Measuring Mortality Performance
How Did Safety-Net Hospitals Compare With Other Hospitals
Bibliographic Data
| ID | 9102844 |
|---|---|
| Authors | H Joanna Jiang (Agency for Healthcare Research and Quality), Hui Jiang (0000-0001-8393-8368, Agency for Healthcare Research and Quality, corresponding author), Kristin L Reiter (The University of North Carolina at Chapel Hill, Chapel Hill, NC), Jia Wang (0000-0003-1916-5086, Data and Analytic Solutions Inc., Rockville, MD) |
| Year | 2016 |
| Volume | 54 |
| Issue | 7 |
| Pages | 648-656 |
| Publication date | 2016-07-01 |
| 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.0000000000000540 |
| PMID | 27299951 |
| OpenAlex | W2438468510 |
| Language | EN |
| Citations received | 2 |
| References cited | 19 |
BACKGROUND: Safety-net hospitals (SNHs) tend to be weaker in financial condition than other hospitals, leading to a concern about how the quality of care at these hospitals would compare to other hospitals. OBJECTIVES: To assess mortality performance of SNHs using all-payer databases and measures for a broad range of conditions and procedures. DESIGN: Longitudinal analysis of hospitals from 2006 through 2011 with data from the Healthcare Cost and Utilization Project State Inpatient Databases, the American Hospital Association Annual Survey, and the Area Health Resources File. SUBJECTS: A total of 1891 urban, nonfederal, general acute hospitals from 31 states. METHODS: SNHs were identified by the percentage of Medicaid and uninsured patients. Hospital mortality performance was measured by 2 composites covering 6 common medical conditions and 4 surgical procedures with risk adjustment for patient characteristics. Differences in each composite between SNHs and non-SNHs were estimated through generalized estimating equations to control for hospital factors and community resources. RESULTS: Inpatient mortality rates declined over time for all hospitals. Small differences in risk-adjusted mortality rates between SNHs and non-SNHs were found only among teaching hospitals. After controlling for hospital factors, these differences were substantially reduced and remained significant only for surgical mortality rates. The small gap in surgical mortality rates diminished in later years. CONCLUSIONS: SNHs appeared to perform equally well as other hospitals in medical and surgical mortality measures. Policymakers should continue to monitor the quality of care at SNHs and ensure that it would not decline under the current value-based purchasing program
Environmental health · Health care · Healthcare Cost and Utilization Project · Medicaid · Mortality rate · Value-Based Purchasing · Emergency Medicine · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Surgery
Hospital Volume and Surgical Mortality in the United States
Improvements in the Distribution of Hospital Performance for the Care of Patients With Acute Myocardial Infarction, Heart Failure, and Pneumonia, 2006–2011
Quality of Care in Hospitals with a High Percent of Medicaid Patients
Impact of Hospital Teaching Intensity on Quality of Care and Patient Outcomes
Comparison of In-Hospital Versus 30-Day Mortality Assessments for Selected Medical Conditions
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,2 |
| Citation span | 2016 - 2017 (2) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |