Narrow Results Clear All
Search results for ""
The Commonwealth Fund Commission on a High Performance Health System. New York, NY: The Commonwealth Fund; August 2006.
This report calls for providing "safe, well-coordinated, accessible, and efficient" care through five key steps: expanding health insurance coverage, implementing evidence-based patient safety and quality interventions, increasing use of health information technology, public reporting of safety and quality measures, and rewarding achievement in quality through "pay-for-performance." The authors ascribe the current quality problems in the U.S. health care system to system failures, including misaligned payment incentives, inadequate motivation to challenge the status quo, inadequate information systems, duplicative regulatory systems, and an overemphasis on autonomy.
Oakbrook Terrace, IL: The Joint Commission; March 2007.
This report reveals that the overall quality of care delivered by US hospitals improved steadily between 2003 and 2005, as measured by adherence to evidence-based treatments for myocardial infarction, congestive heart failure, and pneumonia. Adherence to the Joint Commission's National Patient Safety Goals, which include measures to prevent wrong-site surgery and promote medication reconciliation, was also measured. Although results on these measures showed a more mixed picture, the report cautions that changes in measurement during the study period limit interpretability of the results.
Journal Article > Study
Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings.
DeLancey JO, Softcheck J, Chung JW, Barnard C, Dahlke AR, Bilimoria KY. JAMA. 2017;317:2015-2017.
The Centers for Medicare and Medicaid Services (CMS) recently implemented the star rating system for hospitals as an overall measure of quality and safety. Although studies have found a correlation between the star ratings and clinical outcomes, this study found that high star ratings were more likely to be given to specialty or critical access hospitals. These hospitals are exempt from some of the CMS quality measure reporting requirements, and thus they did not report the same data as lower-rated hospitals. Other studies have also called into question the methodology behind the star rating system.
Journal Article > Study
Do crowdsourced hospital ratings coincide with Hospital Compare measures of clinical and nonclinical quality?
Perez V, Freedman S. Health Serv Res. 2018;53:4491-4506.
This study examined the correlation between crowdsourced ratings of hospitals (i.e., through consumer-oriented sites) and publicly reported quality metrics (the Center for Medicare and Medicaid Services Hospital Compare website). Investigators found good correlation between crowdsourced hospital ratings and Hospital Compare patient experience scores, but lower correlation between crowdsourced ratings and measures of hospital quality and safety.