Tag: exceptional risk
Jacob V. Spertus, Sharon-Lise T. Normand, Robert Wolf, Matt Cioffi, Ann Lovett and Sherri Rose. Although risk adjustment remains a cornerstone for comparing outcomes across hospitals, optimal strategies continue to evolve in the presence of many confounders. We compared conventional regression-based model to approaches particularly suited to leveraging big data.
The Mass-DAC exceptional risk criteria were developed by a committee of Massachusetts interventionalists. The intent of the exceptional risk designation is to categorize rare uniquely high risk cases, with high potential patient benefit, in which the predictors of risk are not included in the current Mass-DAC risk adjustment model. The risk of in-hospital mortality can be based on anatomical or clinical considerations, but will typically involve a second, acutely life-threatening condition for which PCI is urgently required in order to allow continued treatment. It is expected that nearly all exceptional risk cases will involve severe time pressure in order to make a therapeutic decision (such as the need to treat STEMI in a patient with a second severe medical co morbidity) and that elective/urgent cases will rarely qualify for exceptional risk designation.