0321 - Risk Standardized Mortality-0321 - Risk Standardized Mortality

Video Transcription

Thank you for viewing the Chest Pain MI Registry March 2021 Case Scenario regarding risk-standardized mortality.  You are the RSM for your facility and are excited to present your metric performance data for 2020 Q3.  As you note, there were only two mortalities in the 2020 Q3 rolling for quarters. In preparation for a meeting with your physician and data quality team, you review the dashboard  and notice metric 43 in hospital risk-standardized rate of mortality, all AMI patients, gives a score of 3.85.  Is this number correct even though there were only two mortalities for the rolling for quarters? No or yes? Please take a moment to review the documentation and the question.  The answer is yes. Even though there were two mortalities in the rolling for quarters, your dashboard will display data which considers patient and hospital characteristics.  The value shown is the risk-standardized mortality rate, which is expressed as a percentage. That percentage will not be the same number as the number of mortalities.  The patient-level drill-down functionality provides detailed information on individual patients, such as their eligibility for inclusion in the model, their observed outcome, and  their expected or predicted probability of that outcome. The drill-down also provides a profile for each individual risk factor in the model.  Looking back at the risk-standardized mortality detail line labels and explanations, you will see the risk-standardized mortality ratio.  Ideally, your facility's ratio will be less than 1 to signify the facility had fewer mortalities than the model predicted.  This is an example of the detail line view in the dashboard. This facility had 50 eligible patients, and of those patients, there were two mortalities.  The model predicted that facility would have 5.33 mortalities. This means their risk-standardized mortality ratio was 0.38. This is a very desirable ratio, as it is less than 1.  Finally, the in-hospital risk-standardized mortality for this facility was 3.85. Thank you for viewing the Chest Pain MI Registry's March 2021 case scenario.

Video Summary

In the video transcript, the speaker discusses risk-standardized mortality and how it is calculated for a facility. The speaker mentions that in the third quarter of 2020, there were only two mortalities. However, the risk-standardized mortality rate displayed on the dashboard is 3.85%. The speaker explains that this number is correct because the rate considers patient and hospital characteristics. The speaker also mentions the patient-level drill-down functionality, which provides detailed information on individual patients and their outcomes. The speaker highlights the importance of the risk-standardized mortality ratio, with a ratio less than 1 indicating fewer mortalities than predicted. The speaker concludes by mentioning that the facility's in-hospital risk-standardized mortality rate was 3.85%. No credits are granted.

Keywords

risk-standardized mortality

facility

calculation

mortalities

dashboard