Medical Record Abstraction Form and Guidelines for Assessing Quality of Care for Hospitalized Patients with Acute Myocardial Infarction

by Jacqueline Kosecoff, Lisa V. Rubenstein, Katherine L. Kahn, Caren Kamberg, Carol P. Roth, Marjorie J. Sherwood, Robert H. Brook, Mark R. Chassin


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In an effort to contain health care costs, Medicare initiated a prospective payment system based on diagnosis-related groups (DRGs) in 1983. In 1985, RAND began a study to determine the effect of DRG-based prospective payment on quality of care for hospitalized Medicare patients. Six diseases (congestive heart failure, acute myocardial infarction, hip fracture, pneumonia, cerebrovascular accident, and depression) were selected for study in each of five states (California, Florida, Indiana, Pennsylvania, and Texas). This Note documents the medical record abstraction form and guidelines used to collect data from the medical records of patients hospitalized with acute myocardial infarction.

This report is part of the RAND Corporation note series. The note was a product of the RAND Corporation from 1979 to 1993 that reported other outputs of sponsored research for general distribution.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.