severity adjustment

severity adjustment

An adjustment process to control for confounding in case mix, aetiology and severity among hospital patient populations: low values occur in groups that are not very ill; high values are seen in groups that are very ill.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.
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"Severity adjustment may be needed to ensure fair reimbursement and comparative performance reporting, particularly at hospitals treating underserved populations where more severe presentations are common," the authors write.
The reasons for that are many, but the reality is that there are many more factors that impact LOS and cost measurements as compared to mortality so because of that mortality seems to respond more significantly to improvement in severity adjustment.
"We needed to train all of our doctors," she said, because, like it or not, severity adjustment and the total cost of care is assessed by the diagnoses that go on the claims form.
Second, we will determine whether any severity adjustment tool beyond the typical comorbidity model could explain differences in LOS, readmission, or death at children's hospitals.
In 2006, CMS will begin the process of moving to more complete severity adjustment by adding 20 new groups to the current DRG system.
This required staff to manually enter each patient's demographic data, clinical indicators and other information into a spreadsheet which the hospital's IT department, could use to build a database for generating charts illustrating medians and trends, But neither reliable comparisons nor severity adjustment methodology were available, according to Desautels.
Formations in Health Care analysts plan to use the database to develop a severity adjustment model.
Episode software accommodates severity adjustment and comorbidities but each episode may still have outlier cases.
Our study adjusts RN staffing ratios in Pennsylvania hospitals from 1994 to 2001 using two different ad hoc patient turnover adjustments and a severity adjustment. Our results indicate significant declines in average length of stay, increases in patient turnover, and declines in adjusted RN staffing ratios over this time period irrespective of which adjustment is used.
The second major step -- severity adjustment -- must now be accomplished.
That's where it will all come together--information systems, technology, staffing, work processes, best practice identification, unnecessary variation reduction, documentation and severity adjustment.
All Patient Refined--Diagnosis-Related Groups have become one of the most popular commercial systems for severity adjustment using hospital discharge data.