TABLE 5

Validation Analysis for Transition Quality Measure Scores

OutcomeHospital-to-Home Transition Quality Measure ScoresMeasure 3: ICU-to-Floor Transition Note Quality
Measure 1: Hospital-to-Home Transition Record QualityaMeasure 2: Timely Discharge Communication Between ProvidersHospital-to-Home Transition Summary Score (Measures 1 and 2)a
Odds Ratio (95% Confidence Interval)bOdds Ratio (95% Confidence Interval)bOdds Ratio (95% Confidence Interval)bOdds Ratio (95% Confidence Interval)b
7-d readmissionc0.91 (0.11 to 7.42)0.78 (0.24 to 2.47)0.74 (0.08 to 6.92)
30-d readmissionc0.98 (0.25 to 3.85)0.78 (0.35 to 1.78)0.89 (0.20 to 3.91)
7-d return ED visit c,d1.84 (0.15 to 22.46)0.55 (0.14 to 2.15)1.22 (0.09 to 16.42)
30-d return ED visit c,d1.34 (0.15 to 12.30)0.63 (0.22 to 1.79)0.94 (0.09 to 9.32)
ICU readmissione2.07 (0.35 to 12.27)
Regression coefficient (95% confidence interval)
LOSf0.96 (−3.99 to 5.90)
  • a These quality measures are adjusted for ODD.

  • b Odds ratios are for a change of 0 to 100 on a 0 to 100 scale.

  • c Models adjusted for hospital site and child sex, race or ethnicity, and insurance type.

  • d Data missing for 1 children’s hospital.

  • e Adjusted for hospital site and child sex, race or ethnicity, and insurance type; medical complexity not included, because all ICU readmissions were among children with complex chronic conditions.

  • f Adjusted for hospital and child sex, race or ethnicity, insurance type, and medical complexity; LOS truncated at the 99th percentile.