Conflicting measures of hospital quality: Ratings from “Hospital Compare” versus “Best Hospitals”
dc.contributor.author | Halasyamani, Lakshmi K. | en_US |
dc.contributor.author | Davis, Matthew M. | en_US |
dc.date.accessioned | 2007-09-20T18:53:48Z | |
dc.date.available | 2008-09-08T14:25:12Z | en_US |
dc.date.issued | 2007-05 | en_US |
dc.identifier.citation | Halasyamani, Lakshmi K.; Davis, Matthew M. (2007)."Conflicting measures of hospital quality: Ratings from “Hospital Compare” versus “Best Hospitals”." Journal of Hospital Medicine 2(3): 128-134. <http://hdl.handle.net/2027.42/56098> | en_US |
dc.identifier.issn | 1553-5592 | en_US |
dc.identifier.issn | 1553-5606 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/56098 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17549759&dopt=citation | en_US |
dc.description.abstract | BACKGROUND In April 2005 the Centers for Medicare and Medicaid Services launched “Hospital Compare,” the first government-sponsored hospital quality scorecard. We compared the ranking of U.S. News and World Report 's “Best Hospitals” with Hospital Compare performance ratings. METHODS We examined Hospital Compare scores for core measures related to care for acute myocardial infarction (AMI), congestive heart failure (CHF), and community-acquired pneumonia (CAP). We calculated composite scores for the disease-specific sets of core measures and a composite combined score for the 14 core measures (across 3 diseases) and determined national score quartile cut points for each set. We then characterized the quartile distribution of Hospital Compare scores for the Best Hospitals for care of cardiac conditions and respiratory disorders in each year, as well as for the Best Hospital “Honor Roll” institutions. RESULTS AMI scores were available for 2165 hospitals, CHF scores for 3130, and CAP scores for 3462. In both 2004 and 2005, fewer than 50% of the Best Hospitals for cardiac care rated in the top quartile of Hospital Compare scores for AMI and CHF. Among the Best Hospitals for care of respiratory disorders, fewer than 15% scored in the top Hospital Compare quartile for CAP. Among Honor Roll institutions, only 5 (of 14 hospitals in 2004; of 16 in 2005) ranked in the top quartile for the combined core measure score. CONCLUSIONS Hospital Compare scores are frequently discordant with Best Hospital rankings, which is likely attributable to the markedly different methods each rating approach employs. Such discordance between major quality rating systems paints a conflicting picture of institutional performance for the public to interpret. Journal of Hospital Medicine 2007;2:128–134. © 2007 Society of Hospital Medicine. | en_US |
dc.format.extent | 92343 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Hospital Medicine | en_US |
dc.title | Conflicting measures of hospital quality: Ratings from “Hospital Compare” versus “Best Hospitals” | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Internal Medicine, St. Joseph Mercy Hospital, Ann Arbor, Michigan ; Division of General Internal Medicine, University of Michigan, Ann Arbor, Michigan ; Associate Chair, Department of Internal Medicine, Saint Joseph Mercy Hospital, Ann Arbor, MI 48197; Fax (734) 712-2099 | en_US |
dc.contributor.affiliationum | Department of Internal Medicine, St. Joseph Mercy Hospital, Ann Arbor, Michigan ; Division of General Internal Medicine, University of Michigan, Ann Arbor, Michigan ; Child Health Evaluation and Research Unit, Division of General Pediatrics, and Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor, Michigan | en_US |
dc.identifier.pmid | 17549759 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/56098/1/176_ftp.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1002/jhm.176 | en_US |
dc.identifier.source | Journal of Hospital Medicine | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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