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Journal articles on the topic 'Hospital metrics'

Author: Grafiati

Published: 25 June 2021

Last updated: 1 February 2022

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1

Ellenbogen, Michael I., Laura Prichett, Pamela T. Johnson, and Daniel J. Brotman. "Development of a Simple Index to Measure Overuse of Diagnostic Testing at the Hospital Level Using Administrative Data." Journal of Hospital Medicine 16, no. 2 (2021): 77–83. http://dx.doi.org/10.12788/jhm.3547.

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OBJECTIVE: We developed a diagnostic overuse index that identifies hospitals with high levels of diagnostic intensity by comparing negative diagnostic testing rates for common diagnoses. METHODS: We prospectively identified candidate overuse metrics, each defined by the percentage of patients with a particular diagnosis who underwent a potentially unnecessary diagnostic test. We used data from seven states participating in the State Inpatient Databases. Candidate metrics were tested for temporal stability and internal consistency. Using mixed-effects ordinal regression and adjusting for region

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Shannon, Elizabeth A., B. Anne Brand, Kevin M. Ratcliffe, and Bruce K. Tranter. "Developing metrics for hospital medical workforce allocation." Australian Health Review 31, no. 3 (2007): 411. http://dx.doi.org/10.1071/ah070411.

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Public hospitals deliver a broad range of specialist treatments to patients, with public demand for hospital services almost always outstripping supply. Health department and hospital managers prioritise requests for additional resources, such as medical staffing, across the full spectrum of services delivered. Without a clear and equitable basis of workload comparison across medical specialties, this decision-making process can be controversial and internally divisive. This paper outlines the development of a metric to guide the allocation of hospital medical staff. It suggests that a valid c

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Auger, Katherine A., Ronald J. Teufel, J. Mitchell Harris, et al. "Children’s Hospital Characteristics and Readmission Metrics." Pediatrics 139, no. 2 (2017): e20161720. http://dx.doi.org/10.1542/peds.2016-1720.

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Dyer, April, Elizabeth Dodds Ashley, Angelina Davis, Melissa Johnson, Travis Jones, and Rebekah W. Moehring. "1629. Targeted Antimicrobial Use Admission Provides an Actionable Denominator for Antimicrobial Stewardship Programs Evaluating Inpatient Length of Therapy." Open Forum Infectious Diseases 5, suppl_1 (2018): S42. http://dx.doi.org/10.1093/ofid/ofy209.099.

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Abstract Background Actionable, easy to interpret antibiotic use (AU) metrics provide antimicrobial stewardship programs (ASPs) with clear targets. Current aggregate AU metrics lack the ability to discriminate between long courses in a limited number of patients versus short courses in a large number of patients. Methods We developed a novel AU denominator termed “targeted antimicrobial use admission,” defined as an inpatient admission in which a selected agent or group of agents was administered. When used with length of therapy (LOT), it provides the average number of days patients receive t

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Kinney, Ashley, Quyen Bui, Jane Hodding, and Jennifer Le. "Pharmacy Dashboard: An Innovative Process for Pharmacy Workload and Productivity." Hospital Pharmacy 52, no. 3 (2017): 198–206. http://dx.doi.org/10.1310/hpj5203-198.

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Background Innovative approaches, including LEAN systems and dashboards, to enhance pharmacy production continue to evolve in a cost and safety conscious health care environment. Furthermore, implementing and evaluating the effectiveness of these novel methods continues to be challenging for pharmacies. Objective To describe a comprehensive, real-time pharmacy dashboard that incorporated LEAN methodologies and evaluate its utilization in an inpatient Central Intravenous Additives Services (CIVAS) pharmacy. Methods Long Beach Memorial Hospital (462 adult beds) and Miller Children's and Women's

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Lichtman, Judith H., Erica C. Leifheit, Yun Wang, and Larry B. Goldstein. "Hospital Quality Metrics: “America's Best Hospitals” and Outcomes After Ischemic Stroke." Journal of Stroke and Cerebrovascular Diseases 28, no. 2 (2019): 430–34. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.10.022.

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Schoppy, David W., Yifei Ma, Kim Felder Rhoads, et al. "Association of surgical quality metrics and hospital-level overall survival for patients with head and neck squamous cell carcinoma." Journal of Clinical Oncology 35, no. 8_suppl (2017): 206. http://dx.doi.org/10.1200/jco.2017.35.8_suppl.206.

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206 Background: Both negative margins and lymph node yields ≥ 18 from neck dissections in patients with head and neck mucosal squamous cell carcinomas (SCC) have been correlated with improved overall survival. It is unclear whether these patient-level metrics are applicable at the hospital level, and what compliance rates hospitals would need to achieve to show an improvement in survival. Methods: The National Cancer Database (NCDB) was used to identify patients who underwent primary surgery that included a neck dissection for mucosal SCC of the oral cavity, oropharynx, larynx, and hypopharynx

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Davies, S. M., O. Saynina, K. M. McDonald, and L. C. Baker. "Limitations of using same-hospital readmission metrics." International Journal for Quality in Health Care 25, no. 6 (2013): 633–39. http://dx.doi.org/10.1093/intqhc/mzt068.

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Unger, Scott R., Nicole Campion, Melissa M. Bilec, and Amy E. Landis. "Evaluating quantifiable metrics for hospital green checklists." Journal of Cleaner Production 127 (July 2016): 134–42. http://dx.doi.org/10.1016/j.jclepro.2016.03.167.

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Hostler, Christopher, Rebekah W. Moehring, Arthur W. Baker, et al. "The Effect of National Healthcare Safety Network (NHSN) Rebaselining on Community Hospital SIRs." Open Forum Infectious Diseases 4, suppl_1 (2017): S50—S51. http://dx.doi.org/10.1093/ofid/ofx162.119.

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Abstract Background The NHSN recently updated risk adjustment models and “rebaselined” Standardized Infection Ratios (SIRs) for healthcare-associated infections. The CDC expected that hospital SIRs would generally increase. However, the impact of rebaselining on individual hospitals’ SIRs was unknown. Accordingly, we assessed the impact of rebaselining on SIRs in a network of community hospitals. Methods We analyzed 2016 SIR data for CAUTI, MRSA LabID events, CDI LabID events, colon SSIs (COLO), and abdominal hysterectomy SSIs (HYST) from 38 hospitals in the Duke Infection Control Outreach Net

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Walker, Suzan, Herman Hedriana, Suzanne Wiesner, et al. "A Comparison of the Nulliparous-Term-Singleton-Vertex and Society of Maternal–Fetal Medicine Cesarean Birth Metrics Based on Hospital Size." American Journal of Perinatology 35, no. 04 (2017): 390–96. http://dx.doi.org/10.1055/s-0037-1607985.

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Objective The purpose of this study was to compare the nulliparous-term-singleton-vertex (NTSV) and the Society of Maternal–Fetal Medicine (SMFM) cesarean birth metrics as tools for quality improvement efforts based on hospital size. Materials and Methods Cesarean birth rates from 275 hospitals from six states were used to evaluate the NTSV metric and 81 hospitals from four states for the SMFM metric. Data were assessed based on delivery volume, their use as an effective tool for ongoing quality improvement programs, and their ability to serve as performance-based payline indicators. Results T

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Thomas, Mini, Aemilio W. Ha, Victor C. Joe, Theresa L. Chin, and Nicole O. Bernal. "584 Maintaining Success in Patient Safety and Quality Metrics Through Teamwork and Contextual Modification." Journal of Burn Care & Research 41, Supplement_1 (2020): S133—S134. http://dx.doi.org/10.1093/jbcr/iraa024.210.

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Abstract Introduction Hospitals constantly invest heavily in improving patient quality and safety metrics. Oftentimes, success is achievable for a single parameter but becomes challenging to achieve in all quality metrics. Our Burn Unit aimed for overarching principles of teamwork and contextual modification to obtain outstanding quality metrics in all six areas of patient quality. This quality improvement project aimed at reducing patient harms related to CLABSI, CAUTI, VTE, C.Diff, Falls, and HAPI. Methods Hospital leadership launched a dashboard of all six patient harm areas that is updated

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Tambeur, Wim, Pieter Stijnen, Guy Vanden Boer, et al. "Standardised mortality ratios as a user-friendly performance metric and trigger for quality improvement in a Flemish hospital network: multicentre retrospective study." BMJ Open 9, no. 9 (2019): e029857. http://dx.doi.org/10.1136/bmjopen-2019-029857.

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ObjectiveTo illustrate the development and use of standardised mortality rates (SMRs) as a trigger for quality improvement in a network of 27 hospitals.DesignThis research was a retrospective observational study. The primary outcome was in-hospital mortality. SMRs were calculated for All Patient Refined—Diagnosis-Related Groups (APR-DRGs) that reflect 80% of the Flemish hospital network mortality. Hospital mortality was modelled using logistic regression. The metrics were communicated to the member hospitals using a custom-made R-Shiny web application showing results at the level of the hospit

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Brown, Diane Storer, and Robert Wolosin. "Safety Culture Relationships with Hospital Nursing Sensitive Metrics." Journal For Healthcare Quality 35, no. 4 (2013): 61–74. http://dx.doi.org/10.1111/jhq.12016.

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Bogucki, Sandy. "Novel Metrics for Quality of Hospital Surge Capacity." Academic Emergency Medicine 19, no. 3 (2012): 336–37. http://dx.doi.org/10.1111/j.1553-2712.2012.01312.x.

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Pepe, Dana, Meghan Maloney, Vivian Leung, et al. "1162. An Evaluation of Metrics for Catheter-Associated Urinary Tract Infections (CAUTIs): A Statewide Comparison." Open Forum Infectious Diseases 6, Supplement_2 (2019): S415—S416. http://dx.doi.org/10.1093/ofid/ofz360.1025.

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Abstract Background The Standardized Infection Ratio (SIR) is a metric used to gauge catheter-associated urinary tract infection (CAUTI) prevention, both locally and nationally. The device utilization ratio (DUR) is a process metric that captures catheter harm. More recently, the cumulative attributable difference (CAD) was introduced, which identifies the number of excess infections that need to be prevented to reach the desired goal. Our objective was to evaluate these metrics across all acute care hospitals in Connecticut (CT) by facility size. Methods A CAUTI Targeted Assessment for Preven

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Zinoviev, Radoslav, Harlan M. Krumholz, Richard Ciccarone, Rick Antle, and Howard P. Forman. "Multicentre methodological study to create a publicly available score of hospital financial standing in the USA." BMJ Open 11, no. 7 (2021): e046500. http://dx.doi.org/10.1136/bmjopen-2020-046500.

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ObjectivesTo create a straightforward scoring procedure based on widely available, inexpensive financial data that provides an assessment of the financial health of a hospital.DesignMethodological study.SettingMulticentre study.ParticipantsAll hospitals and health systems reporting the required financial metrics in the USA in 2017 were included for a total of 1075 participants.InterventionsWe examined a list of 232 hospital financial indicators and used existing models and financial literature to select 30 metrics that sufficiently describe hospital operations. In a set of hospital financial d

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Teichman, Jennifer R., Sumit Gupta, and Angela Punnett. "Development of Quality Metrics to Evaluate Pediatric Hematologic Oncology Care in the Outpatient Setting." Blood 124, no. 21 (2014): 1305. http://dx.doi.org/10.1182/blood.v124.21.1305.1305.

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Abstract Introduction: Systems to quantify and incentivize quality of care (QoC) have been developed in multiple healthcare settings. In pediatric oncology, lists of QoC metrics or recommendations have been procured through consensus methodologies such as the Delphi process. To date, no QoC metrics have been developed for outpatient pediatric oncology. Objectives: The aim of this study was to develop a list of QoC metrics for the leukeumia-lymphoma (LL) clinic at the Hospital for Sick Children in Toronto, using a consensus process that could be adapted to other clinic settings. Methods: A modi

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Chen, Ming, Amie Goodin, Hong Xiao, Qiong Han, Driss Raissi, and Joshua Brown. "Hospitalization metrics associated with hospital-level variation in inferior vena cava filter utilization for patients with venous thromboembolism in the United States: Implications for quality of care." Vascular Medicine 23, no. 4 (2018): 365–71. http://dx.doi.org/10.1177/1358863x18768685.

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Variation in the use of inferior vena cava filters (IVCFs) across hospitals has been observed, suggesting differences in quality of care. Hospitalization metrics associated with venous thromboembolism (VTE) patients have not been compared based on IVCF utilization rates using a national sample. We conducted a descriptive retrospective study using the Nationwide Readmissions Database (NRD) to delineate the variability of hospitalization metrics across the hospital quartiles of IVCF utilization for VTE patients. The NRD included all-payer administrative inpatient records drawn from 22 states. Ad

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Montalbano, Amanda, Ricardo A. Quinonex, Matt Hall, et al. "Achievable Benchmarks of Care for Pediatric Readmissions." Journal of Hospital Medicine 14, no. 9 (2019): 534–50. http://dx.doi.org/10.12788/jhm.3201.

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BACKGROUND: Most inpatient care for children occurs outside tertiary children’s hospitals, yet these facilities often dictate quality metrics. Our objective was to calculate the mean readmission rates and the Achievable Benchmarks of Care (ABCs) for pediatric diagnoses by different hospital types: metropolitan teaching, metropolitan nonteaching, and nonmetropolitan hospitals. METHODS: We used a cross-sectional retrospective study of 30-day, all-cause, same-hospital readmission of patients less than 18 years old using the 2014 Healthcare Utilization Project National Readmission Database. For ea

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Bayram, Jamil D., Shawki Zuabi, and Italo Subbarao. "Disaster Metrics: Quantitative Benchmarking of Hospital Surge Capacity in Trauma-Related Multiple Casualty Events." Disaster Medicine and Public Health Preparedness 5, no. 2 (2011): 117–24. http://dx.doi.org/10.1001/dmp.2010.19.

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ABSTRACTObjectives: Hospital surge capacity in multiple casualty events (MCE) is the core of hospital medical response, and an integral part of the total medical capacity of the community affected. To date, however, there has been no consensus regarding the definition or quantification of hospital surge capacity. The first objective of this study was to quantitatively benchmark the various components of hospital surge capacity pertaining to the care of critically and moderately injured patients in trauma-related MCE. The second objective was to illustrate the applications of those quantitative

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Graham, Laura A., Hillary J. Mull, Todd H. Wagner, et al. "Comparison of a Potential Hospital Quality Metric With Existing Metrics for Surgical Quality–Associated Readmission." JAMA Network Open 2, no. 4 (2019): e191313. http://dx.doi.org/10.1001/jamanetworkopen.2019.1313.

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Nair, Rajeshwari, Yubo Gao, Mary Vaughan-Sarrazin, Eli N. Perencevich, Saket Girotra, and Ambarish Pandey. "828. Evaluation of Home Time as a Patient-Centered Metric for Pneumonia Hospitalizations: A Retrospective Cohort Study of Medicare Fee-For-Service Beneficiaries." Open Forum Infectious Diseases 7, Supplement_1 (2020): S455—S456. http://dx.doi.org/10.1093/ofid/ofaa439.1017.

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Abstract Background The Centers for Medicare & Medicaid Services (CMS) uses hospital readmission to incentivize hospital care delivery for acute conditions including pneumonia. However, current CMS performance metrics do not account for the competing risk of mortality in the post-discharge period or during the hospital stay. Our objective was to assess home time within 30 days after discharge among pneumonia hospitalizations, as a patient-centered metric. Methods A retrospective observational study was conducted in a cohort of Medicare fee-for-service beneficiaries admitted between 01/01/2

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Kumar, Bhanumathy. "Patient Safety and Quality Metrics in Pediatric Hospital Medicine." Pediatric Clinics of North America 63, no. 2 (2016): 283–91. http://dx.doi.org/10.1016/j.pcl.2015.11.002.

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Baghdadi, Jonathan, and Anthony D. Harris. "Working Toward Better Metrics for Nonventilator Hospital-Acquired Pneumonia." JAMA Network Open 2, no. 10 (2019): e1913662. http://dx.doi.org/10.1001/jamanetworkopen.2019.13662.

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White, Andrew A., Thomas McIlraith, Anton M. Chivu, et al. "Collaboration, Not Calculation: A Qualitative Study of How Hospital Executives Value Hospital Medicine Groups." Journal of Hospital Medicine 14, no. 11 (2019): 662–67. http://dx.doi.org/10.12788/jhm.3249.

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receive financial support from hospitals. Determining a fair amount of financial support requires negotiation between HMG and hospital leaders. As the hospital medicine care model evolves, hospital leaders may regularly challenge HMGs to demonstrate the financial value of activities that do not directly generate revenue. OBJECTIVE: To describe current attitudes and beliefs of hospital executives regarding the value of contributions made by HMGs. DESIGN: Thematic content analysis of key informant interviews. PARTICIPANTS: Twenty-four healthcare institutional leaders, including hospital presiden

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Al-Hasan, Majdi N., Hana Rac Winders, P. Brandon Bookstaver, and Julie Ann Justo. "Direct Measurement of Performance: A New Era in Antimicrobial Stewardship." Antibiotics 8, no. 3 (2019): 127. http://dx.doi.org/10.3390/antibiotics8030127.

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For decades, the performance of antimicrobial stewardship programs (ASPs) has been measured by incidence rates of hospital-onset Clostridioides difficile and other infections due to multidrug-resistant bacteria. However, these represent indirect and nonspecific ASP metrics. They are often confounded by factors beyond an ASP’s control, such as changes in diagnostic testing methods or algorithms and the potential of patient-to-patient transmission. Whereas these metrics remain useful for global assessment of healthcare systems, antimicrobial use represents a direct metric that separates the perf

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Juran, Sabrina, P. Niclas Broer, Stefanie J. Klug, et al. "Geospatial mapping of access to timely essential surgery in sub-Saharan Africa." BMJ Global Health 3, no. 4 (2018): e000875. http://dx.doi.org/10.1136/bmjgh-2018-000875.

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IntroductionDespite an estimated one-third of the global burden of disease being surgical, only limited estimates of accessibility to surgical treatment in sub-Saharan Africa exist and these remain spatially undefined. Geographical metrics of access to major hospitals were estimated based on travel time. Estimates were then used to assess need for surgery at country level.MethodsMajor district and regional hospitals were assumed to have capability to perform bellwether procedures. Geographical locations of hospitals in relation to the population in the 47 sub-Saharan countries were combined wi

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Stevens, Philip Andrew, Lucy Stokes, and Mary O'Mahony. "Metrics, Targets and Performance." National Institute Economic Review 197 (July 1, 2006): 80–92. http://dx.doi.org/10.1177/0027950106070037.

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The setting and use of targets in the public sector has generated a growing amount of interest in the UK. This has occurred at a time when more analysts and policymakers are grasping the nettle of measuring performance in and of the public sector. We outline a typology of performance indicators and a set of desiderata. We compare the outcome of a performance management system — star ratings for acute hospital trusts in England — with a productivity measure analogous to those used in the analysis of the private sector. We find that the two are almost entirely unrelated. Although this may be the

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Patil, Vishal. "Smart Hospital Management System." International Journal for Research in Applied Science and Engineering Technology 9, no. VI (2021): 1878–81. http://dx.doi.org/10.22214/ijraset.2021.35440.

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Information and Communication Technologies (ICTs) are commonly using in healthcare organizations worldwide. There are different kinds of healthcare applications developed in android Smartphone’s which help patients and their caregivers to reduce time and cost efficiency. Hospitals are the largest and most complex organizations where health care is provided. Safe and effective patient care services in hospitals depend on the efficient decisions made by hospital executives. The main task of hospital executives is to ensure the hospital can provide high quality patient care and services. This And

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Cassel, Brian, Nevena Skoro, Kathleen Kerr, Lisa Shickle, Patrick J. Coyne, and Egidio Del Fabbro. "Retrospective assessment of quality of cancer care in last 6 months of life." Journal of Clinical Oncology 30, no. 34_suppl (2012): 234. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.234.

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234 Background: National organizations such as the Centers for Medicare and Medicaid Services (CMS) and the National Quality Forum (NQF) have developed metrics that assess the quality of cancer care. These metrics include consensus standards by the NQF for management of symptoms and end-of-life-care. Cancer centers need feasible methods for self-evaluating their performance on such metrics. Methods: Claims for our cancer patients were matched to Social Security Death Index data to determine date of death.3,128 adult cancer patients died between January 2009 and July 2011 and had at least 1 con

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Furuya, E. Yoko, Elaine Larson, Timothy Landers, Haomiao Jia, Barbara Ross, and Maryam Behta. "Challenges of Applying the SHEA/HICPAC Metrics for Multidrug-Resistant Organisms to a Real-World Setting." Infection Control & Hospital Epidemiology 32, no. 4 (2011): 323–32. http://dx.doi.org/10.1086/658939.

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Objective.To test in a real-world setting the recommendations for measuring infection with multidrug-resistant organisms (MDRO) from the Society for Healthcare Epidemiology of America (SHEA) and the Centers for Disease Control and Prevention's Healthcare Infection Control Practices Advisory Committee (HICPAC).Methods.Using data from 3 hospital settings within a healthcare network, we applied the SHEA/HICPAC recommendations to measure methicillin-resistant Staphylococcus aureus (MRSA) infection and colonization. Data were obtained from the hospitals' electronic surveillance system and were supp

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Pandey, Ambarish, Neil Keshvani, Mary S. Vaughan-Sarrazin, Yubo Gao, and Saket Girotra. "Evaluation of Risk-Adjusted Home Time After Acute Myocardial Infarction as a Novel Hospital-Level Performance Metric for Medicare Beneficiaries." Circulation 142, no. 1 (2020): 29–39. http://dx.doi.org/10.1161/circulationaha.119.044765.

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Background: The utility of 30-day risk-standardized readmission rate (RSRR) as a hospital performance metric has been a matter of debate. Home time is a patient-centered outcome measure that accounts for rehospitalization, mortality, and postdischarge care. We aim to characterize risk-adjusted 30-day home time in patients with acute myocardial infarction (AMI) as a hospital-level performance metric and to evaluate associations with 30-day RSRR, 30-day risk-standardized mortality rate (RSMR), and 1-year RSMR. Methods: The study included 984 612 patients with AMI hospitalization across 2379 hosp

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Mohapatra, Sanjay. "Using Biometrics Devices for Improving Automation in Hospital Management System." International Journal of Healthcare Delivery Reform Initiatives 3, no. 2 (2011): 40–48. http://dx.doi.org/10.4018/jhdri.2011040104.

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This study discusses the best practices of a hospital in a semi-urban area in India and how the hospital management system has gained extended use through the usage of bio metrics device. Using the information system, all the stakeholders have benefitted and the monetary benefits have justified IT investment. Integration of information systems with patient care activities has reduced the patient care cost, making it a sustainable investment, making this a benefit to all hospitals.

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Kim, Kidong, Suyeon Jeong, Kyogu Lee, et al. "Metrics for Electronic-Nursing-Record-Based Narratives: cross-sectional analysis." Applied Clinical Informatics 07, no. 04 (2016): 1107–19. http://dx.doi.org/10.4338/aci-2016-07-ra-0119.

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Summary ObjectivesWe aimed to determine the characteristics of quantitative metrics for nursing narratives documented in electronic nursing records and their association with hospital admission traits and diagnoses in a large data set not limited to specific patient events or hypotheses. MethodsWe collected 135,406,873 electronic, structured coded nursing narratives from 231,494 hospital admissions of patients discharged between 2008 and 2012 at a tertiary teaching institution that routinely uses an electronic health records system. The standardized number of nursing narratives (i.e., the tota

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Missios, Symeon, and Kimon Bekelis. "How well do subjective Hospital Compare metrics reflect objective outcomes in spine surgery?" Journal of Neurosurgery: Spine 25, no. 2 (2016): 264–70. http://dx.doi.org/10.3171/2016.1.spine151155.

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OBJECTIVE The accuracy of public reporting in health care is an issue of debate. The authors investigated the association of patient satisfaction measures from a public reporting platform with objective outcomes for patients undergoing spine surgery. METHODS The authors performed a cohort study involving patients undergoing elective spine surgery from 2009 to 2013 who were registered in the New York Statewide Planning and Research Cooperative System database. This cohort was merged with publicly available data from the Centers for Medicare and Medicaid Services (CMS) Hospital Compare website.

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Goto, Michihiko, Rajeshwari Nair, Bruce Alexander, et al. "2894. Metrics of Antimicrobial Use Within Inpatient Settings: Impacts of Statistical Methods and Case-Mix Adjustments." Open Forum Infectious Diseases 6, Supplement_2 (2019): S81. http://dx.doi.org/10.1093/ofid/ofz359.172.

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Abstract Background The necessary data elements and optimal statistical methods for benchmarking hospital-level antimicrobial use are still being debated. We aimed to describe the relative influence of case-mix adjustment and different statistical methods when ranking hospitals on antimicrobial use (AU) within inpatient settings. Methods Using administrative data from the Veterans Health Administration (VHA) system in October 2016, we calculated total antimicrobial days of therapy (DOT) and days present according to the National Healthcare Safety Network (NHSN) protocol. Patient-level demograp

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So, Conan, Daniel Lage, Chloe Slocum, and Jeffrey C. Schneider. "Predictive Role of Functional Metrics in the Acute Hospital Setting." Archives of Physical Medicine and Rehabilitation 99, no. 10 (2018): e112. http://dx.doi.org/10.1016/j.apmr.2018.07.398.

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Harris, Jack A., Jessica Y. Norrlinger, Thomas B. Dodson, and Yisi D. Ji. "Hospital Quality and Safety Metrics in Oral and Maxillofacial Surgery." Journal of Oral and Maxillofacial Surgery 79, no. 8 (2021): 1593–94. http://dx.doi.org/10.1016/j.joms.2021.04.006.

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Barnes, Beau Grant, Steve Buchheit, and Linda M. Parsons. "Threshold-Based Medicare Incentives and Aggressive Patient Reporting in U.S. Hospitals." Accounting and the Public Interest 17, no. 1 (2017): 84–106. http://dx.doi.org/10.2308/apin-51793.

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ABSTRACT This paper examines regulatory reporting by large urban hospitals in response to financial incentives designed to increase the provision of health care services to certain underserved individuals. We find strong evidence that hospitals have used aggressive reporting to extract substantial unwarranted funding from Medicare's Disproportionate Share Hospital (DSH) program—a program designed to ease the burden on hospitals treating low income populations. Our evidence suggests that the accuracy of basic performance metrics (in this case, the number of low income patients served) can be un

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McRae, A., G. Innes, M. Schull, et al. "LO10: Associations between ED crowding metrics and 72h-hour ED re-visits: Which crowding metrics are most highly associated with patient-oriented adverse outcomes?" CJEM 21, S1 (2019): S10. http://dx.doi.org/10.1017/cem.2019.53.

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Introduction: Emergency Department (ED) crowding is a pervasive problem and is associated with adverse patient outcomes. Yet, there are no widely accepted, universal ED crowding metrics. The objective of this study is to identify ED crowding metrics with the strongest association to the risk of ED revisits within 72 hours, which is a patient-oriented adverse outcome. Methods: Crowding metrics, patient characteristics and outcomes were obtained from administrative data for all ED encounters from 2011-2014 for three adult EDs in Calgary, AB. The data were randomly divided into three partitions f

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Graham, Judy M., Maria E. Sabeta, Joseph T. Cooke, Elaine R. Berg, and Wayne M. Osten. "A System's Approach to Improve Organ Donation." Progress in Transplantation 19, no. 3 (2009): 216–20. http://dx.doi.org/10.1177/152692480901900304.

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Using lessons learned from the US Department of Health and Human Services National Donation Breakthrough Collaborative, New York-Presbyterian Healthcare System (NYPHS) partnered with 5 donor service areas covering its member hospitals to improve donation across the system. By integrating established communication networks with the “spread” techniques of the Breakthrough Collaborative, the NYPHS identified hospital champions and best practices and established standardized outcome metrics. The improvements that resulted were a sustained increase of 40.23% in consent rate and an initial 41.7% inc

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Hartung, Nicole L. W., Rhonda M. Henschel, Katie B. Smith, and Dean H. Gesme. "Creating Virtual Integration and Improved Oncology Care Quality Through a Co-Management Services Agreement." Journal of Oncology Practice 12, no. 9 (2016): e839-e847. http://dx.doi.org/10.1200/jop.2015.010645.

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Purpose: Implementation of a co-management services agreement (Co-MSA) creates agreed-upon cancer care delivery quality metrics, a forum for discussion of service line oversight, and virtually integrated care without institutional employment of oncologists. The goal of this project was to demonstrate that a Co-MSA improved predefined quality metrics and provided enhanced communications between a health system’s oncology service line and a group of independent oncologists. Methods: Iterative planning discussions were scheduled biweekly over an 18-month period. Contractual, quality, and clinical

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Nuño, Miriam, Christine Carico, Debraj Mukherjee, et al. "Association between in-hospital adverse events and mortality for patients with brain tumors." Journal of Neurosurgery 123, no. 5 (2015): 1247–55. http://dx.doi.org/10.3171/2014.10.jns141516.

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OBJECT The Agency for Healthcare Research and Quality patient safety indicators (PSIs) and the Centers for Medicare and Medicaid Services hospital-acquired conditions (HACs) are administrative data-based metrics. The use of these outcomes as standard performance measures has been discussed in previous studies. With the objective of determining the applicability of these events as performance metrics among patients undergoing brain tumor surgery, this study had 2 aims: 1) to evaluate the association between PSIs, HACs, and in-hospital mortality rates; and 2) to determine a correlation between h

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Tsai, Thomas C., Ashish K. Jha, Atul A. Gawande, Robert S. Huckman, Nicholas Bloom, and Raffaella Sadun. "Hospital Board And Management Practices Are Strongly Related To Hospital Performance On Clinical Quality Metrics." Health Affairs 34, no. 8 (2015): 1304–11. http://dx.doi.org/10.1377/hlthaff.2014.1282.

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van Woerden, Hugo C., Neil J. Walker, Vasiliki Kiparoglou, and Yaling Yang. "Demonstration of a Fair Level of Agreement Between Escalation Scores Reported by Hospital Managers and Analysis of Stress-Related Hospital Metrics." Health Services Research and Managerial Epidemiology 6 (January 1, 2019): 233339281881929. http://dx.doi.org/10.1177/2333392818819291.

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Background: The National Health System in Wales has developed a novel national electronic dashboard which reports a daily “escalation score,” reflecting management’s opinion of the pressure each hospital is facing, primarily due to unscheduled care. The aim of this study was to examine the possibility of replacing human scores with a quantitative model, based on the relationship between reported escalation scores and selected hospital metrics. Methods: Generalized linear mixed models were used to model the association between hospital metrics and escalation scores between October one year and

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Lopez Ramos, Christian, Robert C. Rennert, Michael G. Brandel, et al. "The effect of hospital safety-net burden on outcomes, cost, and reportable quality metrics after emergent clipping and coiling of ruptured cerebral aneurysms." Journal of Neurosurgery 132, no. 3 (2020): 788–96. http://dx.doi.org/10.3171/2018.10.jns18103.

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OBJECTIVESafety-net hospitals deliver care to a substantial share of vulnerable patient populations and are disproportionately impacted by hospital payment reform policies. Complex elective procedures performed at safety-net facilities are associated with worse outcomes and higher costs. The effects of hospital safety-net burden on highly specialized, emergent, and resource-intensive conditions are poorly understood. The authors examined the effects of hospital safety-net burden on outcomes and costs after emergent neurosurgical intervention for ruptured cerebral aneurysms.METHODSThe authors c

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Roa, Lina, Isabelle Citron, Jania A. Ramos, et al. "Cross-sectional study of surgical quality with a novel evidence-based tool for low-resource settings." BMJ Open Quality 9, no. 1 (2020): e000880. http://dx.doi.org/10.1136/bmjoq-2019-000880.

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BackgroundAdverse events from surgical care are a major cause of death and disability, particularly in low-and-middle-income countries. Metrics for quality of surgical care developed in high-income settings are resource-intensive and inappropriate in most lower resource settings. The purpose of this study was to apply and assess the feasibility of a new tool to measure surgical quality in resource-constrained settings.MethodsThis is a cross-sectional study of surgical quality using a novel evidence-based tool for quality measurement in low-resource settings. The tool was adapted for use at a t

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Catalano Jr, Edward W., Stephen Gerard Ruby, Michael L. Talbert, and Douglas G. Knapman. "College of American Pathologists Considerations for the Delineation of Pathology Clinical Privileges." Archives of Pathology & Laboratory Medicine 133, no. 4 (2009): 613–18. http://dx.doi.org/10.5858/133.4.613.

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Abstract Context.—The Joint Commission (JC) established new medical staff privileging requirements effective January 2008. The new requirements include the development of ongoing professional practice evaluation (OPPE) and focused professional practice evaluation (FPPE) processes and incorporate the general competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice jointly developed by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medica

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Glasgow, Justin M., Zugui Zhang, Linsey D. O’Donnell, Roshni T. Guerry, and Vinay Maheshwari. "Hospital palliative care consult improves value-based purchasing outcomes in a propensity score–matched cohort." Palliative Medicine 33, no. 4 (2019): 452–56. http://dx.doi.org/10.1177/0269216318824270.

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Background: Hospital-based palliative care consultation is consistently associated with reduced hospitalization costs and more importantly with improved patient quality of life. As healthcare systems move toward value-based purchasing rather than fee-for-service models, understanding how palliative care consultation is associated with value-based purchasing metrics can provide evidence for expanded health system support for a greater palliative care presence. Aim: To understand how a palliative care consultation impacts rates of patient readmission and hospital-acquired infections associated w

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