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CARDINAL HEALTH ANNOUNCES BREAKTHROUGH IN CLINICAL MODELS
TO SUPPORT PAY FOR PERFORMANCE AND PUBLIC REPORTING EFFORTS
New findings published in Medical Care show that quality measurements
using clinical data are more valid than those using traditional
methods
DUBLIN, Ohio, July 24, 2007 — Cardinal Health, a global provider
of products and services that
improve the safety and productivity of health care, today announced
the development of a more
accurate methodology to report the quality of care provided by a
hospital or health-care providers.
The study across six major diseases showed that using clinical data
more accurately accounts for
the severity of an illness and leads to more clinically valid quality
measurements than traditional
methods.
Pay for Performance (P4P) and public accountability reporting have
seen increased interest across
health-care providers, government agencies and insurance companies
as incentive-based
initiatives to help control rising health-care costs and improve
quality.
Risk-adjusted mortality rates are widely accepted quality measures
for the health-care industry.
These quality measures are made by comparing expected mortality
rates for specific disease
groups to the actual mortality rates that occur. Traditionally,
the models used to predict mortality
are based on the analysis of billing or administrative data from
the health-care provider.
Physicians, health-care administrators and researchers all point
to fundamental flaws in using
administrative data because it does not appropriately account for
severity of illness, which can
disadvantage those hospitals that take in the most critically ill
patients.
To address the challenge of developing a clinically valid and cost-effective
reporting system,
researchers from Cardinal Health, the Center for Outcomes Research
at the Children's Hospital of
Philadelphia and the University of Pennsylvania, School of Medicine
analyzed data from more than
a million admissions to create models that are clinically sound
and adequately adjusted for severity of illness. The new approach
maximizes the use of automated laboratory data, but is more costeffective
than relying on chart abstraction. The researchers found that laboratory
data contributed more to the prediction of mortality compared to
any other data source across most diseases except for stroke, where
altered mental status was more important than lab results. Laboratory
data proved to be up to 67 times more important in predicting mortality
than administrative data alone.
“These findings are significant in light of increased interest
in Pay for Performance and public
reporting initiatives and highlight the urgent need for valid, clinically-based
risk-adjusted
approaches,” said Dwight Winstead, group president of Clinical
Technologies and Services for
Cardinal Health.
Cardinal Health published the final findings in the August issue
of Medical Care, the official journal
of the Medical Care Section of the American Public Health Association.
All six models were found
to be clinically plausible and can be cost-effective to implement
for P4P and public accountability
reporting. They were also presented in major medical meetings: the
8th Annual Scientific Meeting of Heart Failure Society of America,
2004 (CHF model); the 70th Annual International Scientific
Assembly of the American College of Chest Physicians, 2004 (pneumonia
model); the 42nd Annual
Meeting of the Infectious Disease Society of America, 2004 (septicemia
model); the International
Stroke Conference, 2005 (ischemic and hemorrhagic stroke models);
and the 54th Annual
Scientific Session of the American College of Cardiology, 2005 (AMI
model). The corresponding
abstracts were also published in the Journal of Cardiac Failure,
Chest, Stroke and the Journal of
American College of Cardiology.
About Cardinal Health
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH)
is an $80 billion, global
company serving the health-care industry with products and services
that help hospitals, physician
offices and pharmacies reduce costs, improve safety, productivity
and profitability, and deliver
better care to patients. With a focus on making supply chains more
efficient, reducing hospitalacquired infections and breaking the
cycle of harmful medication errors, Cardinal Health develops market-leading
technologies, including Alaris® IV pumps, Pyxis® automated
dispensing systems, MedMined® data mining surveillance and the
CareFusion® patient identification system. The company also
manufactures medical and surgical products and is one of the largest
distributors of pharmaceuticals and medical supplies worldwide.
Ranked No. 19 on the Fortune 500 and No. 1 in its sector on Fortune's
ranking of Most Admired firms, Cardinal Health employs more than
40,000 people on five continents. More information about the company
may be found at
www.cardinalhealth.com.
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