TABLE 5.
Validation Analysis for Transition Quality Measure Scores
| Outcome | Hospital-to-Home Transition Quality Measure Scores |
Measure 3: ICU-to-Floor Transition Note Quality | ||
|---|---|---|---|---|
| Measure 1: Hospital-to-Home Transition Record Qualitya | Measure 2: Timely Discharge Communication Between Providers | Hospital-to-Home Transition Summary Score (Measures 1 and 2)a | ||
|
| ||||
| Odds Ratio (95% Confidence Interval)b | Odds Ratio (95% Confidence Interval)b | Odds Ratio (95% Confidence Interval)b | Odds Ratio (95% Confidence Interval)b | |
| 7-d readmissionc | 0.91 (0.11 to 7.42) | 0.78 (0.24 to 2.47) | 0.74 (0.08 to 6.92) | — |
| 30-d readmissionc | 0.98 (0.25 to 3.85) | 0.78 (0.35 to 1.78) | 0.89 (0.20 to 3.91) | — |
| 7-d return ED visit c,d | 1.84 (0.15 to 22.46) | 0.55 (0.14 to 2.15) | 1.22 (0.09 to 16.42) | — |
| 30-d return ED visit c,d | 1.34 (0.15 to 12.30) | 0.63 (0.22 to 1.79) | 0.94 (0.09 to 9.32) | — |
| ICU readmissione | — | — | — | 2.07 (0.35 to 12.27) |
| — | — | Regression coefficient (95% confidence interval) | ||
| LOSf | — | — | — | 0.96 (−3.99 to 5.90) |
a
These quality measures are adjusted for ODD.
b
Odds ratios are for a change of 0 to 100 on a 0 to 100 scale.
c
Models adjusted for hospital site and child sex, race or ethnicity, and insurance type.
d
Data missing for 1 children’s hospital.
e
Adjusted for hospital site and child sex, race or ethnicity, and insurance type; medical complexity not included, because all ICU readmissions were among children with complex chronic conditions.
f
Adjusted for hospital and child sex, race or ethnicity, insurance type, and medical complexity; LOS truncated at the 99th percentile.