5. Public Reporting as a Quality Improvement Strategy

Author,
Year 10. KQ3:Results
4. Hospital specialists
5. Patient preference
6. Travel distance
7. Hospital reputation
11. KQ4: Results 12. KQ5: Results 13. KQ6: Results 14. Summary
Barr 2006 101 Survey Domains # Hospitals with Not Studied Not Studied Not Studied RI’s experience suggests
Quality Improvement (QI) Activity
public reporting can be
Admitting 9
used to identify
Patient education 9
opportunities for
Nursing care 8
improvement in and
Treatment results 8
across hospitals and in
Food service 8
this case led to statewide
Other staff courtesy 6
Physician care 5
Comfort/cleanliness 4
Patient loyalty 1
initiatives.
Bensimon
2004 102
Hospitals also mentioned quality
initiatives that were not related to
survey domains such as customer
service or ER waiting.
Hospital identified a person/position
as the leader for QI reported general
high levels of support from key
personnel.
Barriers included staff commitment
and buy-in, staffing issues and
insufficient infrastructure.
Report cards should be used to
improve the quality of care, and this
should be the primary purpose of the
report card.
Not Studied A majority of
interviewees believe that
the purpose of cardiac
report cards should be to
increase accountability of
quality care. This also
would facilitate a way of
‘correcting’ surgeons and
hospitals that do not
perform ‘within the
expected norms.’
“Several” respondents
emphasized the utility of
cardiac reports as a
means of educating the
I-37
Not Studied Interviewed various
stakeholders (though
omitted cardiac patients)
about their opinions about
cardiac report cards and
how they would be used.
Majority felt that they
should be used for quality
improvement and for
public
education/decisionmaking.
There was not wholesale
agreement about whether
they should include
institutional and individual
15. Funder of
Research/
Report
State of RI
The Heart and
Stroke
Foundation of
Canada; The
Canadian
Institutes for
Health
Research’s
Interdisciplinary
Health
Research
Team Program
to the
Canadian
Cardiovascular