Reliability of Medicare Hospital Discharge Records: Report of a Study

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Reliability of Medicare Hospital Discharge Records: Report of a Study (1977)
Institute of Medicine (IOM)

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. "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." Reliability of Medicare Hospital Discharge Records: Report of a Study. Washington, DC: The National Academies Press, 1977.

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Front Matter (R1-R6)

Table of Contents (R7-R8)

Foreword (R9-R10)

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)