5. Public Reporting as a Quality Improvement Strategy

Author
Year
(QA)
Jha
2006 29
(Good)
Study
Purpose and/
or a priori
Hypothesis
1) To
determine if
high or low
performance
by surgeons or
hospitals
predicts
performance in
the period
when data are
most likely to
be used by
consumers.
2) To
determine
whether
hospital or
surgeon
performance
affects patient
market share.
3) To assess
whether
surgeon
performance is
associated
with likelihood
of ceasing
practice.
Study
Geographic Design/
Location Type
NY Time series,
post only
Sample
Population/
Procedure
Cardiac
surgeons in
NY
Primary
Comparison Outcomes
Intervention: 1)
Public Performance:
release of each hospital’s
cardiac or surgeon’s
performance RAMR.
for surgeons 2) Market
Share
For Market 3)
Share: Discontinuation
Market share of practice: Any
pre release surgeon who
vs 1 year did not perform
post release a single
For
surgery in a
Surgeons given calendar
Quitting: year assumed
Performing to have left the
surgeries system.
prior to Once
public identifying
release vs discontinuing
two years surgeons,
post release attempted to
of public contact and ask
data
whether they
are practicing
elsewhere and
if they ceased
to practice in
NY due to the
Report Card.
J-4
Public
Report
Name and
Description*
Context:
Environment
Characteristics
Context:
Decisionmaker
Characteristics
Context:
Type of
Decision/
Choice
NY CSRS None None None