Why Did New York State Hospitals Rank So Poorly
Bibliographic Data
| ID | 9101500 |
|---|---|
| Authors | Colleen C McLaughlin (0000-0003-4172-8172, Apple (Israel), corresponding author) |
| Year | 2023 |
| Volume | 61 |
| Issue | 5 |
| Pages | 295-305 |
| Publication date | 2023-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001841 |
| PMID | 36929772 |
| OpenAlex | W4327682217 |
| Language | EN |
| References cited | 35 |
BACKGROUND: According to the Centers for Medicare and Medicaid Services star ratings, New York State (NYS) hospitals are relatively poor performers, with 33% achieving 1 star compared with 5% of hospitals across the United States. OBJECTIVES: We compared NYS hospitals to all United States hospitals using Centers for Medicare and Medicaid Services Hospital Value-Based Purchasing (HVBP) and star ratings component measures. We perform risk adjustment for hospital and market characteristics associated poor performance. RESEARCH DESIGN: This was a cross-sectional observational study. SUBJECTS: All acute care hospitals in the United States which had HVBP scores for 2019 in April 21, 2021, Hospital Care Compare database. MEASURES: Analysis of variance was used to compare NYS hospitals to all United States hospitals. Multivariable-based risk adjustment was applied to NYS hospitals with adjustment for hospital characteristics (eg, occupancy, size), hospital fiscal ratios (eg, operating margin), and market characteristics (eg, percent of hospital market that has a high school diploma). RESULTS: NYS hospitals averaged lower patient satisfaction and higher readmissions. These domains were statistically significantly associated with lower socioeconomic status in the hospital market area. Risk adjustment reduced but did not eliminate these differences. NYS also performed poorly on pressure ulcers and deep vein thrombosis/pulmonary embolism prevention. NYS hospitals were similar to the United States in mortality and hospital-acquired infections. CONCLUSIONS: Differences in the demographic makeup of hospital markets account for some of the poor performance of NYS hospitals. Some aspects, such as long length of stay, may be associated with wider regional trends
Acute care · Business · Environmental health · Family medicine · Fiscal year · Health care · Hospital medicine · Logistic regression · Medicaid · Observational study · Population · Socioeconomic status · Emergency Medicine · Finance · Healthcare cost, quality, practices · Healthcare Policy and Management · Internal Medicine · Medicine · Patient Satisfaction in Healthcare
On the Comparison of Several Mean Values
Use of Ranks in One-Criterion Variance Analysis
Partial Omega Squared for Anova Designs
Hospital Characteristics Associated With Postdischarge Hospital Readmission, Observation, and Emergency Department Utilization
Racial and Ethnic Composition of Hospitals’ Service Areas and the Likelihood of Being Penalized for Excess Readmissions by the Medicare Program
Is Hospital Nurse Staffing Legislation in the Public’s Interest
A Meta-Analysis of the Associations Between the Nurse Work Environment in Hospitals and 4 Sets of Outcomes
Neighborhood Disadvantage and Hospital Quality Ratings in the Medicare Hospital Compare Program
| Citation velocity | historical |
|---|---|
| Highly cited | No |