New Numerator: New exclusion criteria (2013): 65 and Risk adjustment not How reported: definition with any-listed ICD-9-CM diagnosis older provided. Hip fracture Number of deaths among Reported as rate per 1000 (2013): codes for periprosthetic fracture mortality rate. cases meeting the inclusion Observed rates may be discharges. (99644 PERIPROSTHETIC FX-PROS In-hospital and exclusion rules for the stratified by: Interpretation: JT) deaths per denominator. Hospitals Better quality is associated with a Year: 2013 transferring to another short-term 1,000 hospital Age groups lower score. Denominator: hospital (DISP=2) discharges Race/ethnicity MDC 14 (pregnancy, childbirth, Discharges, for patients ages Public reporting with hip categories and puerperium) 65 years and older, with a fracture as a None of the s include in-hospital Sex with missing discharge disposition principal ICD-9-CM diagnosis principal mortality for fractured neck of Payer categories (DISP=missing), gender code for hip fracture. diagnosis for femur. (SEX=missing), age (AGE=missing), patients ages Hospital reporting: quarter (DQTR=missing), year 65 years and (YEAR=missing) or principal Via website. Hospitals may also use older. diagnosis (DX1=missing) the software to create their own Excludes reports periprosthetic Previous exclusion criteria (2009): fracture cases with any diagnosis of discharges, periprosthetic fracture obstetric missing discharge disposition discharges, transferring to another short-term and transfers to another Major Diagnostic Category (MDC): hospital. pregnancy, childbirth, and Previous puerperium definition (2009): Number of deaths per 100 discharges with principal diagnosis code of hip fracture.
Hip fracture mortality rate. Year: 2013 New definition (2013): In-hospital deaths per 1,000 hospital discharges with hip fracture as a principal diagnosis for patients ages 65 years and older. Excludes periprosthetic fracture discharges, obstetric discharges, and transfers to another hospital. Previous definition (2009): Number of deaths per 100 discharges with principal diagnosis code of hip fracture. Numerator: Number of deaths among cases meeting the inclusion and exclusion rules for the denominator. Denominator: Discharges, for patients ages 65 years and older, with a principal ICD-9-CM diagnosis code for hip fracture. New exclusion criteria (2013): with any-listed ICD-9-CM diagnosis codes for periprosthetic fracture (99644 PERIPROSTHETIC FX-PROS JT) transferring to another short-term hospital (DISP=2) MDC 14 (pregnancy, childbirth, and puerperium) with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing) Previous exclusion criteria (2009): cases with any diagnosis of periprosthetic fracture missing discharge disposition transferring to another short-term Major Diagnostic Category (MDC): pregnancy, childbirth, and puerperium 65 and older Risk adjustment not provided. Observed rates may be stratified by: Hospitals Age groups Race/ethnicity categories Sex Payer categories How reported: Reported as rate per 1000 discharges. Interpretation: Better quality is associated with a lower score. Public reporting None of the s include in-hospital mortality for fractured neck of femur. Hospital reporting: Via website. Hospitals may also use the software to create their own reports