PMC

Concordance of hospital Centers for Disease Control and Prevention Adult Sepsis Event sepsis mortality rates when ranked into quartiles: (A) unadjusted vs risk-adjusted by administrative data, (B) risk-adjusted using administrative data vs integrated clinical data. The figure shows the impact of risk adjustment on hospitals’ observed Adult Sepsis Event mortality rankings. Bubble sizes are proportional to the number of hospitals in each matched quartile. The actual number of hospitals in each category is denoted within the bubbles. The cohort included 200 hospitals. Lower quartiles indicate better performance (ie, quartile 1 = lowest sepsis mortality rates, quartile 4 = highest mortality rates). The bubbles in black, connected by the dotted lines, indicate where all hospitals would lie if concordance was perfect between the various comparisons. Red bubbles below the dotted line indicate cases in which hospitals’ unadjusted sepsis mortality rankings shift into better quartiles after risk adjustment by the administrative model (), or in which hospitals’ administrative risk-adjusted mortality rankings shift into better quartiles after risk-adjustment by the integrated administrative and clinical model (). Bubbles in green above the dotted line indicate the opposite. For example, shows that 22 (18 + 4) hospitals that were ranked in the worst quartile of unadjusted sepsis mortality rates shifted to better quartiles after risk adjustment using the administrative model. shows that 21 (14 + 7) hospitals in the worst quartile of sepsis mortality after risk adjustment by the administrative model shifted to better quartiles after risk adjustment by the integrated administrative and clinical model.

Dashed line indicates the number of professional institutes, filled line indicates the number of administrative institutes.

Crude and age-adjusted tuberculosis notification rates, Hong Kong Special Administrative Region SAR (China), 1990–2015^{* #}

Tuberculosis notification rate by age and sex, Hong Kong Special Administrative Region SAR (China), 1990–2015^*#