Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Definitions and framework for assessing quality
What is known about health care quality
Slide content:What Else We Know: Organizations Training at an organization associated with a best doctor rating for cardiac bypass surgeons did not lower adjusted mortality rates ( Hartz , Kuhn, & Pulido, 1999) Being US News & World Report Best Hospitals associated with lower 30-day mortality from acute MI, but some best hospitals had worse mortality (Wang et al., 2007) Organizations with direct leadership, accountability for quality and safety, and culture of collaboration have measurable differences ( Keroack et al., 2007) Higher quality seen in larger (more integrated) subspecialty medical groups (Weeks et al., 2010) Resources available to compare organizations http://www.hospitalcompare.hhs.gov Hospital Compare from the Hospital Quality Alliance (HQA) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) 18
Slide notes:Research about organizations also has illuminated the state of health care quality. For example, cardiac bypass surgeons who were trained at an organization associated with a best doctor rating did not result in lower adjusted mortality rates. Being a hospital on the US News & World Report Best Hospitals list was associated with a lower 30-day mortality from acute MI (myocardial infarction [my-o- car -dee- ul in- farc -shun], but some best hospitals had worse mortality rates, and three times as many non-ranked hospitals had comparable low mortality. Other research found that organizations that have direct leadership, accountability for quality and safety, and a culture of collaboration have measureable differences in quality measures. Higher quality has also been seen in larger (i.e., more integrated) subspecialty medical groups. CMS provides a consumer-oriented website, www.hospitalcompare.hhs.gov, that [quote] provides information on how well hospitals provide recommended care to their patients. [end quote] This information can help consumers make informed decisions about health care. Hospital Compare allows consumers to select multiple hospitals and directly compare performance measure information related to heart attack, heart failure, pneumonia, surgery, and other conditions and procedures. These results are organized by: Patient Survey Results Timely and Effective Care Readmissions, Complications, and Deaths Use of Medical Imaging Linking Quality to Payment Medicare Volume [end quote] Various states may also provide similar resources for provider comparisons. The Hospital Compare from the Hospital Quality Alliance (HQA) and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) also provide valuable information. In addition, many health care providers use a quality dashboard for internal management of their quality initiatives. 18