Professional Documents
Culture Documents
16 th November 2017
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The number of PSCs has nearly quadrupled since 2006.
Hundreds of hospitals received their initial PSC
certification in the past few years.
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To address these questions, we examined in-hospital,
30-day, and 1-year all-cause mortality in the hospitals
that received initial PSC certification between 2009 and
2013 (new PSCs), in comparison to those PSCs that
were certified before 2009 and maintained through the
study period (existing PSCs), as well as those hospitals
that have never received PSC certification (non-SCs).
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Methods
Patient Population
Rehabilitation, pediatric,
long-term care, and
federal government
hospitals (Veterans and
military hospitals) were
excluded.
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Outcome Measures consisted of in-
hospital, 30-day, and 1-year all-cause
mortality, length of stay of the index
hospitalization, and discharge home rates.
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Discussion
The study showed that new PSCs had lower in-hospital and
30-day unadjusted and adjusted all-cause mortality than
existing PSCs and non-SCs.
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Our finding is slightly different from a prior
report using 2006 MEDPAR data, which found
that PSCs certified before 2006 had mildly
lower in-hospital mortality rates (4.4% versus
4.7%) than non-PSCs and a small difference in
30-day mortality (10.7% versus 11.0%).
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Conclusions
This study showed that although PSCs as a whole had better mortality
than non-SCs,
The hospitals that obtained initial PSC certification between 2009 and
2013 had lower in-hospital and 30-day unadjusted and adjusted all-
cause mortality than the PSCs that had been certified before 2009.
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Thank you
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