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Cost-to-charge ratios (the percentage of the amount billed that represents the actual cost) for 11 Oregon hospitals of similar size were reported separately for inpatient and outpatient services. The data are $$ \begin{array}{lcc} \text { Hospital } & \text { Inpatient } & \text { Outpatient } \\ \hline \text { Blue Mountain } & 80 & 62 \\ \text { Curry General } & 76 & 66 \\ \text { Good Shepherd } & 75 & 63 \\ \text { Grande Ronde } & 62 & 51 \\ \text { Harney District } & 100 & 54 \\ \text { Lake District } & 100 & 75 \\ \text { Pioneer } & 88 & 65 \\ \text { St. Anthony } & 64 & 56 \\ \text { St. Elizabeth } & 50 & 45 \\ \text { Tillamook } & 54 & 48 \\ \text { Wallowa Memorial } & 83 & 71 \\ \hline \end{array} $$ a. Does there appear to be a strong linear relationship between the cost-to- charge ratio for inpatient and outpatient services? Justify your answer based on the value of the correlation coefficient and examination of a scatterplot of the data. b. Are any unusual features of the data evident in the scatterplot? c. Suppose that the observation for Harney District was removed from the data set. Would the correlation coefficient for the new data set be greater than or less than the one computed in Part (a)? Explain.

Short Answer

Expert verified
Based on the correlation coefficient calculated in step 1, we can observe a positive relationship if the correlation is close to 1. The scatterplot would help in verifying this relationship and identifying unusual features, if any. If we remove an outlier, such as Harney District (if it is indeed an outlier), the correlation coefficient can potentially become stronger. Actual values will depend on the precise calculations and scatterplot observations.

Step by step solution

01

Calculate the Correlation Coefficient

First, we need to calculate the correlation coefficient between the Inpatient and Outpatient columns of the data. We would use a statistical tool or standard statistical formula for correlation to find this.
02

Analyze the Correlation and Relationship

Now, we will interpret the result from step 1. A value close to 1 or -1 indicates a strong relationship, while a value close to 0 indicates little or no relationship. A positive value signifies a direct correlation, and a negative value signifies an indirect correlation. Based on this, we will decide whether there is a strong linear relationship.
03

Create and Examine the Scatterplot

We'll create a scatterplot of outpatient services (on the x-axis) versus inpatient services (on the y-axis) to visualize the data and to identify any unusual features or outliers. Unusual features may include points that do not fit the general trend of the data, or clusters of data.
04

Analyze Impact of Removing An Observation

Lastly, we will discuss the impact that the removal of the Harney District observation (which might be an outlier) might have on the correlation coefficient. If Harney District is an outlier (extremely different from all the other points) and we remove it, the correlation is likely to become stronger.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Correlation Coefficient
The correlation coefficient is a statistical measure that calculates the strength of the relationship between the relative movements of two variables. The values range between -1.00 and 1.00. A correlation of -1.00 shows a perfect negative correlation, while a correlation of 1.00 shows a perfect positive correlation. A correlation of 0.00 shows no linear relationship between the movement of the two variables.

When calculating the correlation coefficient for inpatient and outpatient cost-to-charge ratios, we are looking for a number in this range that signifies how closely the two sets of numbers are related in a linear fashion. If the coefficient is close to 1, it indicates that higher inpatient ratios tend to accompany higher outpatient ratios. Conversely, if the coefficient is near -1, it means that higher inpatient ratios are generally associated with lower outpatient ratios.

When interpreting this coefficient, it's critical to understand that while it indicates the presence of a relationship, it does not prove causation. A high or low correlation merely points to a statistical association which may warrant further investigation. In the context of the given exercise, this coefficient would help us determine whether there is a significant linear relationship between the inpatient and outpatient services' ratios.
Scatterplot
A scatterplot is a type of data visualization that represents the values of two different variables, one on each axis, to look for a correlation between them. In our case, the inpatient and outpatient cost-to-charge ratios for the 11 Oregon hospitals would be plotted, with one axis representing the inpatient ratios and the other representing the outpatient ratios.

Creating a Scatterplot

Picturing our data, each hospital would be a point on the graph. The position of a point on the scatterplot corresponds to the inpatient and outpatient values for that hospital. If the points line up in a rising diagonal direction, this indicates a positive correlation; if they line up in a falling diagonal direction, it indicates a negative correlation. If the points are widely scattered with no clear pattern, they might suggest little to no correlation.

Analyzing a Scatterplot

Analyzing the scatterplot allows us to visually gauge the strength and direction of the relationship. Additionally, we can look for any outliers or unusual data points that don't fit with the overall trend. These outliers can significantly affect the correlation coefficient and our interpretation of the data.
Statistical Analysis
Statistical analysis encompasses a range of techniques for exploring and understanding collections of data. Through statistical analysis, we can summarize data, look for trends, test hypotheses, and make predictions. In the context of the cost-to-charge ratios for hospitals, the statistical analysis helps us to understand the relationship between inpatient and outpatient services rates, evaluate trends, and detect any anomalies.

Impact of Removing Data Points

A crucial part of statistical analysis involves examining how data points influence results. For example, removing an outlier, as with the Harney District hospital in the exercise, can significantly change the correlation coefficient. This change happens because outliers can skew the results; if an outlier is present, the overall correlation could appear weaker than it truly is for the majority of the data.

By performing a statistical analysis with and without the outlier, we gain a more nuanced understanding of the true relationship between inpatient and outpatient cost-to-charge ratios. Removing outliers, when justified, can lead to more accurate models that better reflect the reality of the dataset minus anomalies.

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Most popular questions from this chapter

The following data on the relationship between degree of exposure to \({ }^{242} \mathrm{Cm}\) alpha radiation particles \((x)\) and the percentage of exposed cells without aberrations \((y)\) appeared in the paper "Chromosome Aberrations Induced in Human Lymphocytes by DT Neutrons" (Radiation Research \([1984]: 561-573):\) $$ \begin{array}{rrrrr} x & 0.106 & 0.193 & 0.511 & 0.527 \\ y & 98 & 95 & 87 & 85 \\ x & 1.08 & 1.62 & 1.73 & 2.36 \\ y & 75 & 72 & 64 & 55 \\ x & 2.72 & 3.12 & 3.88 & 4.18 \\ y & 44 & 41 & 37 & 40 \end{array} $$ Summary quantities are $$ \begin{gathered} n=12 \quad \sum x=22.207 \quad \sum y=793 \\ \sum x^{2}=62.600235 \quad \sum x y=1114.5 \quad \sum y^{2}=57,939 \end{gathered} $$ a. Obtain the equation of the least-squares line. b. Calculate SSResid and SSTo. c. What percentage of observed variation in \(y\) can be explained by the approximate linear relationship between the two variables? d. Calculate and interpret the value of \(s_{e}\). e. Using just the results of Parts (a) and (c), what is the value of Pearson's sample correlation coefficient?

The accompanying data were read from graphs that appeared in the article "Bush Timber Proposal Runs Counter to the Record" (San Luis Obispo Tribune, September 22,2002 ). The variables shown are the number of acres burned in forest fires in the western United States and timber sales. $$ \begin{array}{lrr} & \begin{array}{l} \text { Number of } \\ \text { Acres Burned } \\ \text { (thousands) } \end{array} & \begin{array}{l} \text { Timber Sales } \\ \text { (billions of } \\ \text { board feet) } \end{array} \\ \hline 1945 & 200 & 2.0 \\ 1950 & 250 & 3.7 \\ 1955 & 260 & 4.4 \\ 1960 & 380 & 6.8 \\ 1965 & 80 & 9.7 \\ 1970 & 450 & 11.0 \\ 1975 & 180 & 11.0 \\ 1980 & 240 & 10.2 \\ 1985 & 440 & 10.0 \\ 1990 & 400 & 11.0 \\ 1995 & 180 & 3.8 \\ \hline \end{array} $$ a. Is there a correlation between timber sales and acres burned in forest fires? Compute and interpret the value of the correlation coefficient. b. The article concludes that "heavier logging led to large forest fires." Do you think this conclusion is justified based on the given data? Explain.

Both \(r^{2}\) and \(s_{e}\) are used to assess the fit of a line. a. Is it possible that both \(r^{2}\) and \(s_{e}\) could be large for a bivariate data set? Explain. (A picture might be helpful.) b. Is it possible that a bivariate data set could yield values of \(r^{2}\) and \(s_{e}\) that are both small? Explain. (Again, a picture might be helpful.) c. Explain why it is desirable to have \(r^{2}\) large and \(s_{e}\) small if the relationship between two variables \(x\) and \(y\) is to be described using a straight line.

Explain why it can be dangerous to use the leastsquares line to obtain predictions for \(x\) values that are substantially larger or smaller than those contained in the sample.

Cost-to-charge ratio (the percentage of the amount billed that represents the actual cost) for inpatient and outpatient services at 11 Oregon hospitals is shown in the following table (Oregon Department of Health Services, 2002). A scatterplot of the data is also shown. $$ \begin{array}{ccc} \hline \text { Hospital } & \begin{array}{l} \text { Outpatient } \\ \text { Care } \end{array} & \begin{array}{l} \text { Inpatient } \\ \text { Care } \end{array} \\ \hline 1 & 62 & 80 \\ 2 & 66 & 76 \\ 3 & 63 & 75 \\ 4 & 51 & 62 \\ 5 & 75 & 100 \\ 6 & 65 & 88 \\ 7 & 56 & 64 \\ 8 & 45 & 50 \\ 9 & 48 & 54 \\ 10 & 71 & 83 \\ 11 & 54 & 100 \\ \hline \end{array} $$ The least-squares regression line with \(y=\) inpatient costto-charge ratio and \(x=\) outpatient cost-to-charge ratio is \(\hat{y}=-1.1+1.29 x\). a. Is the observation for Hospital 11 an influential observation? Justify your answer. b. Is the observation for Hospital 11 an outlier? Explain. c. Is the observation for Hospital 5 an influential observation? Justify your answer. d. Is the observation for Hospital 5 an outlier? Explain.

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