Mortality Comparison - Facility CareScience

This analysis enables you to evaluate the Mortality outcomes for a defined population. Use this analysis to identify the top MS-DRGs with opportunity for improvement.

Select Population Tab:

There are 3 required prompts that you must select before running this analysis.

Required Prompts:

  • Facilities
  • Time (1 year is selected by default.)
  • Inpatient/Outpatient (Inpatient is selected by default. You should not select Outpatient for this analysis because risk-adjusted metrics are calculated for inpatients only.)

Optional Prompts:

  • Diagnoses (ICD-10)
  • Procedures (ICD-10)
  • Inlier/Outlier
  • Patient Types
  • Patient Demographics
  • Patient Origination
  • Patient
  • Practitioners
  • Patient Visits
  • Resources
  • Facility Payers
  • Standard Primary Payers
  • Standard Secondary Payers
  • Patient Qualifications

Set Up Analysis Tab:

Row Header Prompt

  • MS-DRG is selected by default. However, you can select any attribute(s) you want.

Expected Values on CareScience Analyses

CareScience analyses have two risk-calculation modes for the Expected value: Standard Practice and Select Practice. Standard Practice is the default, but you can change modes in the Page-By. Because the selected risk-calculation mode determines the Expected value, when you change modes, all the metrics based on the Expected value change as well. For more information, see Standard and Select Practice.

Default Metrics

The following metrics appear in the grid when the analysis returns:

  • Total Cases - All cases that qualified for the analysis.
  • Outcome Cases - The number of cases for the Mortality outcome that qualified for risk adjustment. Based on the Outcome Case methodology, some cases may not qualify for risk adjustment.
  • Total Deaths for Outcome Cases
  • Observed - The number of patient deaths in the Mortality Outcome Cases.
  • Expected - The expected value for the Outcome Cases, calculated using the CareScience Analytics risk-adjustment methodology.
  • Variation -The Observed value minus the Expected value.
  • O/E - The Observed value divided by the Expected value. Less than 1 = performing better than expected. Greater than 1 = performing worse than expected.
  • SS - Asterisks display only if the Variation is statistically significant. The number of asterisks indicates the confidence level that the outcome's variation is not due to chance: 1 asterisk = 75%, 2 asterisks = 95%, 3 asterisks = 99%. Green asterisks = the outcome’s variance is statistically better than expected. Red asterisks = the outcome’s variance is statistically worse than expected. Total lines do not have values for Statistical Significance.
  • Opportunity (Mortality) - Variation multiplied by the Mortality Outcome Cases. There must be at least one mortality opportunity for a value to display. Mortality opportunities are rounded to the nearest whole number. The Total for this column includes all values for the column, even if they are not displayed on the rows.

For more information, see Metrics on the Risk-Adjusted Analyses.

Metrics in Report Objects

Report Objects allows you to add metrics to the grid. Click the button in the Tools toolbar to see the metrics in Report Objects. You can drag-and-drop the following metrics on the grid for this analysis:

  • CMS HAC Cases After Admit - The number of patients with at least one CMS Hospital Acquired Condition (HAC) after admission.
  • Total Deaths - The total number of patients whose Discharge Status=Expired.
  • Total Deaths for Mortality Outcome Cases - The total number of patients whose Discharge Status=Expired for the Mortality Outcome Cases.

For more information, see Metrics on the Risk-Adjusted Analyses.

Analysis Sample

mortality comparison sample