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The Evaluation Of The Effects Of The Use Of The Palliative Care Diagnosis Code On Risk-Adjusted Mortality And Hospital Ranking In Patients With Severe Sepsis, Renee D. Donohoe
The Evaluation Of The Effects Of The Use Of The Palliative Care Diagnosis Code On Risk-Adjusted Mortality And Hospital Ranking In Patients With Severe Sepsis, Renee D. Donohoe
Pharmaceutical Sciences ETDs
Background: The International Classification of Diseases, Ninth-Revision-Clinical Modification (ICD-9-CM) for palliative care (V66.7) has been shown to affect risk-adjusted mortality rates. This code can increase the risk of mortality when included in billing data and incorporated into risk-adjustment models (1).
Objectives: The purpose of this study is to examine variations in coding between high-performing (low mortality indices (Observed/Expected)) and low-performing (high mortality indices) hospitals by examining the use of the ICD-9-CM code for palliative care; coding of severe sepsis; and assignment of higher-weighted Medicare-Severity Diagnosis Related Group (MS-DRG) codes.
Methods: Data were obtained from the Vizient™ Clinical Database/Resource Manager (CBD/RM) …