Ratio of Observed Over Predicted Rates for Diagnosis of Dementia
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Ratio of the number of patients 65 and older diagnosed with dementia attributed to a clinician or practice over the number of cases predicted based on the demographic profile of that clinician or practice. Once the clinician's or practice's O/E ratio (i.e., ratio of the observed and expected rates) is calculated, a computation of its associated standard error (SE) can be used to draw inference whether the O/E ratio is significantly different from 1 or not.
Numerator
Number of Medicare beneficiaries aged 65 and older, who are attributed to a clinician or practice and who have been diagnosed with dementia based on claims data.
Denominator
Number of expected cases with dementia among the panel of Medicare beneficiaries aged 65 and older attributed to a clinician or practice based on a predictive model. Report measure only for clinicians and practices with at least 25 attributed patients to ensure measure stability following CMS' guidance.
Exclusions
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Reporting is specific to sub-program