TY - JOUR
T1 - How well can we identify the high-performing hospital?
AU - Shwartz, Michael
AU - Cohen, Alan B.
AU - Restuccia, Joseph D.
AU - Ren, Z. Justin
AU - Labonte, Alan
AU - Theokary, Carol
AU - Kang, Raymond
AU - Horwitt, Jedediah
PY - 2011/6
Y1 - 2011/6
N2 - Sharing lessons from high-performing hospitals facilitates quality improvement. High-performing hospitals have usually been identified using a small number of performance measures. The objective was to analyze how well 1,006 hospitals performed across a broader range of measures. Five measures were developed from publicly available data: adherence to processes of care, 30-day readmission rates, in-hospital mortality, efficiency, and patient satisfaction. For a subset of hospitals, the authors included two survey-based assessments of patient care quality, one by chief quality officers and one by frontline clinicians. In general, there was little correlation among the publicly available measures (r ≤.10), though there was notable correlation between objective measures and survey-based measures (r =.23). Hospitals that performed well on a composite measure calculated from the publicly available measures were often not in the top quintile on most individual measures. This highlights the challenge in identifying high-performing hospitals to learn organizational-level best practices.
AB - Sharing lessons from high-performing hospitals facilitates quality improvement. High-performing hospitals have usually been identified using a small number of performance measures. The objective was to analyze how well 1,006 hospitals performed across a broader range of measures. Five measures were developed from publicly available data: adherence to processes of care, 30-day readmission rates, in-hospital mortality, efficiency, and patient satisfaction. For a subset of hospitals, the authors included two survey-based assessments of patient care quality, one by chief quality officers and one by frontline clinicians. In general, there was little correlation among the publicly available measures (r ≤.10), though there was notable correlation between objective measures and survey-based measures (r =.23). Hospitals that performed well on a composite measure calculated from the publicly available measures were often not in the top quintile on most individual measures. This highlights the challenge in identifying high-performing hospitals to learn organizational-level best practices.
KW - composite measures
KW - high-performing hospital
KW - performance measures
KW - quality
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U2 - 10.1177/1077558710386115
DO - 10.1177/1077558710386115
M3 - Article
C2 - 21156708
AN - SCOPUS:79955863508
SN - 1077-5587
VL - 68
SP - 290
EP - 310
JO - Medical Care Research and Review
JF - Medical Care Research and Review
IS - 3
ER -