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Data Collection and Measurement

Next Reply: Re:Mortality Cohort Excl / Medicare Pt Clarification
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Post Mortality Cohort Excl / Medicare Pt Clarification
Author: dsherman
Date: Jan 13, 2010 2:28 pm
In the Medicare specs, AMA patients are also excluded from the demoninator. I don't recall that this was discussed during the teleconference today. Also, does the CMS mortality population include primary Medicare FFS patients only or are secondary/tertiary Medicare FFS patients included as well?
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Re:Mortality Cohort Excl / Medicare Pt Clarification (by jbcassel on 01/14/2010)
Yes there are a number of exclusion criteria we did not cover. For CMS "Hospital Compare, as you note, patients who leave "Against Medical Advice (AMA)" are excluded. Patients with a length of stay of less than or equal to one day are excluded as well. The complete description of all inclusion and exclusion criteria are described nicely in the FAQ document in the mortality rate section of QualityNet.Org.

Regarding your second question, the CMS "Hospital Compare" mortality measures are using only Medicare Fee-for-Service (FFS) enrollees who were 65+ at time of index admission, and with one complete year of Medicare enrollment prior to that (since their risk-adjustment models include data from encounters prior to the index admission).

Let me know if you need further clarification of any of that. Thanks for your questions.

- Brian (Brian Cassel, VCU Massey Cancer Center, PCLC)
+ Re:Mortality Cohort Excl / Medicare Pt Clarification (by dsherman on 01/14/2010)
Thanks. Following up on the Medicare FFS patient population: Are patients with either secondary and/or tertiary Medicare FFS included?

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