e PC-07 Severe Obstetric Complications Measure Calculation

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Amy Oppong Bawuah
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      The risk adjustment is accurate and even if there are zero observed complications, it can still have a non-zero risk-standardized obstetric complications rate (RSOCR) since the RSOCR represents the hospital’s relative performance compared to other hospitals with the same case mix, and not a raw complication rate. Some risk variables have a protective effect (thus a positive coefficient value) and others may increase the risk of complication (thus a negative coefficient value). The coefficient values for 2024 deliveries are found in the MUR (attached). We encourage you to review the methodology report to learn more about the risk adjustment methodology and measure calculation.
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      The risk adjustment is accurate and even if there are zero observed complications, it can still have a non-zero risk-standardized obstetric complications rate (RSOCR) since the RSOCR represents the hospital’s relative performance compared to other hospitals with the same case mix, and not a raw complication rate. Some risk variables have a protective effect (thus a positive coefficient value) and others may increase the risk of complication (thus a negative coefficient value). The coefficient values for 2024 deliveries are found in the MUR (attached). We encourage you to review the methodology report to learn more about the risk adjustment methodology and measure calculation.
    • CMS1028v2

      I am trying to understand the ePC-07 risk adjustment rate calculation. It appears the facility risk- standardized rates (per 10,000) are significantly higher than the observed rates.
      For example.
      Discharge Period: Jan 1- Dec 31, 2024
      Severe Obstetric Complications (all complications)
      Observed rate (per 10,000) (Numerator/Denominator): 182
      Numerator:6
      Denominator: 330
       Risk- standardized rate (per 10,000): 236  
      Severe Obstetric Complications (excluded blood-transfusion- only cases)
      Observed rate (per 10,000) (Numerator/Denominator): 0
       Risk- standardized rate (per 10,000): 34  
        Is the rate increase following risk standardization accurate? An observed rate of 0 per 10,000 DH, increases to 34/1000 DH after the risk adjustment model calculation.  Understandably, shouldn't risk adjustment result in an improved rate for both outcomes? Can you help me understand what accounts for the rate increase after risk adjustment.
      Thanks so much for your time.

       

        1. 2025-SOC-eCQM-MUR-Report.pdf
          394 kB
          Augustine Weber

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Amy Oppong-Bawuah
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