Risk Adjustment of ICD-10-CM Coded Potential Inpatient Complications Using Administrative Data.
Michael KorvinkLaura H GunnGerman MolinaTracy HayesEsther SelvesMichael DuanJohn MartinPublished in: Medical care (2023)
The proposed method provides a consistent quality metric that adjusts for the population's case mix. Age-specific risk stratification further addresses currently ignored heterogeneity in PIC prevalence across age groups. Finally, the proposed aggregation method identifies large PIC-specific deviations between observed and expected counts, flagging areas with a potential need for quality improvements.