1 / 12

Measuring Disparities in Patient Safety

Measuring Disparities in Patient Safety. Ernest Moy Ernest.moy@ahrq.hhs.gov 301-427-1329 www.ahrq.gov/qual/qrdr11.htm http://statesnapshots.ahrq.gov. National Healthcare Reports. QRDR Patient Safety Data. QIO Surgical Infection Prophylaxis ‘Voluntary’ reporting by hospitals

tocho
Download Presentation

Measuring Disparities in Patient Safety

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Measuring Disparities in Patient Safety Ernest Moy Ernest.moy@ahrq.hhs.gov 301-427-1329 www.ahrq.gov/qual/qrdr11.htm http://statesnapshots.ahrq.gov

  2. National Healthcare Reports

  3. QRDR Patient Safety Data • QIO Surgical Infection Prophylaxis • ‘Voluntary’ reporting by hospitals • ~1 million surgical cases per year • HCUP SID Disparities Analytic File • All-payer hospital discharge abstract data • Sample from 36 HCUP-SID ‘good race data’ States = >15 million records • Medicare Patient Safety Monitoring System • Structured inpatient chart abstraction • Sample from charts requested by CMS = ~25,000 charts per year

  4. QIO: Prophylactic Antibiotics Started • All groups improving • In all years, Hispanics and AI/ANs had lower rates than Whites 2008 Achievable Benchmark = 96%

  5. QIO: Prophylactic Antibiotics Discontinued • All groups improving • In all years, Hispanics and Asians had lower rates than Whites 2008 Achievable Benchmark = 95%

  6. HCUP: Postoperative Sepsis, Adults • In both years, Blacks and Hispanics had higher rates than Whites

  7. HCUP: Catheter-Related Bloodstream Infection, Adults • In both years, Blacks had higher rates than Whites 2008 Achievable Benchmark = 1.5

  8. HCUP: Catheter-Related BSI, Neonates, 2009 • Among both neonates with private health insurance and with Medicaid, Blacks and Hispanics had higher rates than Whites 2008 Achievable Benchmark = 17

  9. HCUP: Postoperative Sepsis, Adults, 2009 • In most States, Blacks and Hispanics had higher rates than Whites, but this is often not statistically significant at the State level. 2008 Achievable Benchmark = 8.7

  10. MPSMS: Composites, 2002-2007 • Blacks had higher rates than Whites of • HAIs (adjusted OR = 1.34) • ADEs (adjusted OR = 1.29)

  11. MPSMS: Composites, 2002-2007 • Patients in hospitals with higher % of patients who are black had higher rates of HAIs and ADEs

  12. Conclusions • Disparities in patient safety are common, especially related to • Healthcare-associated infections • Adverse drug events. • Process measures improve; outcomes and disparities often do not. • Disparities are attributable to variation • Within and between payer groups • Within and between States • Within and between hospitals.

More Related