ArticleJournal of hospital medicine2019
Identifying Observation Stays In Medicare Data: Policy Implications of a Definition.
Article in Journal of hospital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed.
- Association of Observation Stays with Clinical Outcomes and Costs in Medicare: An Instrumental Variable Analysis.Journal of general internal medicine · 2025Article
- Trends in observation stays for Medicare beneficiaries with and without Alzheimer's disease and related dementias.Journal of the American Geriatrics Society · 2024Article
- The Hospital Readmissions Reduction Program and Observation Hospitalizations.Journal of hospital medicine · 2021Article
- Facility and resident characteristics associated with variation in nursing home transfers: evidence from the OPTIMISTIC demonstration project.BMC health services research · 2021Article
- The Impact of Tai Chi Exercise on Health Care Utilization and Imputed Cost in Residents of Low-Income Senior Housing.Global advances in health and medicine · 2021Article
- Thirty-Day Re-observation, Chronic Re-observation, and Neighborhood Disadvantage.Mayo Clinic proceedings · 2020Article
- Improving Healthcare Value: COVID-19 Emergency Regulatory Relief and Implications for Post-Acute Skilled Nursing Facility Care.Journal of hospital medicine · 2020Article
- What Is an Observation Stay? Evaluating the Use of Hospital Observation Stays in Medicare.Journal of the American Geriatrics Society · 2020Observational
- Policy in Clinical Practice: Medicare Advantage and Observation Hospitalizations.Journal of hospital medicine · 2020Article
Corrections and comments
- Commented on by
Authors and funding
3 authors.
Funding
Abstract
Observation stays are increasingly common, yet no standard method to identify observation stays in Medicare claims is available, including events with status change. To determine the claims patterns of Medicare observation stays, define comprehensive claims-based methodology for future Medicare observation research and data reporting, and identify policy implications of such definition, we identified potential observation events in a 2014 20% random sample of Medicare beneficiaries with both Part A and B claims and at least 1 acute care stay (1,667,660 events). Observation revenue center (ORC) and Healthcare Common Procedure Coding System codes occurring within 30 days of an inpatient hospitalization were recorded. A total of 125,920 (7.6%) events had an ORC code, and 75,502 (4.5%) were in the outpatient revenue center. Claims patterns varied tremendously, and almost half (47.3%, 59,529) of the ORC codes were associated with an inpatient claim, indicating status change and demonstrating a need for clarity in observation policy. The proposed University of Wisconsin method identified 72,858 of 75,502 (96.5%) events with ORC codes as observation stays, and provides a comprehensive, reproducible methodology.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.