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5. Public Reporting as a Quality Improvement Strategy

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Table H3. Hospital quantitative studies: Columns 14-18 of 18 (pages H-40 to H-51) (continued)<br />

1<strong>5.</strong> Results: KQ5<br />

(Impact of <strong>Public</strong><br />

Author,<br />

Report<br />

16. Results: KQ6 (Impact of<br />

18. Funder of<br />

Year (QA) 14. Results KQ4: (Selection by Patients and Payers) Characteristics) Contextual Factors) 17. Summary/Conclusion Research/Report<br />

Baker 2002 5<br />

None None None Author’s conclusion: We found AHRQ<br />

(Fair)<br />

that risk-adjusted 30-day<br />

mortality did not improve for<br />

three of six conditions and<br />

actually worsened for stroke.<br />

Although we cannot exclude a<br />

beneficial effect of the program<br />

because we observed favorable<br />

trends for COPD and CHF, it<br />

would be difficult to <strong>as</strong>cribe the<br />

observed trends for these<br />

conditions to the effects of<br />

CHQC.<br />

Baker 2003 4<br />

Mortality: Hospital outlier status (best, above average, None None Author’s summary: No evidence AHRQ funded report<br />

(Fair) below average, worst) w<strong>as</strong> not significantly related to<br />

that hospitals identified <strong>as</strong> high-<br />

changes in market share for the 6 medical conditions (P<br />

mortality outliers lost market<br />

value NR).<br />

share or that hospitals with<br />

During periods in which hospitals had higher than<br />

better than expected mortality<br />

expected mortality with p

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