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5. Public Reporting as a Quality Improvement Strategy

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Table I1. Hospital qualitative studies: columns 1-9 of 15 (pages I-1 to I-18) (continued)<br />

Author,<br />

Year<br />

Rainwater<br />

1998 132<br />

Rainwater<br />

2003 133<br />

1. Study<br />

Purpose<br />

To explore the<br />

impact of<br />

reports from<br />

CHOP on efforts<br />

to improve<br />

quality of care<br />

and patient<br />

outcomes.<br />

Hypothesize<br />

that public<br />

dissemination of<br />

outcomes data<br />

would motivate<br />

providers to<br />

investigate ways<br />

to improve their<br />

quality of care.<br />

To explore<br />

whether health<br />

maintenance<br />

organization<br />

(HMO)<br />

executives in<br />

are familiar with<br />

hospital report<br />

cards, whether<br />

they find the<br />

report cards<br />

useful (and if<br />

not, why not),<br />

and how they<br />

weight such<br />

data relative to<br />

other factors in<br />

selection<br />

hospitals to<br />

contract with.<br />

2.<br />

Geographic<br />

3. Study<br />

Design/<br />

Location Type<br />

4. Sample/<br />

Population<br />

California Interviews QI key<br />

informants at<br />

hospitals<br />

previously<br />

identified by<br />

hospital CEOs:<br />

39 interviews<br />

California Survey<br />

(descriptive)<br />

30 of 47 (63.8%)<br />

contacted<br />

representatives<br />

of all licensed<br />

HMOs in the<br />

state at the time<br />

of the study<br />

<strong>5.</strong> Procedure/<br />

Additional<br />

Description if<br />

Needed 6. Outcomes<br />

Responding on<br />

paper or by<br />

phone,<br />

executives were<br />

<strong>as</strong>ked to review a<br />

list of factors that<br />

might affect their<br />

contracting<br />

choices and rate<br />

on a 1 to 5 scale<br />

where 5 is<br />

extremely<br />

important; report<br />

what information<br />

they used in the<br />

p<strong>as</strong>t year, and<br />

whether they<br />

were aware of<br />

several public<br />

reports.<br />

I-25<br />

Patient responses<br />

to semi-structured<br />

interview<br />

questions re:<br />

overall views,<br />

usefulness, and<br />

limitations of<br />

CHOP<br />

Factors<br />

considered in<br />

contracting with<br />

Hospitals<br />

7. Name of<br />

<strong>Public</strong><br />

Report or<br />

Subject 8. KQ1: 9. KQ2:<br />

Matter Results Results<br />

CHOP Not Studied Not Studied<br />

Several<br />

available in<br />

CA at the<br />

time.<br />

Not Studied Not Studied

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