CDHA CAAR

November 7, 2017

CAAR – AARP Public Policy Institute Report, Factsheet – November 7, 2017

Filed under: Reports and Articles — Tags: , — admin @ 5:09 pm

A. “Patient and Family Advisory Councils in Hospitals: Building Partnerships to Improve Care,” by Lynn Friss Feinberg (November 2017, .pdf format, 5p.).

www.aarp.org/ppi/info-2017/patient-and-family-advisory-councils-in-hospitals.html

B. “Protecting Consumers during the Telephone Network Modernization,” by Neal Walters (November 2017, .pdf format, 2p.).

www.aarp.org/ppi/info-2017/protecting-consumers-during-the-telephone-network-modernization.html

October 11, 2017

CAAR – AARP Public Policy Institute Report – October 11, 2017

State Strategies to Reduce the Risk of Long-Term Nursing Home Care after Hospitalization,” by Ellen O’Brien and Wendy Fox-Grage (October 2017, .pdf format, 21p.).

www.longtermscorecard.org/promising-practices/reducing-risk-nursing-home-care

September 20, 2017

CAAR – Statistics Canada/Statistique Canada Articles – September 20, 2017

Filed under: Reports and Articles — Tags: , , — admin @ 5:06 pm

A. “High use of acute care hospital services at age 50 or older,” by Michelle Rotermann (Health Reports, Vol. 29, No. 8, September 2017, .pdf and HTML format, 3-16p.).

www.statcan.gc.ca/pub/82-003-x/2017009/article/54855-eng.htm

B. “Nutritional risk, hospitalization and mortality among community-dwelling Canadians aged 65 or older,” by Pamela L. Ramage-Morin, Heather Gilmour and Michelle Rotermann (Health Reports, Vol. 29, No. 8, September 2017, .pdf and HTML format, p. 17-27).

www.statcan.gc.ca/pub/82-003-x/2017009/article/54856-eng.htm

May 24, 2017

CAAR – Journal of the American Medical Association Article – May 24, 2017

Filed under: Reports and Articles — Tags: , , , — admin @ 5:14 pm

Note: The link below is to the table of contents for the current issue of JAMA (Vol. 317, No. 20, May 23/30, 2017). Check with your organization’s information center for availability.

jamanetwork.com/journals/jama/issue/317/20

Association Between Teaching Status and Mortality in US Hospitals,” by Laura G. Burke, Austin B. Frakt, Dhruv Khullar, E. John Orav, and Ashish K. Jha (p. 2105-2113).

March 17, 2017

CAAR – Morbidity and Mortality Weekly Surveillance Summaries Article – March 17, 2017

Filed under: Reports and Articles — Tags: , , — admin @ 5:27 pm

Traumatic Brain Injury–Related Emergency Department Visits, Hospitalizations, and Deaths — United States, 2007 and 2013,” (Vol. 66, No. 9, March 17, 2017, .pdf and HTML format, p. 1-16).

www.cdc.gov/mmwr/volumes/66/ss/ss6609a1.htm

December 20, 2016

CAAR – US Department of Health and Human Services, Office of Inspector General Report – December 20, 2016

Filed under: Reports and Articles — Tags: , — admin @ 5:01 pm

Vulnerabilities Remain Under Medicare’s 2-Midnight Hospital Policy,” (OEI-02-15-00020, December 2016, .pdf format, 33p.).

oig.hhs.gov/oei/reports/oei-02-15-00020.asp

November 9, 2016

CAAR – Public Library of Science (PLoS) Articles – November 9, 2016

Filed under: Reports and Articles — Tags: , , , — admin @ 4:44 pm

A. “Neuroprotective Effects of Pomegranate Peel Extract after Chronic Infusion with Amyloid-{beta} Peptide in Mice,” by Maressa Caldeira Morzelle, Jocelem Mastrodi Salgado, Milena Telles, Danilo Mourelle, Patricia Bachiega, Hudson Sousa Buck, and Tania Araujo Viel (PLoS ONE 11(11): e0166123. doi:10.1371/journal.pone.0166123, XML, HTML, and .pdf format, 20p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0166123

B. “Rehabilitation Profiles of Older Adult Stroke Survivors Admitted to Intermediate Care Units: A Multi-Centre Study,” by Laura M. Perez, Marco Inzitari, Terence J. Quinn, Joan Montaner, Ricard Gavalda, Esther Duarte, Laura Coll-Planas, Merce Cerda, Sebastià Santaeugenia, Conxita Closa, and Miquel Gallofre (PLoS ONE 11(11): e0166304. doi:10.1371/journal.pone.0166304, XML, HTML, and .pdf format, 13p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0166304

November 1, 2016

CAAR – Public Library of Science (PLoS) Article – November 1, 2016

Filed under: Reports and Articles — Tags: , — admin @ 4:39 pm

Prediction of Hospitalization due to Adverse Drug Reactions in Elderly Community-Dwelling Patients (The PADR-EC Score),” by Nibu Parameswaran Nair, Leanne Chalmers, Michael Connolly, Bonnie J. Bereznicki, Gregory M. Peterson, Colin Curtain, Ronald L. Castelino, and Luke R. Bereznicki (PLoS ONE 11(10): e0165757. doi:10.1371/journal.pone.0165757, HTML, XML, and .pdf format, 17p.).

journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0165757

September 20, 2016

CAAR – Center for Economic Studies/Ifo Institute for Economic Research (CESifo) [Munich, Bavaria, Germany] Working Paper – September 20, 2016

Filed under: Working Papers — Tags: , — admin @ 12:35 pm

Does Long-Term Care Subsidisation Reduce Unnecessary Hospitalisations?” by Joan Costa-i-Font, Sergi Jimenez-Martin, and Cristina Vilaplana (CESifo Working Paper No. 6078, September 2016, .pdf format, 42p.). Note: Links to the abstract and the full text of the paper available at:

www.cesifo-group.de/ifoHome/publications/working-papers/CESifoWP/CESifoWPdetails?wp_id=19247531

February 9, 2016

CAAR – Journal of the American Medical Association Articles – February 9, 2016

Note: The link below is to the table of contents for the current issue of JAMA (Vol. 315, No. 6, February 9, 2016). Check with your organization’s information center for availability.

jama.jamanetwork.com/issue.aspx?journalid=67&issueid=934929&direction=P

Association of Admission to Veterans Affairs Hospitals vs Non–Veterans Affairs Hospitals With Mortality and Readmission Rates Among Older Men Hospitalized With Acute Myocardial Infarction, Heart Failure, or Pneumonia,” by Sudhakar V. Nuti, Li Qin, John S. Rumsfeld, Joseph S. Ross, Frederick A. Masoudi, Sharon-Lise T. Normand, Karthik Murugiah, Susannah M. Bernheim, Lisa G. Suter, and Harlan M. Krumholz (p. 582-592).

December 30, 2015

CAAR – Public Library of Science (PLoS) Articles – December 30, 2015

Filed under: Reports and Articles — Tags: , , — admin @ 4:40 pm

A. “Comparison of Self-Reported and Accelerometer-Assessed Physical Activity in Older Women,” by Eric J. Shiroma, Nancy R. Cook, JoAnn E. Manson, Julie E. Buring, Eric B. Rimm, and I-Min Lee (PLoS ONE 10(12): e0145950. doi:10.1371/journal.pone.0145950, XML, HTML, and .pdf format, 15p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0145950

B. “Multi-Morbidity in Hospitalised Older Patients: Who Are the Complex Elderly?” by Milagros Ruiz, Alex Bottle, Susannah Long, and Paul Aylin (PLoS ONE 10(12): e0145372. doi:10.1371/journal.pone.0145372, XML, HTML, and .pdf format, 11p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0145372

December 11, 2015

CAAR – British Medical Journal Article – December 11, 2015

Length of hospital stay after hip fracture and risk of early mortality after discharge in New York state: retrospective cohort study,” by Lucas E. Nikkel, Stephen L. Kates, Michael Schreck, Michael Maceroli, Bilal Mahmood, and John C. Elfar (Vol. 351, No. 8037, BMJ 2015;351:h6246, .pdf and HTML format).

www.bmj.com/content/351/bmj.h6246

December 8, 2015

CAAR – Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project Statistical Brief – December 8, 2015

Filed under: Reports and Articles — Tags: , — admin @ 5:03 pm

Hospital Stays in Medicare Advantage Plans Versus the Traditional Medicare Fee-for-Service Program, 2013,” by Susan O. Raetzman, Anika L. Hines, Marguerite L. Barrett, and Zeynal Karaca (Statistical Brief No. 198, December 2015, .pdf and HTML format, 18p.).

PDF:

www.hcup-us.ahrq.gov/reports/statbriefs/sb198-Hospital-Stays-Medicare-Advantage-Versus-Traditional-Medicare.pdf

HTML:

www.hcup-us.ahrq.gov/reports/statbriefs/sb198-Hospital-Stays-Medicare-Advantage-Versus-Traditional-Medicare.jsp

September 29, 2015

CAAR – US National Center for Health Statistics Report – September 29, 2015

Filed under: Reports and Articles — Tags: , , — admin @ 4:54 pm

Hospitalization, Readmission, and Death Experience of Noninstitutionalized Medicare Fee-for-service Beneficiaries Aged 65 and Over,” by Yelena Gorina, Laura A. Pratt, Ellen A. Kramarow, and Nazik Elgaddal (National Health Statistics Report No. 84, September 2015, .pdf format, 22p.).

www.cdc.gov/nchs/data/nhsr/nhsr084.pdf

September 3, 2015

CAAR – US National Center for Health Statistics Data Brief – September 3, 2015

Filed under: Reports and Articles — Tags: , — admin @ 4:36 pm

Hospitalization for Total Knee Replacement Among Inpatients Aged 45 and Over: United States, 2000–2010,” by Sonja N. Williams, Monica L. Wolford, and Anita Bercovitz (Data Brief No. 210, September 2015, .pdf and HTML format, 8p.).

www.cdc.gov/nchs/data/databriefs/db210.htm

July 30, 2015

CAAR – Public Library of Science (PLoS) Article – July 30, 2015

Filed under: Reports and Articles — Tags: , — admin @ 4:35 pm

Multidimensional Prognostic Index in Association with Future Mortality and Number of Hospital Days in a Population-Based Sample of Older Adults: Results of the EU Funded MPI_AGE Project,” by Sara B. Angleman, Giola Santoni, Alberto Pilotto, Laura Fratiglioni, and Anna-Karin Welmer, on behalf of the MPI_AGE Project Investigators (PLoS ONE 10(7): e0133789. doi:10.1371/journal.pone.0133789, XML, HTML, and .pdf format, 11p.).

journals.plos.org/plosone/article?id=10.1371/journal.pone.0133789

July 28, 2015

CAAR – Journal of the American Medical Association Article Abstracts – July 28, 2015

Filed under: Reports and Articles — Tags: , , , — admin @ 5:04 pm

Note: The link below is to the table of contents for the current issue of JAMA (Vol. 314, No. 4, July 28, 2015). Check with your organization’s information center for availability.

A. “Mortality, Hospitalizations, and Expenditures for the Medicare Population Aged 65 Years or Older, 1999-2013,” by Harlan M. Krumholz, Sudhakar V. Nuti, Nicholas S. Downing, Sharon-Lise T. Normand, and Yun Wang (p. 355-365).

B. “Hospital Characteristics Associated With Penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program,” by Ravi Rajaram, Jeanette W. Chung, Christine V. Kinnier, Cynthia Barnard, Sanjay Mohanty, Emily S. Pavey, Megan C. McHugh, Karl Y. Bilimoria (p. 375-383.

jama.jamanetwork.com/issue.aspx?journalid=67&issueid=934258&direction=P

July 16, 2015

CAAR – Centre for Analysis of Social Exclusion [London School of Economics, London, UK] Report – July 16, 2015

Filed under: Reports and Articles — Tags: , — admin @ 4:42 pm

Older people’s experiences of dignity and nutrition during hospital stays: Secondary data analysis using the Adult Inpatient Survey,” by Polly Vizard and Tania Burchardt (CASE/Report 91, June 2015, .pdf format, 210p.).

sticerd.lse.ac.uk/dps/case/cr/casereport91.pdf

June 5, 2015

CAAR – British Medical Journal Article – June 5, 2015

Filed under: Reports and Articles — Tags: , , — admin @ 5:16 pm

Outcome of delirium in critically ill patients: systematic review and meta-analysis,” by Jorge I. F. Salluh, Han Wang, Eric B. Schneider, Neeraja Nagaraja, Gayane Yenokyan, Abdulla Damluji, Rodrigo B Serafim, and Robert D. Stevens (Vol. (Vol. 350, No. 8011, June 6, 2015, BMJ 2015;350:h2538, .pdf and HTML format).

www.bmj.com/content/350/bmj.h2538

May 26, 2015

CAAR – British Medical Journal Articles – May 26, 2015

Filed under: Reports and Articles — Tags: , , — admin @ 4:23 pm

A. “The role of intervening hospital admissions on trajectories of disability in the last year of life: prospective cohort study of older people,” by Thomas M. Gill, Evelyne A. Gahbauer, Ling Han, and Heather G. Allore (Vol. 350, No. 8009, May 23, 2015, BMJ 2015;350:h2361, .pdf and HTML format).

www.bmj.com/content/350/bmj.h2361

B. “Primary prevention with lipid lowering drugs and long term risk of vascular events in older people: population based cohort study,” by Annick Alperovitch, Tobias Kurth, Marion Bertrand, Marie-Laure Ancelin, Catherine Helmer, Stephanie Debette, and Christophe Tzourio (Vol. 350, No. 8009, May 23, 2015, BMJ 2015;350:h2335, .pdf and HTML format).

www.bmj.com/content/350/bmj.h2335

April 3, 2015

CAAR – Life and Living in Advanced Age: a Cohort Study in New Zealand – Te Puawaitanga O Nga Tapuwae Kia Ora Tonu (LiLACS NZ) [University of Auckland, New Zealand] Report – April 3, 2015

Filed under: Reports and Articles — Tags: — admin @ 4:14 pm

Hospital visits in advanced age Findings from LiLACS NZ,” (April 2015, .pdf format, 10p.).

www.fmhs.auckland.ac.nz/assets/fmhs/faculty/lilacs/docs/Hospital%20visits%20in%20advanced%20age%20Findings%20from%20LiLACS%20NZ.pdf

February 12, 2015

CAAR – US National Center for Health Statistics Data Brief – February 12, 2015

Filed under: Reports and Articles — Tags: , — admin @ 3:58 pm

Hospitalization for Total Hip Replacement Among Inpatients Aged 45 and Over: United States, 2000–2010,” by Monica L. Wolford, Kathleen Palso, and Anita Bercovitz (Data Brief No. 186, February 2015, .pdf and HTML format, p.).

www.cdc.gov/nchs/data/databriefs/db186.htm

January 29, 2015

CAAR – Kaiser Family Foundation Issue Brief – January 29, 2015

Filed under: Reports and Articles — Tags: , — admin @ 3:51 pm

Aiming for Fewer Hospital U-turns: The Medicare Hospital Readmission Reduction Program,” by Cristina Boccuti and Giselle Casillas (January 2015, .pdf and HTML format, 10p.).

kff.org/medicare/issue-brief/aiming-for-fewer-hospital-u-turns-the-medicare-hospital-readmission-reduction-program/

January 14, 2015

CAAR – US National Center for Health Statistics Data Brief – January 14, 2015

Filed under: Reports and Articles — Tags: — admin @ 4:40 pm

Hospitalizations for Patients Aged 85 and Over in the United States, 2000–2010,” by Shaleah Levant, Karishma Chari, and Carol J. DeFrances (Data Brief No. 182, January 2015, .pdf and HTML format, 8p.).

www.cdc.gov/nchs/data/databriefs/db182.htm

December 17, 2014

CAAR – Centre for Health Service Economics and Organisation [Oxford, UK] Report – December 17, 2014

Filed under: Reports and Articles — Tags: — admin @ 4:39 pm

Understanding emergency hospital admissions of older people,” by Raphael Wittenberg, Luke Sharpin, Barry McCormick and Jeremy Hurst (Report No. 6, December 2014, .pdf format, 75p.).

chseo.org.uk/downloads/report6-emergencyadmissions.pdf

November 12, 2014

CAAR – Journal of the American Medical Association Article – November 12, 2014

Filed under: Reports and Articles — Tags: , , — admin @ 4:32 pm

Association Between the Medicare Hospice Benefit and Health Care Utilization and Costs for Patients With Poor-Prognosis Cancer,” by Ziad Obermeyer, Maggie Makar, Samer Abujaber, Francesca Dominici, Susan Block, and David M. Cutler (Vol. 312, No. 18, November 12, 2014, p. 1888-1896). Note: JAMA is currently providing free access to this article.

jama.jamanetwork.com/article.aspx?articleid=1930818

October 15, 2014

CAAR – Statistics Canada/Statistique Canada Article – October 15, 2014

Filed under: Reports and Articles — Tags: , , — admin @ 4:46 pm

“Use of acute care hospital services by immigrant seniors in Ontario: A linkage study,” by Edward Ng, Claudia Sanmartin, Jack Tu and Doug Manuel (Health Reports, Vol. 25, No. 10, October 2014, .pdf and HTML format, p. 15-22).

www.statcan.gc.ca/pub/82-003-x/2014010/article/14099/abstract-resultat-eng.htm

September 3, 2014

CAAR – Alzheimer’s Australia Report – September 3, 2014

Filed under: Reports and Articles — Tags: , — admin @ 4:37 pm

Dementia Care in the Acute Hospital Setting: Issues and Strategies,” (Paper No. 40, June 2014, .pdf format, 22p.).

fightdementia.org.au/sites/default/files/Alzheimers_Australia_Numbered_Publication_40.PDF

August 29, 2014

CAAR – Australian Institute of Health and Welfare Report – August 29, 2014

Transition care for older people leaving hospital: 2005-06 to 2012-13,” (August 2014, .pdf format, 96p.).

www.aihw.gov.au/publication-detail/?id=60129548459

August 26, 2014

CAAR – Public Library of Science (PLoS) Article – August 26, 2014

Filed under: Reports and Articles — Tags: , , — admin @ 4:32 pm

Potentially Inappropriate Medication Use in Older Patients in Swiss Managed Care Plans: Prevalence, Determinants and Association with Hospitalization,” by Oliver Reich, Thomas Rosemann, Roland Rapold, Eva Blozik, and Oliver Senn (PLoS ONE 9(8): e105425. doi:10.1371/journal.pone.0105425, XML, HTML, and .pdf format, 9p.).

www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0105425

July 8, 2014

CAAR – Australian Institute of Health and Welfare Report – July 8, 2014

Filed under: Reports and Articles — Tags: — admin @ 5:01 pm

Hospitalised injuries in older Australians: 2011-12,” (July 2014, .pdf format, 45p.).

www.aihw.gov.au/publication-detail/?id=60129547875

January 15, 2014

CAAR – US Centers for Medicare and Medicaid Service Articles – January 15, 2014

Filed under: Reports and Articles — Tags: , , , — admin @ 4:38 pm

A. “Medicare-Medicaid Eligible Beneficiaries and Potentially Avoidable Hospitalizations,” by Misha Segal, Eric Rollins, Kevin Hodges, and Michelle Roozeboom (Medicare and Medicaid Research Review, Vol. 4, No. 1, 2014, .pdf format, 13p.).

www.cms.gov/mmrr/Briefs/B2014/MMRR2014-004-01-b01.html

B. “Impacts of Generic Competition and Benefit Management Practices on Spending for Prescription Drugs: Evidence from Medicare’s Part D Benefit,” by Steven Sheingold and Nguyen Xuan Nguyen (Medicare and Medicaid Research Review, Vol. 4, No. 1, 2014, .pdf format, 15p.).

www.cms.gov/mmrr/Articles/A2014/MMRR2014_004_01_a01.html

January 14, 2014

CAAR – British Medical Journal Articles – January 14, 2014

Filed under: uncategorized — Tags: , , — admin @ 4:56 pm

A. “Hospital readmission performance and patterns of readmission: retrospective cohort study of Medicare admissions,” by Kumar Dharmarajan, Angela F. Hsieh, Zhenqiu Lin, Hector Bueno, Joseph S. Ross, Leora I. Horwitz, Jose Augusto Barreto-Filho, Nancy Kim, Lisa G. Suter, Susannah M. Bernheim, Elizabeth E. Drye, and Harlan M. Krumholz (Vol. 348, No. 7940, January 11, 2014, BMJ 2013;347:f6571, .pdf and HTML format).

www.bmj.com/content/347/bmj.f6571

B. “Effect of socioeconomic disparities on incidence of dementia among biracial older adults: prospective study,” by Kristine Yaffe, Cherie Falvey, Tamara B. Harris, Anne Newman, Suzanne Satterfield, Annemarie Koster, Hilsa Ayonayon, and Eleanor Simonsick (Vol. 348, No. 7940, January 11, 2014, BMJ 2013;347:f7051, .pdf and HTML format).

www.bmj.com/content/347/bmj.f7051

December 18, 2013

CAAR – US Department of Health and Human Services, Assistant Secretary for Planning and Evaluation Report – December 18, 2013

Filed under: Reports and Articles — Tags: , — admin @ 4:56 pm

Hospital and Emergency Department Use by People with Alzheimer’s Disease and Related Disorders: Final Report,” by Zhanlian Feng, Laurie Coots, Yevgeniya Kaganova, and Joshua Wiener (August 2013, .pdf and HTML format, 103p.).

aspe.hhs.gov/daltcp/reports/2013/adrdhed.shtml

June 27, 2013

CAAR – Australian Institute of Health and Welfare Report – June 27, 2013

Filed under: Reports and Articles — Tags: , — admin @ 4:32 pm

Trends in hospitalisations due to falls by older people, Australia 1999-00 to 2010-11,” (June 2013, .pdf format, 92p.).

www.aihw.gov.au/publication-detail/?id=60129543594

April 4, 2013

CAAR – Australian Institute of Health and Welfare Report – April 4, 2013

Filed under: Reports and Articles — Tags: , — admin @ 4:34 pm

Hospitalisations due to falls by older people, Australia: 2009-10,” (April 2013, .pdf format, 73p.).

www.aihw.gov.au/publication-detail/?id=60129542825

March 19, 2013

CAAR – Care Quality Commission [UK] Report – March 19, 2013

Filed under: Reports and Articles — Tags: , — admin @ 4:12 pm

Time to listen: Dignity and nutrition in NHS hospitals,” (March 2013, .pdf format, 33p.).

www.cqc.org.uk/public/reports-surveys-and-reviews/themed-inspections/dignity-and-nutrition-older-people

September 13, 2012

CAAR – Royal College of Physicians [UK] Report – September 13, 2012

Filed under: Reports and Articles — Tags: , — admin @ 3:57 pm

Hospitals on the edge? The time for action,” (September 2012, .pdf format, 8p.).

www.rcplondon.ac.uk/projects/hospitals-edge-time-action

August 9, 2012

CAAR – King’s Fund [UK] Report – August 9, 2012

Filed under: Reports and Articles — Tags: — admin @ 4:04 pm

Explaining variation in use of emergency hospital beds by patients over 65,” by Candace Imison, Emmi Poteliakhoff, and James Thompson (August 2012, .pdf format, 24p.).

www.kingsfund.org.uk/publications/emergency_beds.html

April 3, 2012

CAAR – National Bureau of Economic Research Working Paper – April 3, 2012

Filed under: Working Papers — Tags: , — admin @ 4:52 pm

Do High-Cost Hospitals Deliver Better Care? Evidence from Ambulance Referral Patterns,” by Joseph J. Doyle, Jr., John A. Graves, Jonathan Gruber, and Samuel Kleiner (w17936, April 2012, .pdf format, 44p.).

Abstract:

ndogenous patient sorting across hospitals can confound performance comparisons. This paper provides a new lens to compare hospital performance for emergency patients: plausibly exogenous variation in ambulance-company assignment. Ambulances are effectively randomly assigned to patients in the same area based on rotational dispatch mechanisms. Using Medicare data from 2002-2008, we show that ambulance company assignment importantly affects hospital choice for patients in the same zip code. Using data for New York state from 2000-2006 that matches exact patient addresses to hospital discharge records, we show that patients who live very near each other but on either side of ambulance-dispatch boundaries go to different types of hospitals. Both strategies show that higher-cost hospitals have significantly lower one-year mortality rates compared to lower-cost hospitals. We find that common indicators of hospital quality, such as indicators for “appropriate care” for heart attacks, are generally not associated with better patient outcomes. On the other hand, we find that measures of “leading edge” hospitals, such as teaching hospitals and hospitals that quickly adopt the latest technologies, are associated with better outcomes, but have little impact on the estimated mortality-hospital cost relationship. We also find that hospital procedure intensity is a key determinant of the mortality-cost relationship, suggesting that treatment intensity, and not differences in quality reflected in prices, drives much of our findings. The evidence also suggests that there are diminishing returns to hospital spending and treatment intensity.

www.nber.org/papers/w17936

March 15, 2012

CAAR – Morbidity and Mortality Weekly Report Quickstats – March 15, 2012

Filed under: Reports and Articles — Tags: — admin @ 4:40 pm

“Percentage of Hospitalizations, by Expected Payment Source and Hospital Locality — National Hospital Discharge Survey, United States, 2009” (US Centers for Disease Control, vOL. 61, No. 10, Mar. 17, 2012, HTML and .pdf format, p. 179).

www.cdc.gov/mmwr/preview/mmwrhtml/mm6110a8.htm?s_cid=mm6110a8_w

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