Physician organization care management capabilities associated with effective inpatient utilization management: a fuzzy set qualitative comparative analysis

Sheehy, Thomas J; Thygeson, N Marcus

doi:10.1186/s12913-014-0582-5

Table 2 Results of fsQCA truth table analysis

From: Physician organization care management capabilities associated with effective inpatient utilization management: a fuzzy set qualitative comparative analysis

Outcome	Conditions	Solution	Consistency	Raw coverage	Unique coverage
Bed days per thousand	Medical Length of Stay	Well-Managed Medical Length of Stay AND Well-Managed Surgical Admissions, OR	0.935	0.405	0.139
	Surgical Length of Stay	Well-Managed Medical Length of Stay AND Well-Managed Surgical Length of Stay, OR	0.950	0.489	0.223
	Medical Admissions	Well-Managed Surgical Admissions AND Well-Managed Surgical Length of Stay AND Well-Managed Medical Admissions	0.988	0.343	0.092
	Surgical Admissions	Total Recipe:	0.926	0.720
Medical length of stay	Number of hospitals in-area	Low number of hospitals AND Robust concurrent review procedure AND Strong hospitalist relationship AND Active PO discharge role, OR	0.832	0.377	0.227
	Concurrent review procedure	High number of hospitals AND Non-robust concurrent review procedure AND Strong hospitalist relationship AND Active PO discharge role	0.920	0.306	0.156
	Strength of hospitalist relationship	Total Recipe:	0.839	0.533
	PO role in discharge planning	Total Recipe:	0.839	0.533
Surgical admissions	Surgical readmission rate	Robust prior authorization procedure AND Low surgical readmission rate AND Lack of discharge notification to PCPs, OR	0.855	0.509	0.263
	Prior authorization procedure	Robust prior authorization procedure AND Discharge notification to PCPs AND Direct PO staff role in discharge planning process	0.836	0.448	0.202
	Discharge notification procedure	Total Recipe:	0.847	0.711
	PO staff role in discharge planning process	Total Recipe:	0.847	0.711
Surgical length of stay	Surgical readmission rate	Night/ED hospitalist coverage AND Active PO discharge role AND Low number of hospitals, OR	0.960	0.421	0.099
	Number of in-area hospitals	Night/ED hospitalist coverage AND Active PO discharge role AND Low surgical readmission rate	0.885	0.533	0.211
	Night/ED hospitalist coverage	Total Recipe:	0.901	0.632
	PO role in discharge planning	Total Recipe:	0.901	0.632
Medical admissions*	Medical readmission rate	High medical readmission rate AND High number of UCC hours AND Robust disease management program, OR	0.977	0.327	0.172
	Average number of urgent care center (UCC) open hours	Low medical readmission rate AND Non-robust disease management program, OR	0.918	0.439	0.284
	Disease management program	Total Recipe:	0.929	0.611
	PO FTEs dedicated to case management	Total Recipe:	0.929	0.611
Medical re-admissions	Average number of non-peak urgent care center (UCC) open hours	High number of non-peak UCC hours AND Strong hospitalist relationship AND Low case management FTEs, OR	0.920	0.288	0.136
	PO FTEs dedicated to case management	High case management FTEs AND Weak hospitalist relationship, OR	0.948	0.379	0.110
	Strength of hospitalist relationship	High case management FTEs AND Frequent MD rounding	0.895	0.420	0.188
	PO medical director rounds	Total Recipe:	0.904	0.717

*The consistency cut-off threshold for the medical admission truth table analysis was set to 0.9; lowering the threshold to 0.8 yields a less parsimonious solution with lower consistency (0.913) and slightly higher coverage (0.640).

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