Publications by authors named "J L Poyer"
Article Synopsis
- The study aims to introduce a new way to measure disparities at the hospital level by focusing on continuous polysocial risk factors and their impact on patient outcomes.
- It analyzed Medicare data for patients aged 65 and older, focusing on hospital readmissions for common conditions, using methods that improve upon traditional measurements of social risk.
- The results suggest that this novel approach provides a more nuanced understanding of disparities across hospitals and helps identify provider-level outcomes that better reflect social risk profiles.
Importance: Present-on-admission (POA) indicators in administrative claims data allow researchers to distinguish between preexisting conditions and those acquired during a hospital stay. The impact of adding POA information to claims-based measures of hospital quality has not yet been investigated to better understand patient underlying risk factors in the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision setting.
Objective: To assess POA indicator use on Medicare claims and to assess the hospital- and patient-level outcomes associated with incorporating POA indicators in identifying risk factors for publicly reported outcome measures used by the Centers for Medicare & Medicaid Services (CMS).
Medicare's Skilled Nursing Facility Value-Based Purchasing Program, which awards value-based incentive payments based on hospital readmissions, distributed its first two rounds of incentives during fiscal years 2019 and 2020. Incentive payments were based on achievement or improvement scores-whichever was better. Incentive payments were as low as -2.
View Article and Find Full Text PDF