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Peer-Reviewed Publication
BMJ Qual Saf2023;32(9):503-516.September 1, 2023Journal Article

Evaluating equity in performance of an electronic health record-based 6-month mortality risk model to trigger palliative care consultation: a retrospective model validation analysis.

Stephanie Teeple1,2, Corey Chivers3, Kristin A Linn4, Scott D Halpern2,5, Nwamaka Eneanya2,5, Michael Draugelis6, Katherine Courtright2,5
1Department of Biostatistics, Epidemiology & Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA stephanie.teeple@pennmedicine.upenn.edu.
2Palliative and Advanced Illness Research (PAIR) Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
3Proscia, Inc, Philadelphia, Pennsylvania, USA.
4Department of Biostatistics, Epidemiology & Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
5Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
6Hackensack Meridian Health, Edison, New Jersey, USA.
PubMed PMC DOI PDF

Abstract

OBJECTIVE: Evaluate predictive performance of an electronic health record (EHR)-based, inpatient 6-month mortality risk model developed to trigger palliative care consultation among patient groups stratified by age, race, ethnicity, insurance and socioeconomic status (SES), which may vary due to social forces (eg, racism) that shape health, healthcare and health data. DESIGN: Retrospective evalua…

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