|
MEASURE |
CALCULATION |
COMMENT |
FAVORABLE
VALUE |
| Risk-adjusted
mortality index |
The
number of actual deaths divided by the number expected,
given the risk of death for each patient. |
Uses
HCIA's risk-adjusted mortality model, accounting for
differences in hospital characteristics (size, geographic
location, teaching status, and community setting) and in
type and severity of cases treated. Post-discharge deaths
are excluded. |
Below
the median
|
 |
| Risk-adjusted
complications index |
The
number of cases with complications divided by the number
expected, given the risk of complication for each patient. |
Uses
HCIA's risk-adjusted complications model, accounting for
differences in hospital characteristics (size, geographic
location, teaching status, and community setting) and in
type and severity of cases treated. The model includes
complication indices for six patient groups: major
surgery, minor surgery, cardiology, endoscopy, medical
patients, and all patients. Pediatrics and obstetrics are
excluded. |
Below
the median |
|
| Severity-adjusted
average length of stay |
The
average patient length of stay, adjusted for differences
in severity of illness. |
Adjustments
are made using the Refined DRG methodology. Patients are
assigned a number corresponding to the relative severity
of their condition. The numbers are summed to produce an
adjusted discharge value. |
Below
the median |
|
| Expense
per adjusted discharge, case mix- and wage- adjusted |
Total
operating expenses divided by the number of adjusted
discharges, case mix- and wage-adjusted. |
Measures
the hospital's average cost of delivering care on a
per-unit basis. Discharges are adjusted by multiplying the
number of acute care discharges by a factor that inflates
it to include inpatient acute care, inpatient non-acute
care, and outpatient discharges. Case mix adjustments
account for differences in complexity, according to the
Medicare case mix. Wage adjustments account for geographic
differences in cost of living, according to the Health
Care Financing Administration (HCFA) wage index. |
Below
the median |
|
| Profitability
(cash flow margin) |
The
sum of net income, depreciation, and interest expense
divided by the sum of net patient revenue and total other
income. |
A
measure of overall hospital profitability, expressed as a
percentage. |
Above
the median |
|
| Proportion
of outpatient revenue |
The
proportion of outpatient revenue. |
Proportion
of outpatient revenue is the fraction of total patient
revenue derived from outpatient sources in 1997. |
Above
the median |
|
| Index
of total facility occupancy |
The
sum of two rankings: current year total occupancy, and
growth in occupancy. |
Current
year total facility occupancy is the ratio of a hospital’s
average daily census (the number of inpatients occupying
beds in a hospital on any given day) to the average number
of beds in service, expressed as a percentage. Growth in
total facility occupancy is the average of the percent
change over two time periods: 1995 to 1996 and 1996 to
1997. |
Above
the median |
|
| Productivity
(total asset turnover ratio) |
Net
patient revenue divided by total assets. |
Measures
the amount of productivity a hospital achieves in relation
to the assets it controls. |
Above
the median |
|
