Article: Measuring hospital mortality rates: are 30-day data enough?

For over a decade, risk-adjusted mortality rates have been used as measures of hospital quality. Recently, however, short-term measures, such as inpatient mortality and 30-day postadmission mortality, have been joined by longer-term measures such as 3-month, 6-month, and 12-month mortality. In fact, as of 1991, the Health Care Financing Administration began to routinely publish risk-adjusted mortality models for Medicare patients using 30-, 90-, and 180-day mortality rates (Sullivan and Wilensky 1991; Sullivan and Toby 1992). Other studies using longer postadmission or postprocedure time periods to identify hospitals with unusually high or low death rates, or to relate ...

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