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SUMMARY:Should Hospitals Keep Their Patients Longer? The Role of Inpatient
  Care in Reducing Post-Discharge Mortality - Professor Carri Chan\,  Assoc
 iate Professor in the Decision\, Risk and Operations Division at Columbia 
 Business School
DTSTART:20160404T113000Z
DTEND:20160404T123000Z
UID:TALK65523@talks.cam.ac.uk
CONTACT:Crystal
DESCRIPTION:The Centers for Medicare & Medicaid Services (CMS) and the Nat
 ional Quality Forum have endorsed 30-day mortality rates as important indi
 cators of hospital quality. Concerns have been raised\, however\, as to wh
 ether post-discharge mortality rates are reasonable measures of hospital q
 uality as they consider the frequency of an event that occurs after a pati
 ent is discharged and no longer under the watch and care of the hospital. 
  Using a large dataset comprised of all hospital encounters of every Medic
 are patient from 2000 to 2011 and an instrumental variables methodology to
  address the potential endogeneity bias in hospital length-of-stay\, we fi
 nd evidence that 30-day mortality rates are appropriate measures of hospit
 al quality.  For patients with diagnoses of Pneumonia or Acute Myocardial 
 Infarction\, an additional day in the hospital could decrease 30-day morta
 lity rates by up to 12.8.  Moreover\, we find that\, from a social planner
 's perspective\, the gains achieved in reducing mortality rates far exceed
  the cost of keeping these patients in the hospital for an additional day.
  Joint work with Ann Bartel and Song-Hee Kim. 
LOCATION:Cambidge Judge Business School\,  Castle Teaching Room
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