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CAPC Palliative Care Discussion Forum
Data Collection and Measurement

In Reply To: categorizing mortality by diagnosis

Post Re:categorizing mortality by diagnosis
Author: jbcassel [CAPC/PCLC Faculty]
Date: Jan 14, 2010 10:49 am
Thanks. Mortality rates are grouped by IC9-D or DRG code. Methods vary somewhat.

For example CMS "Hospital Compare" uses the primary diagnosis (ICD-9 code) at discharge to group cases into its PN, HF, or MI conditions and these are mutually exclusive. See the FAQs document of the hospital mortality section of QualityNet.Org.

US News & World Report "America's Best Hospitals" uses DRGs and to some extent ICD-9s to group into 12 specialties, but DRGs are not mutually exclusive to a given specialty. For instance DRGs 172 & 173, digestive malignancies, are counted in cancer and digestive and geriatric specialties. See Appendix "D" of their 2009 methodology report at USNews.com.

Let me know if further clarification would help. Thanks, Brian
(Brian Cassel, VCU Massey Cancer Center, PCLC)
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