How well can we identify the high-performing hospital?

Michael Shwartz, Alan B. Cohen, Joseph D. Restuccia, Z. Justin Ren, Alan Labonte, Carol Theokary, Raymond Kang, Jedediah Horwitt

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)290-310
Number of pages21
JournalMedical Care Research and Review
Volume68
Issue number3
DOIs
StatePublished - Jun 2011
Externally publishedYes

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Quality Improvement
Hospital Mortality
Patient Satisfaction
Practice Guidelines
Patient Care
Surveys and Questionnaires

Keywords

  • composite measures
  • high-performing hospital
  • performance measures
  • quality

ASJC Scopus subject areas

  • Health Policy

Cite this

Shwartz, M., Cohen, A. B., Restuccia, J. D., Ren, Z. J., Labonte, A., Theokary, C., ... Horwitt, J. (2011). How well can we identify the high-performing hospital? Medical Care Research and Review, 68(3), 290-310. https://doi.org/10.1177/1077558710386115

How well can we identify the high-performing hospital? / Shwartz, Michael; Cohen, Alan B.; Restuccia, Joseph D.; Ren, Z. Justin; Labonte, Alan; Theokary, Carol; Kang, Raymond; Horwitt, Jedediah.

In: Medical Care Research and Review, Vol. 68, No. 3, 06.2011, p. 290-310.

Research output: Contribution to journalArticle

Shwartz, M, Cohen, AB, Restuccia, JD, Ren, ZJ, Labonte, A, Theokary, C, Kang, R & Horwitt, J 2011, 'How well can we identify the high-performing hospital?', Medical Care Research and Review, vol. 68, no. 3, pp. 290-310. https://doi.org/10.1177/1077558710386115
Shwartz M, Cohen AB, Restuccia JD, Ren ZJ, Labonte A, Theokary C et al. How well can we identify the high-performing hospital? Medical Care Research and Review. 2011 Jun;68(3):290-310. https://doi.org/10.1177/1077558710386115
Shwartz, Michael ; Cohen, Alan B. ; Restuccia, Joseph D. ; Ren, Z. Justin ; Labonte, Alan ; Theokary, Carol ; Kang, Raymond ; Horwitt, Jedediah. / How well can we identify the high-performing hospital?. In: Medical Care Research and Review. 2011 ; Vol. 68, No. 3. pp. 290-310.
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