Table 3.
Model Calibration by Decile of Predicted Mortality
|
Died |
Survived |
||||||
|---|---|---|---|---|---|---|---|
| Mortality Risk | Total Patients | Observed | Expected | Observed | Expected | Deviation | L.H. χ2 |
| CCS
| |||||||
| 0–8% | 4,381 | 178 | 278 | 4,203 | 4,103 | 39 | 166 |
| 8–12% | 4,381 | 323 | 440 | 4,058 | 3,941 | 34 | |
| 12–15% | 4,381 | 534 | 580 | 3,847 | 3,801 | 4 | |
| 15–19% | 4,381 | 707 | 737 | 3,674 | 3,644 | 1 | |
| 19–22% | 4,381 | 988 | 899 | 3,393 | 3,482 | 11 | |
| 22–27% | 4,382 | 1,201 | 1,090 | 3,181 | 3,292 | 15 | |
| 27–33% | 4,381 | 1,481 | 1,331 | 2,900 | 3,050 | 24 | |
| 33–42% | 4,381 | 1,705 | 1,631 | 2,676 | 2,750 | 5 | |
| 42–55% | 4,381 | 2,136 | 2,101 | 2,245 | 2,280 | 1 | |
| 55–100% | 4,381 | 2,895 | 3,062 | 1,486 | 1,319 | 30 | |
|
| |||||||
| Iezzoni
| |||||||
| 6–11% | 4,303 | 226 | 394 | 4,077 | 3,909 | 79 | 224 |
| 11–13% | 4,597 | 403 | 541 | 4,194 | 4,056 | 40 | |
| 13–18% | 3,492 | 538 | 545 | 2,954 | 2,947 | 0 | |
| 18–20% | 5,135 | 978 | 933 | 4,157 | 4,202 | 3 | |
| 20–23% | 4,232 | 989 | 895 | 3,243 | 3,337 | 13 | |
| 23–30% | 4,372 | 1,299 | 1,153 | 3,073 | 3,219 | 25 | |
| 30–32% | 4,537 | 1,539 | 1,401 | 2,998 | 3,136 | 20 | |
| 32–39% | 4,381 | 1,618 | 1,573 | 2,763 | 2,808 | 2 | |
| 39–51% | 4,372 | 2,034 | 1,984 | 2,338 | 2,388 | 2 | |
| 51–96% | 4,390 | 2,524 | 2,729 | 1,866 | 1,661 | 41 | |
|
| |||||||
| Charlson
| |||||||
| 7–11% | 4,285 | 230 | 413 | 4,055 | 3,872 | 90 | 209 |
| 11–14% | 4,498 | 436 | 555 | 4,062 | 3,943 | 29 | |
| 14–19% | 4,360 | 778 | 706 | 3,582 | 3,654 | 9 | |
| 19–20% | 5,611 | 1,152 | 1,115 | 4,459 | 4,496 | 2 | |
| 20–23% | 3,154 | 765 | 687 | 2,389 | 2,467 | 11 | |
| 23–28% | 4,331 | 1,146 | 1,097 | 3,185 | 3,234 | 3 | |
| 28–33% | 4,421 | 1,526 | 1,397 | 2,895 | 3,024 | 17 | |
| 33–39% | 4,396 | 1,669 | 1,560 | 2,727 | 2,836 | 12 | |
| 39–50% | 4,398 | 1,969 | 1,946 | 2,429 | 2,452 | 0 | |
| 50–97% | 4,357 | 2,477 | 2,671 | 1,880 | 1,686 | 36 | |
Legend:
Each risk-adjustment instrument applied to MedPar (index + pre-period) + Part B (pre-period).
Deviation = difference between observed and expected probabilities of death among deaths and survivors.
Calculated using: (Odeaths − Edeaths)2 / (total no. pt. in group)*(Edeaths/total pts in group)*(1 − (Edeaths/total patients in group))
L.H. = Lemeshow-Hosmer χ2 > 15.5, df = 8, p < 0.001 for each risk-adjustment strategy