Publications by authors named "Faseeha K Altaf"
Article Synopsis
- The study explores the controversial issue of adjusting quality measures for social risk factors in pay-for-performance healthcare programs, specifically focusing on acute admissions for patients with multiple chronic conditions (MCCs).
- Utilizing Medicare claims data and community surveys from 2013-2019, the research analyzed a large cohort of Medicare beneficiaries aged 65 and older with at least two chronic conditions.
- Findings revealed a median risk-standardized measure score related to acute hospital admissions, emphasizing the impact of social risk factors such as low socioeconomic status, limited access to specialists, and dual Medicare-Medicaid eligibility on healthcare outcomes.
Background: Whether types of hospitals with high readmission rates also have high overall postdischarge acute care utilization (including emergency department and observation care) is unknown.
Design: Cross-sectional analysis.
Subjects: Nonfederal United States acute care hospitals.
Background/objective: Patients with multiple chronic conditions (MCCs) are a critical but undefined group for quality measurement. We present a generally applicable systematic approach to defining an MCC cohort of Medicare fee-for-service beneficiaries that we developed for a national quality measure, risk-standardized rates of unplanned admissions for Accountable Care Organizations.
Research Design: To define the MCC cohort we: (1) identified potential chronic conditions; (2) set criteria for cohort conditions based on MCC framework and measure concept; (3) applied the criteria informed by empirical analysis, experts, and the public; (4) described "broader" and "narrower" cohorts; and (5) selected final cohort with stakeholder input.
Background: The Centers for Medicare and Medicaid Services publicly reports hospital risk-standardized readmission rates (RSRRs) as a measure of quality and performance; mischaracterizations may occur because observation stays are not captured by current measures.
Objectives: To describe variation in hospital use of observation stays, the relationship between hospitals observation stay use and RSRRs.
Materials And Methods: Cross-sectional analysis of Medicare fee-for-service beneficiaries discharged after acute myocardial infarction (AMI), heart failure, or pneumonia between July 2011 and June 2012.
Background: Population-based measures of admissions among patients with chronic conditions are important quality indicators of Accountable Care Organizations (ACOs), yet there are challenges in developing measures that enable fair comparisons among providers.
Methods: On the basis of consensus standards for outcome measure development and with expert and stakeholder input on methods decisions, we developed and tested 2 models of risk-standardized acute admission rates (RSAARs) for patients with diabetes and heart failure using 2010-2012 Medicare claims data. Model performance was assessed with deviance R; score reliability was tested with intraclass correlation coefficient.