当前位置： SCI文献检索 > Journal of Hospital Medicine期刊下所有文献 > Development of Hospitalization Resource Intensity Scores for Kids (H-RISK) and Comparison across Pediatric Populations.

Development of Hospitalization Resource Intensity Scores for Kids (H-RISK) and Comparison across Pediatric Populations.

Abstract：

BACKGROUND:In the Medicare population, measures of relative severity of illness (SOI) for hospitalized patents have been used in prospective payment models. Similar measures for pediatric populations have not been fully developed. OBJECTIVE:To develop hospitalization resource intensity scores for kids (H-RISK) using pediatric relative weights (RWs) for SOI and to compare hospital types on case-mix index (CMI). DESIGN/METHODS:Using the 2012 Kids' Inpatient Database (KID), we developed RWs for each All Patient Refined Diagnosis Related Group (APR-DRG) and SOI level. RW corresponded to the ratio of the adjusted mean cost for discharges in an APR-DRG SOI combination over adjusted mean cost of all discharges in the dataset. RWs were applied to every discharge from 3,117 hospitals in the database with at least 20 discharges. RWs were then averaged at the hospital level to provide each hospital's CMI. CMIs were compared by hospital type using Kruskal- Wallis tests. RESULTS:The overall adjusted mean cost of weighted discharges in Healthcare Cost and Utilization Project KID 2012 was $6,135 per discharge. Solid organ and bone marrow transplantations represented 4 of the 10 highest procedural RWs (range: 35.5 to 91.7). Neonatal APRDRG SOIs accounted for 8 of the 10 highest medical RWs (range: 19.0 to 32.5). Free-standing children's hospitals yielded the highest median (interquartile range [IQR]) CMI (2.7 [2.2-3.1]), followed by urban teaching hospitals (1.8 [1.3-2.6]), urban nonteaching hospitals (1.1 [0.9-1.5]), and rural hospitals (0.8 [0.7-0.9]; P < .001). CONCLUSIONS:H-RISK for populations of pediatric admissions are sensitive to detection of substantial differences in SOI by hospital type.

journal_name

J Hosp Med

journal_title

Journal of hospital medicine

authors

Richardson T,Rodean J,Harris M,Berry J,Gay JC,Hall M

doi

10.12788/jhm.2948

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

602-608

issue

9

eissn

1553-5592

issn

1553-5606

journal_volume

13

pub_type

杂志文章

相关文献

Journal of Hospital Medicine文献大全
  • Is Hospital Discharge the Rube Goldberg Machine of Academic Internal Medicine?

    abstract：: ...

    journal_title：Journal of hospital medicine

    pub_type： 评论,社论

    doi：10.12788/jhm.3116

    authors： Mao F,Greysen SR

    更新日期：2018-12-01 00:00:00

  • Prognosticating with the Hospitalized Patient 1-year Mortality Risk Score Using Information Abstracted from the Medical Record.

    abstract：BACKGROUND:Predicting death risk in patients with diverse conditions is difficult. The Hospitalized-patient One-year Mortality Risk (HOMR) score accurately determines death risk in adults admitted to hospital using health administrative data unavailable to clinicians and most researchers. OBJECTIVE:Determine if HOMR i...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2713

    authors： Casey G,Walraven CV

    更新日期：2017-04-01 00:00:00

  • An uncommon etiology of small bowel obstruction: gallstone ileus.

    abstract：:Gallstone ileus is a rare etiology of small bowel obstruction, occurring typically in the elderly population. The delay in diagnosis often results in significant morbidity and mortality. Here, we describe a case of 67 year old woman who presented with non specific abdominal symptoms and on evaluation was found to have...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.582

    authors： Verma A,Moonat A,Lo A

    更新日期：2010-02-01 00:00:00

  • Childhood obesity and in-hospital asthma resource utilization.

    abstract：OBJECTIVE:To examine the relationship between pediatric obesity and inpatient length of stay (LOS), resource utilization, readmission rates, and total billed charges for in-hospital status asthmaticus. DESIGN/METHODS:We conducted a cross-sectional study of patients 5 to 17 years old hospitalized with status asthmaticu...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2296

    authors： Bettenhausen J,Puls H,Queen MA,Peacock C,Burrus S,Miller C,Daly A,Colvin JD

    更新日期：2015-03-01 00:00:00

  • Experiences of older adults in a group physiotherapy program at a rehabilitation hospital: A qualitative study.

    abstract：:Physiotherapy delivered in a group setting has been shown to be effective in a variety of populations. However, little is known about the attitudes of older adults toward participating in group physiotherapy. The objectives of this study were to explore older inpatients' perceptions and experiences of group physiother...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1002/jhm.2550

    authors： Raymond MJ,Burge AT,Soh SE,Jeffs KJ,Winter A,Holland AE

    更新日期：2016-05-01 00:00:00

  • Dear Doctor: a tool to facilitate patient-centered communication.

    abstract：BACKGROUND:Patient-centered care has been identified as 1 of the 6 aims for the 21st century healthcare system. The notepad is a simple tool for reminders and personal interactions. We introduced Dear Doctor (DD) notes, a bedside notepad designed to prompt patient questions and improve patient satisfaction. OBJECTIVE:...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2073

    authors： Farberg AS,Lin AM,Kuhn L,Flanders SA,Kim CS

    更新日期：2013-10-01 00:00:00

  • Job characteristics, satisfaction, and burnout across hospitalist practice models.

    abstract：BACKGROUND:Nearly two-thirds of hospitals in the United States are served by hospitalist physicians. How hospitalist work patterns and job satisfaction vary across various practice models is unknown. METHODS:We administered the Hospitalist Worklife Survey to a randomized stratified sample of 3105 potential hospitalist...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1002/jhm.1907

    authors： Hinami K,Whelan CT,Miller JA,Wolosin RJ,Wetterneck TB,Society of Hospital Medicine Career Satisfaction Task Force.

    更新日期：2012-05-01 00:00:00

  • Effects of provider characteristics on care coordination under comanagement.

    abstract：BACKGROUND:Care coordination is critical in settings characterized by high levels of uncertainty, time constraints, and interdependent work processes. The effects of provider characteristics on coordination in comanaged teams has never been examined. OBJECTIVE:To characterize individual providers based on their contri...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.797

    authors： Hinami K,Whelan CT,Konetzka RT,Edelson DP,Casalino LP,Meltzer DO

    更新日期：2010-11-01 00:00:00

  • Risk factors of workplace violence at hospitals in Japan.

    abstract：BACKGROUND:Patients and their relatives exposed to mental stress caused by hospitalization or illness might use violence against healthcare staff and interfere with quality healthcare. OBJECTIVE:The aim of this study was to investigate incidences of workplace violence and the attributes of healthcare staff who are at ...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.976

    authors： Fujita S,Ito S,Seto K,Kitazawa T,Matsumoto K,Hasegawa T

    更新日期：2012-02-01 00:00:00

  • Postdischarge problems identified by telephone calls to an advice line.

    abstract：BACKGROUND:Problems experienced after hospital discharge can result in rehospitalizations and unscheduled urgent and emergent care. OBJECTIVE:To identify opportunities for improving discharge processes by examining calls to an advice line (AL). DESIGN:Prospective cohort. SETTING:A 500-bed, university-affiliated hosp...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2252

    authors： Stella SA,Allyn R,Keniston A,Johnston LB,Burden M,Bogdan GM,Savoie C,Albert RK

    更新日期：2014-11-01 00:00:00

  • Cost of Acute Kidney Injury in Hospitalized Patients.

    abstract：BACKGROUND:The economic burden of acute kidney injury (AKI) is not well understood. OBJECTIVE:To estimate the effects of AKI on hospitalization costs and length of stay (LOS). DESIGN:Using data from the 2012 National Inpatient Sample, we compared hospitalization costs and LOS with and without AKI. We used a generaliz...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2683

    authors： Silver SA,Long J,Zheng Y,Chertow GM

    更新日期：2017-02-01 00:00:00

  • Association of Stress Biomarkers With 30-Day Unplanned Readmission and Death.

    abstract：BACKGROUND:The theory that posthospitalization stress might increase the risk of postdischarge complications has never been investigated. OBJECTIVE:To assess whether serum levels of stress biomarkers at discharge are associated with readmission and death after an acute-care hospitalization. DESIGN:We prospectively in...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2766

    authors： Aubert C,Folly A,Mancinetti M,Hayoz D,Donze J

    更新日期：2017-07-01 00:00:00

  • Focused Ethnography of Diagnosis in Academic Medical Centers.

    abstract：BACKGROUND:Approaches of trainees to diagnosis in teaching hospitals are poorly understood. Identifying cognitive and system-based barriers and facilitators to diagnosis may improve diagnosis in these settings. METHODS:We conducted a focused ethnography of trainees at 2 academic medical centers to understand the barri...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2966

    authors： Chopra V,Harrod M,Winter S,Forman J,Quinn M,Krein S,Fowler KE,Singh H,Saint S

    更新日期：2018-10-01 00:00:00

  • Early detection, prevention, and mitigation of critical illness outside intensive care settings.

    abstract：:Patients who deteriorate outside the intensive care unit (ICU) are known to have elevated mortality and morbidity. Rapid response teams (RRTs) were developed to address such deterioration. It has not been possible to establish that RRTs employing manual detection methods have definitively improved hospital outcomes. B...

    journal_title：Journal of hospital medicine

    pub_type：

    doi：10.1002/jhm.2653

    authors： Escobar GJ,Dellinger RP

    更新日期：2016-11-01 00:00:00

  • Increasing Inpatient Consultation: Hospitalist Perceptions and Objective Findings. In Reference to: "Hospitalist Perspective of Interactions with Medicine Subspecialty Consult Services".

    abstract：OBJECTIVE: DESIGN: SETTING: PATIENTS: MEASUREMENTS: RESULTS: CONCLUSIONS: ...

    journal_title：Journal of hospital medicine

    pub_type： 评论,信件

    doi：10.12788/jhm.2992

    authors： Kachman M,Carter K,Martin S

    更新日期：2018-11-01 00:00:00

  • Bridging the gap between evidence and practice in acute decompensated heart failure management.

    abstract：:Registry data indicate a gap between evidence-based guidelines and current management of patients with acute decompensated heart failure (ADHF). Bridging this gap is crucial given the frequency and cost of hospitalization for this disorder. Patients with ADHF require rapid assessment to determine appropriate treatment...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.1002/jhm.395

    authors： Michota FA Jr,Amin A

    更新日期：2008-11-01 00:00:00

  • How complete is the evidence for thromboembolism prophylaxis in general medicine patients? A meta-analysis of randomized controlled trials.

    abstract：OBJECTIVES:Guidelines recommend pharmacologic prophylaxis for hospitalized medical patients at increased risk of thromboembolism. Despite recommendations, multiple studies demonstrate underutilization. Factors contributing to underutilization include uncertainty that prophylaxis reduces clinically relevant events, as w...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,meta分析

    doi：10.1002/jhm.450

    authors： Bump GM,Dandu M,Kaufman SR,Shojania KG,Flanders SA

    更新日期：2009-05-01 00:00:00

  • Why surgeons can say "no": exploring "unilateral withholding".

    abstract：OBJECTIVE:To explore why it is permissible for surgeons to "unilaterally withhold" surgery, whereas it is not commonplace (in the United States) to unilaterally withhold cardiopulmonary resuscitation (CPR) for clinical situations with similar degrees of uncertainty and prognosis. DATA SOURCES:The medical literature wa...

    journal_title：Journal of hospital medicine

    pub_type： 社论

    doi：10.1002/jhm.986

    authors： Manthous CA,Ivy M

    更新日期：2012-03-01 00:00:00

  • Screening for depression in hospitalized medical patients.

    abstract：:Depression among hospitalized patients is often unrecognized, undiagnosed, and therefore untreated. Little is known about the feasibility of screening for depression during hospitalization, or whether depression is associated with poorer outcomes, longer hospital stays, and higher readmission rates. We searched PubMed...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.12788/jhm.2693

    authors： IsHak WW,Collison K,Danovitch I,Shek L,Kharazi P,Kim T,Jaffer KY,Naghdechi L,Lopez E,Nuckols T

    更新日期：2017-02-01 00:00:00

  • Cost-related medication underuse: prevalence among hospitalized managed care patients.

    abstract：BACKGROUND:The affordability of prescription medications continues to be a major public health issue in the United States. Estimates of cost-related medication underuse come largely from surveys of ambulatory patients. Hospitalized patients may be vulnerable to cost-related underuse and its consequences, but have been ...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.948

    authors： Choudhry NK,Saya UY,Shrank WH,Greenberg JO,Melia C,Bilodeau A,Kadehjian EK,Dolan ML,Dudley JC,Kachalia A

    更新日期：2012-02-01 00:00:00

  • Analysis of an electromagnetic tube placement device versus a self-advancing nasal jejunal device for postpyloric feeding tube placement.

    abstract：BACKGROUND:Initiation of enteral feeding is an important part of the best practice model for critically ill patients. Although nasogastric feeding is appropriate for the majority of patients requiring short-term nutrition support, certain patients benefit greatly from postpyloric feeding. OBJECTIVE:To determine which ...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2122

    authors： Boyer N,McCarthy MS,Mount CA

    更新日期：2014-01-01 00:00:00

  • Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide.

    abstract：BACKGROUND:Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE:To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: SETTING/PATIENTS:Cross-sectiona...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.3039

    authors： Alexandrou E,Ray-Barruel G,Carr PJ,Frost SA,Inwood S,Higgins N,Lin F,Alberto L,Mermel L,Rickard CM,OMG Study Group.

    更新日期：2018-05-30 00:00:00

  • Opportunities for Stewardship in the Transition From Intravenous to Enteral Antibiotics in Hospitalized Pediatric Patients.

    abstract：BACKGROUND/OBJECTIVE:Pediatric patients hospitalized with bacterial infections often receive intravenous (IV) antibiotics. Early transition to enteral antibiotics can reduce hospital duration, cost, and complications. We aimed to identify opportunities to transition from IV to enteral antibiotics, describe variation of...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.3538

    authors： Cotter JM,Hall M,Girdwood ST,Stephens JR,Markham JL,Gay JC,Shah SS

    更新日期：2021-02-01 00:00:00

  • Can the identification of an idle line facilitate its removal? A comparison between a proposed guideline and clinical practice.

    abstract：BACKGROUND:There are 250,000 cases of central line-associated blood stream infections in the United States annually, some of which may be prevented by the removal of lines that are no longer needed. OBJECTIVE:To test the performance of criteria to identify an idle line as a guideline to facilitate its removal. METHOD...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2573

    authors： Kara A,Johnson CS,Murray M,Dillon J,Hui SL

    更新日期：2016-07-01 00:00:00

  • Evaluating the Benefits of Hospital Room Artwork for Patients Receiving Cancer Treatment: A Randomized Controlled Trial.

    abstract：:We examined whether placing a painting in the line of vision of a hospitalized patient improves patient outcomes and satisfaction and whether having patients choose their paintings offers greater benefit. From 2014 to 2016, we enrolled 186 inpatients with cancer diagnoses from Pennsylvania State University Cancer Inst...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.12788/jhm.2915

    authors： George DR,Boer C,Hammer J,Hopkins M,King T,Green MJ

    更新日期：2018-08-01 00:00:00

  • Introducing the Hospitalist Morale Index: A new tool that may be relevant for improving provider retention.

    abstract：OBJECTIVE:To develop a valid instrument to assess morale and explore the relationship between morale and intent to leave employment due to unhappiness. PATIENTS AND METHODS:An expert panel identified 46 drivers of hospitalist morale. In May 2009, responders of our single-site pilot survey rated each driver in terms of...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章,评审

    doi：10.1002/jhm.2543

    authors： Chandra S,Wright SM,Ghazarian S,Kargul GM,Howell EE

    更新日期：2016-06-01 00:00:00

  • Hospitalists' ability to use hand-carried ultrasound for central venous pressure estimation after a brief training intervention: a pilot study.

    abstract：BACKGROUND:Access to hand-carried ultrasound technology for noncardiologists has increased significantly, yet development and evaluation of training programs are limited. OBJECTIVE:We studied a focused program to teach hospitalists image acquisition of inferior vena cava (IVC) diameter and IVC collapsibility index wit...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.2103

    authors： Martin LD,Ziegelstein RC,Howell EE,Martire C,Hellmann DB,Hirsch GA

    更新日期：2013-12-01 00:00:00

  • ACUTE center for eating disorders.

    abstract：BACKGROUND:While patients with anorexia nervosa have a high mortality rate, more are living into adulthood. Patients with severe malnutrition secondary to anorexia nervosa often require hospitalization for medical stabilization prior to treatment in eating disorders programs. METHODS:We developed the ACUTE Center at D...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.1002/jhm.1906

    authors： Chu ES,Gaudiani JL,Mascolo M,Statland B,Sabel A,Carroll K,Mehler PS

    更新日期：2012-04-01 00:00:00

  • Low Health Literacy Is Associated with Increased Transitional Care Needs in Hospitalized Patients.

    abstract：OBJECTIVE:To examine the association of health literacy with the number and type of transitional care needs (TCN) among patients being discharged to home. DESIGN, SETTING, PARTICIPANTS:A cross-sectional analysis of patients admitted to an academic medical center. MEASUREMENTS:Nurses administered the Brief Health Lite...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2841

    authors： Boyle J,Speroff T,Worley K,Cao A,Goggins K,Dittus RS,Kripalani S

    更新日期：2017-11-01 00:00:00

  • Opportunities and Challenges for Improving the Patient Experience in the Acute and Postacute Care Setting Using Patient Portals: The Patient's Perspective.

    abstract：:Efforts to improve the patient experience are increasingly focusing on engaging patients and their "care partners" by using patient portals. The Acute Care Patient Portal Task Force was supported by the Gordon and Betty Moore Foundation to convene a national meeting of an interdisciplinary group of stakeholders, inclu...

    journal_title：Journal of hospital medicine

    pub_type： 杂志文章

    doi：10.12788/jhm.2860

    authors： Dalal AK,Bates DW,Collins S

    更新日期：2017-12-01 00:00:00