Impact of Public Reporting of Coronary Artery Bypass Graft Surgery Performance Data on Market Share, Mortality, and Patient Selection
Bibliographic Data
| ID | 9101673 |
|---|---|
| Authors | Patrick S Romano (0000-0001-6749-3979, Pediatrics and Genetics, corresponding author), James P Marcin (0000-0001-7281-6947, Pediatrics and Genetics, corresponding author), Jian J Dai, Jian Dai (0000-0002-8906-3360, UC Davis Health System), Xiaowei Yang (0000-0002-8421-7420, UC Davis Health System), Xiaowei D Yang, Richard L Kravitz (0000-0001-5575-529X, Center For Policy Research, corresponding author), David M Rocke (0000-0002-3958-7318, UC Davis Health System), Madan Dharmar (0000-0001-5256-2652, Pediatrics and Genetics), Zhongmin Li (0000-0003-0530-3484) |
| Year | 2011 |
| Volume | 49 |
| Issue | 12 |
| Pages | 1118-1125 |
| Publication date | 2011-12-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| 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.0b013e3182358c78 |
| PMID | 22002641 |
| OpenAlex | W1982198855 |
| Language | EN |
| Citations received | 2 |
| References cited | 29 |
BACKGROUND: The impact of publicly reporting risk-adjusted outcomes for hospitals and surgeons remains controversial, with particular concern about unintended consequences. OBJECTIVES: We evaluated the impact of 3 reports from the voluntary California CABG Mortality Reporting Program (CCMRP) on hospital market share, hospital mortality, and patient selection for coronary artery bypass graft (CABG) surgery. RESEARCH DESIGN AND PARTICIPANTS: We analyzed data from January 2000 to December 2005 for all patients receiving isolated CABG surgery in California. We compared hospital groups based on their quality classification, including low-mortality outliers ("better"), high-mortality outliers ("worse"), and nonoutliers, as well as participation in the CCMRP. MEASURES: We compared changes in market share, risk-adjusted mortality, and hospital caseload of high-risk patients for isolated CABG surgeries before and after the public release of 3 CCMRP reports (July 2001, August 2003, and February 2005). RESULTS: Low-mortality outlier hospitals experienced significantly increased market share for isolated CABG surgery in the first 6 months after the public release of the CCMRP reports (relative change in adjusted mean market share=8.9%, P=0.002). We found no evidence to suggest reduced risk adjusted mortality after the release of the CCMRP reports, but high-mortality outlier hospitals, on average, operated on less sick patients (relative change in mean expected mortality=25%, P=0.02). CONCLUSIONS: The release of public CABG hospital performance reports in California was associated with increased volume at low-mortality hospitals, and may have reduced referrals of high-risk patients to high-mortality hospitals (or risk avoidance)
Cardiology · Selection (genetic algorithm) · Computer Science · Emergency Medicine · Healthcare Policy and Management · Internal Medicine · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes
Is More Information Better? The Effects of “Report Cards” on Health Care Providers
Administrative Versus Clinical Data for Coronary Artery Bypass Graft Surgery Report Cards
The Effect of Publicly Reporting Hospital Performance on Market Share and Risk-Adjusted Mortality at High-Mortality Hospitals
Mortality Trends During a Program That Publicly Reported Hospital Performance
Provider Profiling and Quality Improvement Efforts in Coronary Artery Bypass Graft Surgery
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,25 |
| Citation span | 2018 - 2018 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |