 6.41 | aa | 5.79 | aa | bb | 0.82 | |||
| (1.98) | (2.65) | (2.92) | ||||||||
| Urinary Tract Infections | 6.30% | 8.85% | aa | 8.81% | aa | 0.91 | 0.00% | 0.63% | 0.86% | |
| (2.34%) | (2.77%) | (3.01%) | ||||||||
| Skin Pressure Ulcer | 7.21% | 8.07% | aa | 6.78% | aa | bb | 0.90 | 1.00% | 3.00% | 6.76% |
| (4.46%) | (5.38%) | (5.34%) | ||||||||
| Pneumonia | 2.34% | 3.80% | aa | 3.72% | aa | 0.85 | 0.13% | 1.38% | 1.07% | |
| (1.15%) | (1.76%) | (1.79%) | ||||||||
| Shock/Cardiac Failure | 0.57% | 0.98% | aa | 0.94% | aa | 0.86 | 3.50% | 6.38% | 7.03% | |
| (0.81%) | (1.03%) | (0.72%) | ||||||||
| Upper Gastrointestinal Bleeding | 1.04% | 1.68% | aa | 1.53% | aa | bb | 0.86 | 0.13% | 1.38% | 2.32% |
| (0.63%) | (0.90%) | (0.85%) | ||||||||
| Sepsis | 1.29% | 1.44% | aa | 1.33% | aa | bb | 0.86 | 1.13% | 3.13% | 6.05% |
| (0.87%) | (1.08%) | (0.98%) | ||||||||
| Failure to Rescue | 18.62% | 20.53% | aa | 19.97% | aa | b | 0.87 | 0.63% | 1.00% | 2.68% |
| (5.92%) | (6.85%) | (7.57%) | ||||||||
| Surgical Patients | ||||||||||
| Length of Stay | 4.67 | 5.84 | aa | 7.68 | aa | bb | 0.65 | |||
| (1.42) | (1.74) | (2.90) | ||||||||
| Urinary Tract Infections | 3.30% | 5.61% | aa | 7.75% | aa | bb | 0.86 | 1.38% | 3.50% | 3.34% |
| (2.12%) | (3.45%) | (5.94%) | ||||||||
| Skin Pressure Ulcer | 5.80% | 6.39% | aa | 8.13% | aa | bb | 0.77 | 22.28% | 30.54% | 12.75% |
| (6.56%) | (9.10%) | (8.31%) | ||||||||
| Pneumonia | 1.24% | 1.93% | aa | 3.42% | aa | bb | 0.63 | 7.13% | 12.27% | 6.11% |
| (2.19%) | (2.01%) | (3.84%) | ||||||||
| Shock/Cardiac Failure | 0.49% | 0.87% | aa | 1.23% | aa | bb | 0.76 | 18.52% | 29.16% | 19.33% |
| (0.55%) | (1.14%) | (1.97%) | ||||||||
| Upper Gastrointestinal Bleeding | 0.50% | 0.82% | aa | 1.37% | aa | bb | 0.79 | 12.27% | 20.40% | 12.51% |
| (0.51%) | (1.04%) | (1.78%) | ||||||||
| Sepsis | 0.99% | 1.39% | aa | 2.37% | aa | bb | 0.91 | 13.02% | 21.15% | 11.50% |
| (0.84%) | (1.91%) | (2.35%) | ||||||||
| Failure to Rescue | 19.69% | 23.30% | aa | 22.75% | aa | 0.86 | 13.52% | 16.77% | 8.67% | |
| (13.30%) | (17.67%) | (13.65%) | ||||||||
| Wound Infection | 0.79% | 1.01% | aa | (1.09%) | aa | 0.57 | 8.64% | 19.27% | 16.89% | |
| (0.55%) | (1.55%) | (1.30%) | ||||||||
| Metabolic Derangement | 6.84% | 10.74% | aa | 14.43% | aa | bb | 0.75 | 0.88% | 2.00% | 2.80% |
| (7.19%) | (9.31%) | (9.89%) | ||||||||
Standard deviation in parentheses.
Probability (rate=rate in the all-patient sample): a: p<.05, aa: p<.01
Probability (rate=rate in 11-state Medicare sample): b: p<.05, bb: p<.01
Length of stay measured in days.