Reliability of Medicare Hospital Discharge Records: Report of a Study
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  • Status: Final Book


Publication Info

144 pages | 8.5 x 11

Table of Contents

skim chapter
Front Matter i-vi
Table of Contents vii-viii
Foreword ix-x
Introduction 1-4
Study Methods 5-22
Analysis 23-60
Summary and Recommendations 61-70
Appendix A Bibliography 71-72
Appendix B Sample Letter to Hospital Administrators 73-74
Appendix C Diagnostic Codes Included as Components of the Sample of Medicare Records 75-84
Appendix D IOM Re-abstracting Form, General Instructions for Field Team, and Specific Instructions for IOM Re-abstracting Form 85-104
Appendix E Informal Checklist 105-106
Appendix F Reliability of Field Work 107-114
Appendix G Percent of Abstracts with no Discrepancy for each Diagnosis Included as a Component of the Sample of Medicare Records 115-120
Appendix H Net and Gross Difference Rates in Designation of Principal Diagnosis (Based on Four-Digit Comparisons of Specific Diagnosis) 121-124
Appendix I General Comparison of Assessment of the Reliability of Medicare Records Maintained by the Health Care Financing Administration and Hospital Discharge Abstracts Compiled by Private Abstract Services 125-126
Appendix J Comparison of the Reliability of HCFA Medicare Records and Private Abstract Service Medicare Abstracts for Selected Diagnoses Common to both Studies 127-128
Appendix K Standard Errors and Confidence Intervals for Statistics Based on Medicare Data 129-131
Appendix L Standard Errors and Confidence Intervals for Statistics Based on Data from Private Abstracting Services 132-133
Appendix M Selected Examples of Principal Procedures not Listed in CPT, as Determined by the IOM Field Team Members 134-134
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Suggested Citation

National Academy of Sciences and Institute of Medicine. Reliability of Medicare Hospital Discharge Records: Report of a Study. Washington, DC: The National Academies Press, 1977.

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