Table 2.
Prereform Years | Postreform Years | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
2000–2003* (pooled) | 2003–2004* | 2004–2005* | ||||||||||
Financial Health (cash flow) Quartile of Hospital of Admission |
Q1 | Q2 | Q3 | Q4 | Q1 | Q2 | Q3 | Q4 | Q1 | Q2 | Q3 | Q4 |
Mortality- Combined Medical | ||||||||||||
No. of Cases | 278,174 | 264,153 | 243,307 | 180,012 | 88,843 | 83,418 | 79,044 | 57,088 | 84,278 | 80,421 | 75,710 | 55,184 |
Unadjusted Mortality, % | 12.01% | 12.00% | 12.34% | 12.30% | 11.66% | 11.38% | 12.04% | 12.13% | 11.45% | 11.04% | 11.65% | 11.50% |
High Risk Mortality- Combined Medical | ||||||||||||
No. of High Risk Cases | 27,965 | 27,259 | 25,089 | 18,337 | 8,799 | 8,448 | 7,856 | 5,659 | 8,429 | 8,341 | 7,900 | 5,572 |
Unadjusted High Risk Mortality, % | 29,69% | 28,84% | 29.07% | 29.09% | 28.83% | 27.77% | 29.89% | 28.73% | 28.26% | 26.58% | 28.39% | 28.00% |
Mortality- Combined Surgical | ||||||||||||
No. of Cases | 355,266 | 345,163 | 297,998 | 212,111 | 123,144 | 117,684 | 103,432 | 73,529 | 122,214 | 117,308 | 103,550 | 73,143 |
Unadjusted Mortality, % | 4.38% | 4.24% | 4.45% | 4.67% | 4.02% | 4.05% | 4.21% | 4.25% | 3.86% | 3.62% | 3.86% | 4.05% |
High Risk Mortality – Combined Surgical | ||||||||||||
No. of High Risk Cases | 36,862 | 35,461 | 30,260 | 23,020 | 12,565 | 11,964 | 10,320 | 7,677 | 12,100 | 11,790 | 10,197 | 7,604 |
Unadjusted High Risk Mortality, % | 16.84% | 16.34% | 17.35% | 16.83% | 16.06% | 15.90% | 17.41% | 15.87% | 16.22% | 15.17% | 16.00% | 16.16% |
FTR | ||||||||||||
No. of Cases (comp. or death) | 151,816 | 147,445 | 128,067 | 93,418 | 54,576 | 51,965 | 45,724 | 33,474 | 52,869 | 50,546 | 44,288 | 32,327 |
Unadjusted FTR, % | 10.26% | 9.93% | 10.37% | 10.59% | 9.06% | 9.15% | 9.51% | 9.32% | 8.92% | 8.39% | 8.99% | 9.14% |
PSI-C | ||||||||||||
No. of Cases | 938,125 | 892,495 | 788,709 | 592,914 | 307,843 | 293,824 | 261,905 | 198,745 | 301,559 | 289,273 | 262,102 | 196,158 |
Unadjusted PSI, % | 0.61% | 0.58% | 0.60% | 0.60% | 0.58% | 0.57% | 0.60% | 0.60% | 0.61% | 0.57% | 0.61% | 0.60% |
PSI-T | ||||||||||||
No. of Cases | 437,578 | 398,863 | 331,610 | 241,144 | 147,029 | 136,932 | 114,974 | 84,592 | 145,689 | 138,080 | 116,446 | 85,597 |
Unadjusted PSI, % | 1.24% | 1.24% | 1.19% | 1.34% | 1.36% | 1.21% | 1.25% | 1.46% | 1.39% | 1.30% | 1.22% | 1.36% |
PSI-O | ||||||||||||
No. of Cases | 968,887 | 920,114 | 814,972 | 610,357 | 311,783 | 297,117 | 265,528 | 201,109 | 302,955 | 290,664 | 263,504 | 197,077 |
Unadjusted PSI, % | 0.64% | 0.70% | 0.65% | 0.69% | 0.70% | 0.74% | 0.68% | 0.67% | 0.70% | 0.70% | 0.65% | 0.71% |
PLOS (combined medical)) | ||||||||||||
No. of Cases | 278,174 | 264,153 | 243,307 | 180,012 | 88,843 | 83,418 | 79,044 | 57,088 | 84,278 | 80,421 | 75,710 | 55,184 |
Unadjusted PLOS, % | 67.57% | 69.11% | 67.64% | 68.01% | 65.60% | 67.00% | 65.87% | 65.63% | 64.41% | 66.51% | 64.59% | 65.08% |
PLOS (combined surgical) | ||||||||||||
No. of Cases | 148,541 | 142,773 | 124,676 | 82,434 | 51.805 | 48,841 | 44,314 | 28,979 | 52,073 | 49,203 | 44,578 | 29,140 |
Unadjusted PLOS, % | 57.61% | 58.84% | 55.86% | 56.75% | 53.05% | 54.23% | 52.12% | 52.20% | 49.11% | 50.12% | 47.21% | 49.23% |
Included 3,614,174 patients from 869 facilities. Pre-reform years 3 to 1 were pooled.