Hospital Inpatient Discharges (SPARCS De-Identified): Inpatient Quality Indicators (IQI) Area Measures by Patient County: Calendar Year 2015

The datasets contain hospital discharges counts (numerators, denominators, volume counts), observed, expected and risk-adjusted rates with corresponding 95% confidence intervals for IQIs generated using methodology developed by Agency for Healthcare Research and Quality (AHRQ). The IQIs are a set of measures that provide a perspective on hospital quality of care using hospital administrative data. These indicators reflect quality of care inside hospitals and include inpatient mortality for certain procedures and medical conditions; utilization of procedures for which there are questions of overuse, underuse, and misuse; and volume of procedures for which there is some evidence that a higher volume of procedures is associated with lower mortality. All the IQI measures were calculated using Statewide Planning and Research Cooperative System (SPARCS) inpatient data beginning 2009. US Census data files provided by AHRQ were used to derive denominators for county level (area level) IQI measures. The mortality, volume and utilization measures IQIs are presented by hospital as rates or counts. Area-level utilization measures are presented by county as rates.

本数据集包含由美国医疗保健研究与质量局（Agency for Healthcare Research and Quality, AHRQ）研发的方法生成的医疗质量指标（IQIs）的相关数据，涵盖医院出院人次计数（分子、分母、总量计数）、观测率、预期率与风险调整后率，以及对应的95%置信区间。医疗质量指标（IQIs）是一套依托医院行政数据，用以评估医院医疗服务质量的衡量体系。此类指标可反映医院内部的医疗质量，具体包括特定手术与病症对应的住院患者死亡率、存在过度使用、使用不足及误用争议的手术的使用情况，以及有证据表明手术量越高与死亡率越低相关的手术总量。所有IQI指标均基于2009年起的全州规划与研究合作系统（Statewide Planning and Research Cooperative System, SPARCS）住院患者数据计算得出。AHRQ提供的美国人口普查局数据文件，被用于计算县级（区域级）IQI指标的分母值。按医院维度展示的IQI指标包括死亡率、手术量与使用情况指标，以率值或计数形式呈现；区域级使用情况指标则以县为单位，以率值形式展示。

搜集汇总

背景与挑战

背景概述

该数据集汇总了2015年纽约州医院住院患者出院信息，按患者所在县统计住院质量指标，包括死亡率、手术利用率和手术量等关键护理质量数据。数据基于AHRQ方法计算，提供出院计数、风险调整率及置信区间，用于评估医院内部护理质量，所有指标均来源于SPARCS住院数据和美国人口普查数据。