Heart failure & cardiomyopathies
Achieving Equity in Hospital Performance Assessments Using Composite Race-Specific Measures of Risk-Standardized Readmission and Mortality Rates for Heart Failure
Authors' conclusion
Among patients hospitalized with heart failure, race-specific 30-day RSMR and RSRR are more equitable in representing hospital performance for patients of Black and other races.
Study context
- Population
- Fee-for-service Medicare beneficiaries hospitalized with HF, January 2014 to December 2019
- Participants
- 1,903,232 beneficiaries1,860 hospitals
- Exposure
- Composite race-specific vs race-agnostic hospital performance metrics
- Outcome
- Correlation and concordance in hospital performance (30-day RSRR and RSMR) for all patients and for patients of Black and other races
- Follow-up
- 30 days
Main finding
As reported in the abstract
Correlation of all-patient metrics with Black patients' metrics (correlation coefficient)
RSRR concordantly high-performing
RSRR concordantly low-performing
| Outcome | Race-specific | Race-agnostic |
|---|---|---|
| RSRR correlation | 0.74 | 0.60 |
| RSMR correlation | 0.51 | 0.44 |
Observational data: associations, not effects.
Further findings
Correlation of hospital-level performance, White vs Black patients (Pearson) · 30 days
- Risk-standardized readmission rate (RSRR) correlation
- 0.42
- Risk-standardized mortality rate (RSMR) correlation
- 0.26
Reclassification of hospital performance ranking with race-specific (vs race-agnostic) metrics
- Hospitals reclassified, RSRR
- 35.8%
- Hospitals reclassified, RSMR
- 39.2%
- Better 30-day and 1-year outcomes for all race groups at hospitals reclassified as high-performing
Original publication
Achieving Equity in Hospital Performance Assessments Using Composite Race-Specific Measures of Risk-Standardized Readmission and Mortality Rates for Heart Failure. Circulation. Published 10 April 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →