National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Adverse Events (1)
- Cardiovascular Conditions (1)
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- Hospitals (2)
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- (-) Public Reporting (6)
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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 6 of 6 Research Studies DisplayedBan KA, Cohen ME, Ko CY
Evaluation of the ProPublica surgeon scorecard "Adjusted Complication Rate" measure specifications.
The authors sought to (1) determine the proportion of cases excluded by ProPublica's specifications, (2) assess the proportion of inpatient complications excluded from ProPublica's measure, and (3) examine the validity of ProPublica's outcome measure by comparing performance on the measure to well-established postoperative outcome measures. They found that ProPublica's outcome measure specifications exclude 82% of cases, miss 84% of postoperative complications, and correlate poorly with well-established postoperative outcomes.
AHRQ-funded; HS021857.
Citation: Ban KA, Cohen ME, Ko CY .
Evaluation of the ProPublica surgeon scorecard "Adjusted Complication Rate" measure specifications.
Ann Surg 2016 Oct;264(4):566-74. doi: 10.1097/sla.0000000000001858.
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Keywords: Adverse Events, Outcomes, Public Reporting, Quality Measures, Surgery
Bangalore S, Guo Y, Xu J
Rates of invasive management of cardiogenic shock in New York before and after exclusion from public reporting.
The purpose of the study was to evaluate whether the referral rates for cardiac catheterization, percutaneous coronary intervention (PCI), or coronary artery bypass graft have improved in New York since cardiogenic shock was excluded from public reporting in 2008 and compare them with corresponding rates in Michigan, New Jersey, and California. Although rates of PCI, invasive management, and revascularization have increased substantially after the exclusion of cardiogenic shock from public reporting in New York, these rates remain consistently lower than those observed in other states without public reporting.
AHRQ-funded; HS023683.
Citation: Bangalore S, Guo Y, Xu J .
Rates of invasive management of cardiogenic shock in New York before and after exclusion from public reporting.
JAMA Cardiol 2016 Sep 1;1(6):640-7. doi: 10.1001/jamacardio.2016.0785..
Keywords: Healthcare Cost and Utilization Project (HCUP), Public Reporting, Surgery, Cardiovascular Conditions
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
Dor A, Encinosa WE, Carey K
AHRQ Author: Encinosa WE
Medicare's Hospital Compare quality reports appear to have slowed price increases for two major procedures.
The researchers investigated whether public reporting of hospital quality, as done through Medicare’s public reporting initiative, Hospital Compare, has an impact on the pricing of hospital services for the privately insured. In their examination of 2 common and expensive procedures, coronary artery bypass graft and percutaneous coronary intervention, they found that Hospital Compare exerted a downward pressure on prices in States lacking quality report cards of their own.
AHRQ-authored; AHRQ-funded; HS023610
Citation: Dor A, Encinosa WE, Carey K .
Medicare's Hospital Compare quality reports appear to have slowed price increases for two major procedures.
Health Aff. 2015 Jan;34(1):71-7. doi: 10.1377/hlthaff.2014.0263..
Keywords: Healthcare Costs, Quality of Care, Heart Disease and Health, Public Reporting, Surgery
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
Sherman KL, Gordon EJ, Mahvi DM
Surgeons' perceptions of public reporting of hospital and individual surgeon quality.
This study (1) evaluated surgeons’ perceptions of public reporting of surgical quality; and (2) identified specific barriers to surgeons’ acceptance of public reporting. It found that surgeons are generally in favor of public reporting, but that they continue to have substantive concerns, particularly with respect to reporting individual level outcomes data.
AHRQ-funded; HS021857.
Citation: Sherman KL, Gordon EJ, Mahvi DM .
Surgeons' perceptions of public reporting of hospital and individual surgeon quality.
Med Care 2013 Dec;51(12):1069-75. doi: 10.1097/mlr.0000000000000013..
Keywords: Public Reporting, Quality of Care, Hospitals, Surgery, Provider Performance