Mortality Comparison - Peer CareScience

This analysis evaluates Mortality outcomes for a defined population and compares them to the same outcomes in a defined peer group. Use this analysis to measure your Mortality outcome performance to that of your peers.

Click here to see the Report Prompts

Select Population Tab:

There are 4 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.)
Peer (You must choose at least five facilities and comply with the External Peer Methodology in order for peer data to appear on the analysis.)

Optional Prompts:

Diagnoses (ICD-10)
Procedures (ICD-10)
Inlier/Outlier
Patient Types
Patient Demographics
Standard Practitioner Specialties
Patient Visits
Resources
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:

Facility 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.
Facility Total Deaths for Outcome Cases
Facility Observed - The number of patient deaths in the Mortality Outcome Cases.
Facility Expected - The expected value for the Outcome Cases, calculated using the CareScience Analytics risk-adjustment methodology.
Facility Variation -The Observed value minus the Expected value.
Facility O/E - The Observed value divided by the Expected value. Less than 1 = performing better than expected. Greater than 1 = performing worse than expected.
Facility 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.

The following metrics represent the aggregated data for the selections at the Peer prompt:

Peer 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.
Peer Total Deaths for Outcome Cases
Peer Observed - The number of patient deaths in the Mortality Outcome Cases.
Peer Expected - The expected value for the Outcome Cases, calculated using the CareScience Analytics risk-adjustment methodology.
Peer Variation -The Observed value minus the Expected value.
Peer O/E - The Observed value divided by the Expected value. Less than 1 = performing better than expected. Greater than 1 = performing worse than expected.
Peer 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.

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:

Facility CMS HAC Cases After Admit - The number of patients with at least one CMS Hospital Acquired Condition (HAC) after admission.
Facility 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.
Facility Total Cases - All cases that qualified for the analysis.
Facility Total Deaths - The total number of patients whose Discharge Status=Expired.