Do Hospitals Coding Large Numbers of DNR, Palliative Care, or SNF Admissions Have Higher IMI Rates?
Impact of Hospital POA Coding Quality on Performance • Collecting POA data element does not ensure reliably coded POA information across hospitals. • Calculated IMI rates using non-POA version and POA version of APR-DRG software. • Produced scatter plots and calculated correlations between both versions of indicators. • Created two POA coding quality metrics to understand impact of poor POA coding on IMI rates: • OSHPD metric using percent of all hospital secondary diagnoses coded POA=’yes’ (gross measure). • POA coding quality metric published by Hughes et al. (2006).
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