National Healthcare Quality and Disparities Report
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Topics
- Adverse Events (1)
- Elderly (1)
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- Long-Term Care (1)
- Medical Errors (1)
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- (-) Public Reporting (7)
- (-) Quality Improvement (7)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 7 of 7 Research Studies DisplayedCoulam R, Kralewski J, Dowd B
The role of medical group practice administrators in the adoption and implementation of Medicare's physician quality reporting system.
The purpose of this study was to gain insights into the role these administrators play in quality assurance programs. It found that administrators conducted due diligence on Medicare's physician quality reporting system, influenced how the issue was presented to physicians for adoption, and managed implementation thereafter. Administrators' recommendations were heavily influenced by practice characteristics, financial incentives, and practice commitments to early adoption of quality improvement innovations.
AHRQ-funded; HS019964.
Citation: Coulam R, Kralewski J, Dowd B .
The role of medical group practice administrators in the adoption and implementation of Medicare's physician quality reporting system.
Health Care Manage Rev 2016 Apr-Jun;41(2):145-54. doi: 10.1097/hmr.0000000000000061.
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Keywords: Medicare, Provider Performance, Quality Improvement, Quality of Care, Public Reporting
Schlesinger M, Grob R, Shaller D
Using patient-reported information to improve clinical practice.
The purposes of this study were to assess what is known about the relationship between patient experience measures and incentives designed to improve care, and to identify how public policy and medical practices can promote patient-valued outcomes in health systems with strong financial incentives. It concluded that unless public policies are attentive to patients' perspectives, stronger financial incentives for clinicians can threaten aspects of care that patients most value.
AHRQ-funded.
Citation: Schlesinger M, Grob R, Shaller D .
Using patient-reported information to improve clinical practice.
Health Serv Res 2015 Dec;50 Suppl 2:2116-54. doi: 10.1111/1475-6773.12420.
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Keywords: Quality Improvement, Quality of Care, Patient Experience, Provider Performance, Policy, Payment, Public Reporting
Mukamel DB, Ye Z, Glance LG
Does mandating nursing home participation in quality reporting make a difference? Evidence from Massachusetts.
This study investigated one of the mechanisms that may detract from the effectiveness of quality report cards: voluntary versus mandatory participation of nursing homes in public quality reporting. It found that once reporting became mandatory, nonvolunteers improved more than volunteers in all but 2 staffing measures.
AHRQ-funded; HS021844.
Citation: Mukamel DB, Ye Z, Glance LG .
Does mandating nursing home participation in quality reporting make a difference? Evidence from Massachusetts.
Med Care 2015 Aug;53(8):713-9. doi: 10.1097/mlr.0000000000000390..
Keywords: Nursing Homes, Long-Term Care, Public Reporting, Provider Performance, Quality Improvement, Quality of Care, Quality Indicators (QIs), Quality Measures, Elderly
Crane S, Sloane PD, Elder N
Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes.
This study assessed the feasibility of a near-miss reporting system in primary care practices and to describe initial reports and practice responses to them. It found that all 7 practices successfully implemented the system, reporting 632 near-miss events in 9 months and initiating 32 quality improvement projects based on the reports.
AHRQ-funded; HS019558.
Citation: Crane S, Sloane PD, Elder N .
Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes.
J Am Board Fam Med 2015 Jul-Aug;28(4):452-60. doi: 10.3122/jabfm.2015.04.140050..
Keywords: Adverse Events, Medical Errors, Patient Safety, Primary Care, Public Reporting, Quality Improvement, Quality of Care
Minami CA, Dahlke A, Bilimoria KY
Public reporting in surgery: an emerging opportunity to improve care and inform patients.
The authors reviewed the benefits and concerns surrounding public reporting and then suggested some possible solutions to these problems in a stride toward better implementation and utilization of public reporting to improve surgical outcomes. They concluded that, although there are problems with the current approach, continual refinement of public reporting systems has the potential to provide individualized, relevant data that would not only lend a sense of agency to the American public but also motivate hospitals to engage in meaningful quality improvement.
AHRQ-funded; HS021857.
Citation: Minami CA, Dahlke A, Bilimoria KY .
Public reporting in surgery: an emerging opportunity to improve care and inform patients.
Ann Surg 2015 Feb;261(2):241-2. doi: 10.1097/sla.0000000000001033.
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Keywords: Quality of Care, Outcomes, Public Reporting, Quality Improvement, Surgery
Sjoding MW, Cooke CR
The importance of rigorous evaluation of quality measurement programs.
The authors comment on a study evaluating a California program to determine whether public reporting of ICU mortality rates improved patient outcomes. They argue that as these programs move from public reporting to pay-for-performance as a primary mechanism for incentivizing improvement, the research community must ensure they are both fair and effective.
AHRQ-funded; HS020672.
Citation: Sjoding MW, Cooke CR .
The importance of rigorous evaluation of quality measurement programs.
Ann Am Thorac Soc 2015 Jan;12(1):107-8. doi: 10.1513/AnnalsATS.201412-588ED..
Keywords: Quality Improvement, Public Reporting, Intensive Care Unit (ICU), Policy, Outcomes
Dahlke AR, Chung JW, Holl JL
Evaluation of initial participation in public reporting of American College of Surgeons NSQIP surgical outcomes on Medicare's Hospital Compare website.
The objective of this paper was to compare CMS-National Surgical Quality Improvement Program (CMS-NSQIP) participating hospitals with American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) hospitals that elected not to participate in Hospital Compare. The researchers found few measurable differences between CMS-NSQIP participating and nonparticipating hospitals.
AHRQ-funded; HS021857.
Citation: Dahlke AR, Chung JW, Holl JL .
Evaluation of initial participation in public reporting of American College of Surgeons NSQIP surgical outcomes on Medicare's Hospital Compare website.
J Am Coll Surg 2014 Mar;218(3):374-80, 80.e1-5. doi: 10.1016/j.jamcollsurg.2013.11.022.
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Keywords: Hospitals, Outcomes, Public Reporting, Quality Improvement, Surgery