5. Public Reporting as a Quality Improvement Strategy

Table 3. Summary of evidence: public reporting on hospitals (continued)
Author Year
Key
(QA) Public Report Study Overview
Question Results
Hollenbeak
2008 49
PA Hospital Compares associations
1 ↑ During periods of intensive reporting, in-hospital mortality odds ratios for
Effectiveness/ between intensive public
all 6 conditions studied were lower in PA than in States with limited or no
(Good)
Performance reporting and no
public reporting.
Report
reporting/limited reporting to
in-hospital mortality in PA
and other States with and
without public reporting.
N=168,104 Propensitymatched
patient pairs
Howard
2006 89
University Renal Compares patient transplant 4 ↔ public reports had no effect on demand (choice ) of transplant centers
Research and registrations and live donor
(Fair)
Education transplants at transplant
Association centers in the United States
semiannual over time (from Sept 1, 1999
reports on to Oct 30, 2002) to assess
kidney
the influence of URREA
transplant graph center-specific public reports.
survival
N=58,164 patients
Jha 2006 31
NYS CSRS Examines whether NY State 1 ↑ Moderate correlation between top performing hospitals at baseline on
(Good)
hospitals and surgeons
identified as having high or
low RAMR in one year of the
CABG mortality and high performance in subsequent years.
CSRS predicts future
4 ↑Increase in demand for centers with better scores by younger patients and
performance. Also analyzes
effects of hospital and
surgeon performance on
patient market share in the
following year and whether
surgeon performance is
associated with likelihood of
ceasing practice.
patients with college educations.
61