5. Public Reporting as a Quality Improvement Strategy

Table H3. Hospital quantitative studies: Columns 14-18 of 18 (pages H-40 to H-51) (continued)
15. Results: KQ5
(Impact of Public
Author,
Report
16. Results: KQ6 (Impact of
18. Funder of
Year (QA) 14. Results KQ4: (Selection by Patients and Payers) Characteristics) Contextual Factors) 17. Summary/Conclusion Research/Report
Hannan
1994a 21
None None None In hospitals, RAMR decreased
in all outlier status categories,
Partial grant from the
Agency for Health
(Good)
along with a concomitant Care Policy and
numerical volume increase in all Research of the US
categories.
For Surgeons, all tercile groups
experienced reductions in their
RAMR, with the highest RAMR
in 1989 being reduced from 5.90
to 3.26 in 1992. Among outliers
in the Surgeon category, only
those who were the lowest
outliers in 1989 (with an RAMR
of .74) experienced a RAMR
rise in 1992 (1.09). The largest
reduction in RAMR was among
the high outlying surgeons with
7.06% decrease between 1989-
Department of Health
and Human Services
Hannan
1994b 22
(Good)
H-63
1990 and 1992.
None None None CABG surgery volume
increased over the years, and
overall, the expected mortality
rate increased while the RAMR
decreased from 4.17 in 1989 to
2.45 in 1992.
Agency for Health
Care Policy and
Research of the US
Department of Health
and Human Services