Hello,

I am need of some guidance on calculating the Risk-Standardized Severe Obstetric Complication Rate (RSOCR) as defined in CMS1028v2, using data from the hospital system I work for. We have all the patient-level risk adjustment variables prepared and ready. I understand that I need to sum up the log(OR)*risk variables via the logistic regression coefficients reported in the methodology report. Where I am struggling is how to get the "hospital-specific intercept" for my own data. A relevant excerpt from the methodology report (https://ecqi-stg.healthit.gov/sites/default/files/SevereObstetricComplications%20eCQM_Methodology%20Report%20-%20Dec%202022.pdf) is below:

"The hospital specific RSOCRs were calculated as the ratio of a hospital’s “predicted” number of delivery hospitalizations with a severe obstetric complication to “expected” number of delivery hospitalizations with a severe obstetric complication, multiplied by the overall observed rate of delivery hospitalizations with a severe obstetric complication. The expected number of delivery hospitalizations with a complication for each hospital (denominator) was estimated using its patient mix and the average hospital-specific intercept (i.e., the average intercept among all hospitals in the sample). The predicted number of delivery hospitalizations with a complication for each hospital (numerator) was estimated given the same patient mix but an estimated hospital-specific intercept. ..."

Again, I am interested in implementing this calculation in-house and am just not quite understanding the procedure, particularly as it relates to the intercepts within this applied hierarchical model. Any help, or guidance on who to contact, would be much appreciated! 

Thank you