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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 3 of 3 Research Studies Displayed
Ban 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.
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.
Keywords: Adverse Events, Outcomes, Public Reporting, Quality Measures, Surgery
Nguyen OK, Halm EA, Makam AN
Relationship between hospital financial performance and publicly reported outcomes.
This study assessed the relationship between hospital financial performance and publicly reported outcomes of care, and whether improved outcome metrics affect subsequent hospital financial performance. It found that, among 279 hospitals, there was no consistent relationship between measures of financial performance in 2008 and publicly reported outcomes from 2008 to 2011 for acute myocardial infarction and pneumonia.
Citation: Nguyen OK, Halm EA, Makam AN . Relationship between hospital financial performance and publicly reported outcomes. J Hosp Med 2016 Jul;11(7):481-8. doi: 10.1002/jhm.2570.
Keywords: Public Reporting, Hospitals, Outcomes
DeVore AD, Hammill BG, Hardy NC
Has public reporting of hospital readmission rates affected patient outcomes?: Analysis of Medicare claims data.
Following the implementation of Centers for Medicare & Medicaid Services (CMS) public reporting, this study assessed trends of 30-day readmission rates and post-discharge care for patients discharged with acute myocardial infarction (MI), heart failure (HF), or pneumonia. It found that the release of the CMS public reporting of hospital readmission rates did not change 30-day readmission trends for MI, HF, or pneumonia, but it was associated with less hospital-based acute care for HF.
Citation: DeVore AD, Hammill BG, Hardy NC . Has public reporting of hospital readmission rates affected patient outcomes?: Analysis of Medicare claims data. J Am Coll Cardiol 2016 Mar 1;67(8):963-72. doi: 10.1016/j.jacc.2015.12.037.
Keywords: Public Reporting, Hospital Readmissions, Outcomes, Medicare, Patient-Centered Outcomes Research