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Measurement of Severity from Claims Data

Measurement of Severity from Claims Data. Farrokh Alemi, Ph.D. In Case of Poor Outcomes. First blame patient’s illness Then examine patient’s preferences Last attribute it to poor quality. Not Accurate Enough. 319,740 articles in PubMed Maybe insufficient Large data make it worst.

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Measurement of Severity from Claims Data

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  1. Measurement of Severity from Claims Data Farrokh Alemi, Ph.D.

  2. In Case of Poor Outcomes First blame patient’s illness Then examine patient’s preferences Last attribute it to poor quality

  3. Not Accurate Enough • 319,740 articles in PubMed • Maybe insufficient • Large data make it worst

  4. Example of Lack of Accuracy Severity of MI explains 76% of outcomes of care

  5. Severity of Single Diagnosis

  6. Severity of Single Diagnosis

  7. Severity of Single Diagnosis

  8. Severity of Single Diagnosis

  9. Severity of Multiple Diagnoses

  10. Severity of Multiple Diagnoses Overall severity = 1 - (1 - 0.22) (1 - 0.26) = 0.42

  11. Accuracy Alemi and Walters

  12. A simple Procedure for More Accurate Measurement of Severity Take Home Lesson

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