5. Public Reporting as a Quality Improvement Strategy

More documents

Recommendations

Info

Author Year Park 2011 a 89 11. Results: KQ1 (Health Care Outcomes) 12. Results: KQ2 (Harms) Memory loss: 0.4 percentage points; 0.7% fewer admissions around the time NH Compare changed in 1st Q 2004. 13. Results: KQ3 (Provider Outcomes-QI & other Behaviors) 14. Results KQ4:(Selection by Patients & Payers) NHs with high quality scores or those that improve on publicly reported scores: increased market share and more Medicare admissions which lead to higher N-16 15. Results: KQ5 (Impact of Public Report Characteristics) 16. Results: KQ6 (Impact of Contextual Factors) none Pain: NH in bottom 20th percentile for state has a stronger and sustained decline in admissions. Tendency to cream skim about for-profit and nonprofit, but not government NH Memory loss: Tendency to cream skim among for-profit and chain affiliated NHs. 18. Funder of Research/ and Conflicts of Interest 17. Summary/ Conclusion four admission characteristics in which there was no decline, a no decline was found in stratified analyses by NH types, suggesting the overall analyses were not hiding cream skimming. For pain the evidence of some cream skimming is seen across the subgroups with no differences by chain affiliation or region while forprofits and non profits were more likely to cream skim than governmentowned NH abut the strongest effect is that NH with poorer quality scores at initial publication were more likely to cream skim. For memory loss the subgroups with more cream skimming were forprofits, chain affiliation and, for only one follow-up Q, low quality NHs. NHs that have AHRQ higher quality scores or improve in quality had better financial performance (increase in revenue) after public reporting.
Author Year Park 2011 b 90 11. Results: KQ1 (Health Care Outcomes) 12. Results: KQ2 (Harms) 13. Results: KQ3 (Provider Outcomes-QI & other Behaviors) None None Interaction terms (profit margin and indicator of public reporting) were significant for three of the studied quality measures: total staff hours per resident day (0.118 [7.08 minutes] p
Page 1 and 2:
Evidence Report/Technology Assessme
Page 3 and 4:
This report is based on research co
Page 5 and 6:
Acknowledgments We would like to ac
Page 7 and 8:
Public Reporting as a Quality Impro
Page 9 and 10:
Tables Table A. Summary Evidence Ta
Page 11 and 12:
and using reports and other decisio
Page 13 and 14:
• Outcomes (specified for each Ke
Page 15 and 16:
Methods A Technical Expert Panel fo
Page 17 and 18:
setting), and the strength of the b
Page 19 and 20:
Table A. Summary evidence table: ef
Page 21 and 22:
was at the time the included studie
Page 23 and 24:
6. Hibbard JH, Sofaer S. Best Pract
Page 25 and 26:
access to essential information and
Page 27 and 28:
providers, for purposes of this rev
Page 29 and 30:
information and reduces comprehensi
Page 31 and 32:
Methods Topic Nomination and Develo
Page 33 and 34:
Table 1. Public reporting concepts
Page 35 and 36:
• The public reporting was only a
Page 37 and 38:
• Key Question 2. Harms included
Page 39 and 40:
were retained, but they were not as
Page 41 and 42:
Data Extraction Following full text
Page 43 and 44:
Data Synthesis We separated studies
Page 45 and 46:
Results Organization The results of
Page 47 and 48:
Overview of Effectiveness of Public
Page 49 and 50:
Access restrictions. It was unclear
Page 51 and 52:
o The results of two studies sugges
Page 53 and 54:
Key Question 5 What characteristics
Page 55 and 56:
Long-term care • Studies that exa
Page 57 and 58:
Harms (Key Question 2) • Two 52,6
Page 59 and 60:
eport known as QualityCounts was pr
Page 61 and 62:
Table 1. Study findings: hospital c
Page 63 and 64:
o One study found that patients tre
Page 65 and 66:
condition found declines for CHF (7
Page 67 and 68:
developed (HCAHPS) and public repor
Page 69 and 70:
Key Question 6. Context Two studies
Page 71 and 72:
• Survey responses of hospitals i
Page 73 and 74:
activity would influence hospital c
Page 75 and 76:
Lab-Type Experiments The two articl
Page 77 and 78:
Table 3. Summary of evidence: publi
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Individual Clinicians and Outpatien
Page 93 and 94:
public reports influenced the contr
Page 95 and 96:
New York State to trends in other S
Page 97 and 98:
One study evaluated use of a Web si
Page 99 and 100:
Patients. Patient reactions to publ
Page 101 and 102:
Table 4. Summary of evidence: quali
Page 103 and 104:
Table 4. Summary of evidence: Quali
Page 105 and 106:
Health Plans Rating and reporting o
Page 107 and 108:
The public reporting intervention i
Page 109 and 110:
that included adjustment for severa
Page 111 and 112:
Key Question 6. Context Five studie
Page 113 and 114:
about patient-physician relationshi
Page 115 and 116:
CAHPS results. Credibility of the r
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Long-Term Care Services Prior syste
Page 125 and 126:
o Improvement in one QM (influenza
Page 127 and 128:
studies that examined change and tr
Page 129 and 130:
Table 6. Study findings: change in
Page 131 and 132:
ehospitalizations for these patient
Page 133 and 134:
improvements in the pain measure we
Page 135 and 136:
Werner et al. 107 2012 included ext
Page 137 and 138:
Table 7. Summary of evidence: long-
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Figure 3. Number of included quanti
Page 149 and 150:
suggests the possibility that addit
Page 151 and 152:
Table 8. Summary evidence table: Ef
Page 153 and 154:
literature sources that we were abl
Page 155 and 156:
of public reports have a wide range
Page 157 and 158:
approaches to reducing bias in heal
Page 159 and 160:
21. Young G. Multistakeholder regio
Page 161 and 162:
60. Castle NG, Liu D, Engberg J. Th
Page 163 and 164:
99. Knutson DJ, Kind EA, Fowles JB,
Page 165 and 166:
141. Schneider EC, Epstein AM. Infl
Page 167 and 168:
181. Scanlo DP, Chernew M, McLaughl
Page 169 and 170:
222. Ketelaar NA, Faber MJ, Flottor
Page 171 and 172:
Appendix A. Literature Search Datab
Page 173 and 174:
CINAHL EBSCO Plus with Full Text Da
Page 175 and 176:
EMBASE - Elsevier (1973-present) Da
Page 177 and 178:
Public Affairs Information Service
Page 179 and 180:
Full Text Review Include: Based on
Page 181 and 182:
Appendix C. Included and Excluded S
Page 183 and 184:
29. Castle NG, Sonon K, Antonova J.
Page 185 and 186:
58. Gabel JR. When employers choose
Page 187 and 188:
86. Hibbard JH, Peters E, Dixon A,
Page 189 and 190:
117. Marshall M, Noble J, Davies H,
Page 191 and 192:
145. Pettijohn TL, Lawrence ME. The
Page 193 and 194:
174. Spranca MD, Elliott MN, Shaw R
Page 195 and 196:
6. NCQA releases HEDIS 2.0 standard
Page 197 and 198:
40. Pacific Business Group on Healt
Page 199 and 200:
74. The effect of report cards on M
Page 201 and 202:
110. MGMA addresses accuracy concer
Page 203 and 204:
137. Applebaum R, Kunkel S, Wilson
Page 205 and 206:
165. Barkauskas VH, Pohl JM, Benker
Page 207 and 208:
193. Bindman AB, Wholey DR, Christi
Page 209 and 210:
219. Bratzler DW. Development of na
Page 211 and 212:
247. Caldwell B. Employers use perf
Page 213 and 214:
275. Centre for R, Dissemination. P
Page 215 and 216:
301. Chesanow N. Managed care 1999.
Page 217 and 218:
329. Commonwealth Fund. Commission
Page 219 and 220:
358. Daly JM, Jogerst GJ. Associati
Page 221 and 222:
386. DeLiberty RN. Developing a pub
Page 223 and 224:
412. Doty MM, Koren MJ, Sturla EL,
Page 225 and 226:
439. Elliott MN, Beckett MK, Kanous
Page 227 and 228:
467. Feeley TW, Fly HS, Albright H,
Page 229 and 230:
494. French J. 2003 E.I. Hood Award
Page 231 and 232:
522. Ginsburg PB, Kemper, N. M. Hea
Page 233 and 234:
551. Graham JD. Is reporting of qua
Page 235 and 236:
581. Gruber T, Rudnitsky B. Can we
Page 237 and 238:
608. Hardingham L. Informed decisio
Page 239 and 240:
633. Heidenreich PA, Lewis WR, LaBr
Page 241 and 242:
660. Hodgson ES, Simpson L, Lannon
Page 243 and 244:
689. Izakovic M. New trends in the
Page 245 and 246:
718. Kakkar A, Jacobson BC. Interne
Page 247 and 248:
747. Ketelaar N, Faber M, Flottorp
Page 249 and 250:
772. . Importance of stratification
Page 251 and 252:
800. Leonardi MJ, McGory ML, Ko CY.
Page 253 and 254:
827. Livingston EH. Bariatric surge
Page 255 and 256:
856. Mantone J. Massachusetts site
Page 257 and 258:
882. Mazza G, Fazzi B. Five good re
Page 259 and 260:
907. McKibben L, Horan T, Tokars JI
Page 261 and 262:
935. Miller R, Lazar J. Public repo
Page 263 and 264:
963. Morrison K. The road to JCAHO
Page 265 and 266:
989. National Committee for Quality
Page 267 and 268:
1017. O’Malley C. Quality measure
Page 269 and 270:
1045. Peabody J. Why we love qualit
Page 271 and 272:
1073. Qaseem A, Snow V, Gosfield A,
Page 273 and 274:
1100. Robinowitz DL, Dudley RA. Pub
Page 275 and 276:
1129. Roski J, Kim MG. Current effo
Page 277 and 278:
1156. Sangl JA, Wolf LF. Role of co
Page 279 and 280:
1183. Schull MJ, Guttmann A, Leaver
Page 281 and 282:
1212. Shea JA, Guerra CE, Weiner J,
Page 283 and 284:
1238. Simpson AG, DeGuzman PB, Barb
Page 285 and 286:
1264. Sofaer S. What information do
Page 287 and 288:
1292. Stewart DW, Hickson GB, Pechm
Page 289 and 290:
1320. Tjia J, Field TS, Fischer SH,
Page 291 and 292:
1346. Van Beek K, Duchemin S, Gersh
Page 293 and 294:
1374. Weingarten JP, Jr., Fan W, Pe
Page 295 and 296:
1401. Wiljer D, Bogomilsky S, Catto
Page 297 and 298:
1426. Zaslavsky AM, Shaul JA, Zabor
Page 299 and 300:
Appendix E. Description of Public R
Page 301 and 302:
Table E1. Descriptive information a
Page 303 and 304:
Table E1. Descriptive information a
Page 305 and 306:
Appendix F. Method for Quality Asse
Page 307 and 308:
the time periods actually prior to
Page 309 and 310:
Application to Public Reporting Thi
Page 311 and 312:
Table G1. Quality assessment criter
Page 313 and 314:
Table G1. Quality assessment criter
Page 315 and 316:
Section A Appendix H. Hospitals: Qu
Page 317 and 318:
Table H1. Hospital quantitative stu
Page 319 and 320:
Page 321 and 322:
Page 323 and 324:
Page 325 and 326:
Page 327 and 328:
Page 329 and 330:
Page 331 and 332:
Page 333 and 334:
Page 335 and 336:
Page 337 and 338:
Page 339 and 340:
Page 341 and 342:
Page 343 and 344:
Section B Table H2. C Hospital quan
Page 345 and 346:
Author, Year (QA) Baker 2003 4 (Fai
Page 347 and 348:
Author, Year (QA) Clough 2002 10 (F
Page 349 and 350:
Author, Year (QA) Dranove 2003 13 (
Page 351 and 352:
Author, Year (QA) Foreman 1995 16 (
Page 353 and 354:
Author, Year (QA) Guru 2006 19 (Fai
Page 355 and 356:
Author, Year (QA) Hibbard 2003 24 (
Page 357 and 358:
Author, Year (QA) Jang 2011 28 (Fai
Page 359 and 360:
Author, Year (QA) Mennemeyer 1997 3
Page 361 and 362:
Author, Year (QA) Omoigui 1996 34 (
Page 363 and 364:
Author, Year (QA) Pope 2009 36 (Fai
Page 365 and 366:
Author, Year (QA) 9. Context: Decis
Page 367 and 368:
Author, Year (QA) Vladeck 1988 42 (
Page 369 and 370:
Author, Year (QA) Wuebker, 2008 45
Page 371 and 372:
Page 373 and 374:
Page 375 and 376:
Page 377 and 378:
Page 379 and 380:
Page 381 and 382:
Page 383 and 384:
Page 385 and 386:
Page 387 and 388:
Page 389 and 390:
Page 391 and 392:
Page 393 and 394:
Table I1. Hospital qualitative stud
Page 395 and 396:
Page 397 and 398:
Page 399 and 400:
Page 401 and 402:
Page 403 and 404:
Page 405 and 406:
Page 407 and 408:
Page 409 and 410:
Page 411 and 412:
Page 413 and 414:
Page 415 and 416:
Page 417 and 418:
Page 419 and 420:
Page 421 and 422:
Page 423 and 424:
Page 425 and 426:
Page 427 and 428:
Section B Table I2. Hospital qualit
Page 429 and 430:
Author, Year 10. KQ3:Results 11. KQ
Page 431 and 432:
Page 433 and 434:
Author, Year 10. KQ3:Results design
Page 435 and 436:
Page 437 and 438:
Page 439 and 440:
Page 441 and 442:
Page 443 and 444:
Page 445 and 446:
Page 447 and 448:
Page 449 and 450:
Page 451 and 452:
Page 453 and 454:
Page 455 and 456:
Page 457 and 458:
Author, 15. Funder of Research/ Yea
Page 459 and 460:
Page 461 and 462:
Page 463 and 464:
Regarding the least useful aspects,
Page 465 and 466:
Page 467 and 468:
Page 469 and 470:
Page 471 and 472:
Page 473 and 474:
Page 475 and 476:
Page 477 and 478:
Page 479 and 480:
Section A Appendix J. Individual Pr
Page 481 and 482:
Author Year (QA) Hannan 1994 21 (Go
Page 483 and 484:
Author Year (QA) Mukamel 1998 33 (F
Page 485 and 486:
Page 487 and 488:
Author Year (QA) Werner 53 2005 (Go
Page 489 and 490:
Author Year (QA) Glance 2008 48 (Fa
Page 491 and 492:
Author Year (QA) Hannan 1994 21 (Go
Page 493 and 494:
Author Year (QA) Results: KQ1: (Hea
Page 495 and 496:
Page 497 and 498:
Page 499 and 500:
Author Year (QA) Ranganathan 2009 5
Page 501 and 502:
Page 503 and 504:
Author Year (QA) Werner 2005 53 (Go
Page 505 and 506:
Page 507 and 508:
Author Year Barr 2008 144 1. Study
Page 509 and 510:
Author Year Casalino 2007 146 1. St
Page 511 and 512:
Author Year Fanjiang 2007 150 1. St
Page 513 and 514:
Author Year Friedber g 2010 151 1.
Page 515 and 516:
Author Year 1. Study Purpose and/or
Page 517 and 518:
Author Year Longo 2003 119 1. Study
Page 519 and 520:
Author Year Marshall 2006 154 Mayth
Page 521 and 522:
Author Year 1. Study Purpose and/or
Page 523 and 524:
Author Year Schneid er 1996 138 Con
Page 525 and 526:
Author Year Schultz 2001 158 Stein
Page 527 and 528:
Author Year QA Beaulieu 2002 56 Fai
Page 529 and 530:
Author Year QA Chernew 2004 58 Fair
Page 531 and 532:
Author Year QA Farley 2002 62 Good
Page 533 and 534:
Author Year QA Hendricks 2009 66 Po
Page 535 and 536:
Author Year QA 1. Study Purpose and
Page 537 and 538:
Page 539 and 540:
Page 541 and 542:
Author Year QA Beaulieu 2002 56 Fai
Page 543 and 544:
Author Year QA Chernew 2004 58 Fair
Page 545 and 546:
Author Year QA 11. Results: KQ1: (H
Page 547 and 548:
Author Year QA Farely 2002 62 Good
Page 549 and 550:
Author Year QA Fowles 2000 63 Good
Page 551 and 552:
Page 553 and 554:
Page 555 and 556:
Author Year QA Jung 2010 68 Good Kn
Page 557 and 558:
Author Year QA 11. Results: KQ1: (H
Page 559 and 560:
Author Year QA Pham 2002 73 Good 11
Page 561 and 562:
Author Year QA Tae-Seale 2004 76 Fa
Page 563 and 564: Appendix M. Health Plans: Qualitati
Page 565 and 566: Author Year Farley-Short 2002 162 1
Page 567 and 568: Author Year Gabel 1998 163 1. Study
Page 569 and 570: Author Year Gibbs 1996 164 1. Study
Page 571 and 572: Author Year 1. Study Purpose 2. Geo
Page 573 and 574: Author Year Harris- Koejetin 2000 1
Page 575 and 576: Author Year Hibbard 1997 171 1. Stu
Page 583 and 584: Author Year Hibbard 2001 178 Hibbar
Page 587 and 588: Author Year Paulsbo 2007 183 Peters
Page 589 and 590: Author Year Rosenthal 2007 186 1. S
Page 591 and 592: Author Year Scanlon 2001 188 1. Stu
Page 593 and 594: Author Year Spranca 2000 190 1. Stu
Page 595 and 596: Author Year Teleki 2007 192 1. Stud
Page 597 and 598: Author Year Uhrig 2006 194 1. Study
Page 599 and 600: Section A Appendix N. Long-Term Car
Page 601 and 602: Author Year Jung 2010 85 Konetzka 2
Page 603 and 604: Author Year Werner 2009a 92 Werner
Page 605 and 606: Author Year Zinn 2010 99 1. Study P
Page 607 and 608: Author Year Castle 2007 79 Cont. 11
Page 609 and 610: Author Year Castle 2010 81 11. Resu
Page 611 and 612: Author Year Jung 2010 85 11. Result
Page 613: Author Year Mukamel 2008 86 Mukamel
Page 617 and 618: Author Year Werner 2009 b 93 11. Re
Page 619 and 620: Author Year Werner 2010 94 Werner 2
Page 621 and 622: Author Year Zinn 2005 97 11. Result
Page 623 and 624: Author Year Zinn 2010 99 11. Result
Page 625 and 626: Appendix O. Long-Term Care: Qualita
Page 627 and 628: Author Year Castle 2005 197 1. Stud
Page 629 and 630: Author Year Gerteis 2007 198 1. Stu
Page 635 and 636: References 1. AHRQ. Methods Guide f
Page 637 and 638: 36. Pope DG. Reacting to rankings:
Page 639 and 640: 77. Wedig GJ, Tai-Seale M. The effe
Page 641 and 642: 118. Laschober M, Maxfield M, Felt-
Page 643 and 644: 157. Pettijohn TL, Lawrence ME. The
Page 645: 198. Gerteis M, Gerteis JS, Newman
show all

5. Public Reporting as a Quality Improvement Strategy

Create successful ePaper yourself

Delete template?

Save as template?