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Journal articles on the topic 'Hospital metrics'

Author: Grafiati

Published: 25 June 2021

Last updated: 29 July 2025

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1

Saraswathula, Anirudh, Samantha J. Merck, Ge Bai, et al. "The Volume and Cost of Quality Metric Reporting." JAMA 329, no. 21 (2023): 1840. http://dx.doi.org/10.1001/jama.2023.7271.

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ImportanceUS hospitals report data on many health care quality metrics to government and independent health care rating organizations, but the annual cost to acute care hospitals of measuring and reporting quality metric data, independent of resources spent on quality interventions, is not well known.ObjectiveTo evaluate externally reported inpatient quality metrics for adult patients and estimate the cost of data collection and reporting, independent of quality-improvement efforts.Design, Setting, and ParticipantsRetrospective time-driven activity-based costing study at the Johns Hopkins Hosp

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Mentias, Amgad, Milind Y. Desai, Neil Keshvani, et al. "Ninety-Day Risk-Standardized Home Time as a Performance Metric for Cardiac Surgery Hospitals in the United States." Circulation 146, no. 17 (2022): 1297–309. http://dx.doi.org/10.1161/circulationaha.122.059496.

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Background: Assessing hospital performance for cardiac surgery necessitates consistent and valid care quality metrics. The association of hospital-level risk-standardized home time for cardiac surgeries with other performance metrics such as mortality rate, readmission rate, and annual surgical volume has not been evaluated previously. Methods: The study included Medicare beneficiaries who underwent isolated or concomitant coronary artery bypass graft, aortic valve, or mitral valve surgery from January 1, 2013, to October 1, 2019. Hospital-level performance metrics of annual surgical volume, 9

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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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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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Mentias, Amgad, Eric D. Peterson, Neil Keshvani, et al. "Achieving Equity in Hospital Performance Assessments Using Composite Race-Specific Measures of Risk-Standardized Readmission and Mortality Rates for Heart Failure." Circulation 147, no. 15 (2023): 1121–33. http://dx.doi.org/10.1161/circulationaha.122.061995.

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Background: The contemporary measures of hospital performance for heart failure hospitalization and 30-day risk-standardized readmission rate (RSRR) and risk-standardized mortality rate (RSMR) are estimated using the same risk adjustment model and overall event rate for all patients. Thus, these measures are mainly driven by the care quality and outcomes for the majority racial and ethnic group, and may not adequately represent the hospital performance for patients of Black and other races. Methods: Fee-for-service Medicare beneficiaries from January 2014 to December 2019 hospitalized with hea

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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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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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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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Call, Steven, Jake Smithwick, and Kenneth Sullivan. "A Ratio Model for Benchmarking and Forecasting Hospital Facility Operating Expenses in Washington State: Plant, Property, and Equipment as a Key Metric." Journal of Facility Management Education and Research 5, no. 1 (2022): 22–27. http://dx.doi.org/10.22361/2474-6630-5.1.22.

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ABSTRACT The purpose of this research is to evaluate the feasibility of using ratios between common hospital utilization, or financial metrics, and facility operating expenses as a model for budget forecasting and benchmarking. The researchers reviewed each U.S. state's department of health website for the availability of hospital utilization reports, and financial statements, and assessed the strength of association between these metrics and hospital facility operating expenses. Although many states report some hospital utilization and financial metrics to the public, Washington was the only

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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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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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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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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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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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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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Goto, Michihiko, Hyunkeun Cho, James A. Merchant, et al. "Metrics Selection and Risk Adjustment Methods to Benchmark Inpatient Antibiotic Use." JAMA Network Open 8, no. 6 (2025): e2514989. https://doi.org/10.1001/jamanetworkopen.2025.14989.

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ImportanceThe Centers for Disease Control and Prevention offers a standardized antimicrobial administration ratio (SAAR) as an evaluation metric for inpatient antibiotic use through rankings and peer comparisons (ie, benchmarking). However, the SAAR model only accounts for facility- and unit-level factors without considering the hierarchical nature of the health care data, and it does not directly reflect patient-level factors or stewardship efforts to avoid overly broad-spectrum therapy.ObjectiveTo examine the use of antimicrobial use risk adjustment methods and choice of basic metrics (eg, d

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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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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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Swift, S. Hales, and Joanne Solet. "Sound quality metrics for improved prediction of hospital sleep disruption." Journal of the Acoustical Society of America 151, no. 4 (2022): A70. http://dx.doi.org/10.1121/10.0010688.

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Most policy, including for the healthcare environment, uses A-weighted decibels as a standard metric. A-weighting is, thus, treated as a catch-all intended to represent all or most relevant human factors. However, for protecting sleep in the healthcare environment and its attendant recuperative benefits, A-weighted metrics neglect a great deal of essential information. To illustrate this, a dataset from a prior study of sleep disruption resulting from hospital noises measured using polysomnography [Sleep disruption due to hospital noise, Buxton et al. (2012)] is reanalyzed using measures of lo

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Lewis, Barbara. "Success of Patient and Family Advisory Councils: The Importance of Metrics." Journal of Patient Experience 10 (January 2023): 237437352311679. http://dx.doi.org/10.1177/23743735231167972.

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Hospital Patient and Family Advisory Councils have been around for over 40 years. Yet, their adoption is waning with only slightly more than 50% of hospitals fielding Councils, which are composed of patient and family volunteers, who provide feedback to hospital staff. Demonstrating the value of Councils is critically important to their success and sustainability. Hospitals can ensure Council success by adopting these initiatives: (1) Highlight the importance of measuring program impacts to Council liaisons and members, (2) Educate members and staff about the three types of impacts defined by

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Hariyati, Ika, Hanendya Disha Randy Raharja, Denny Reynaldy Fajrin, et al. "EVALUASI DOSE-AREA PRODUCT DAN WAKTU FLUOROSKOPI SEBAGAI METRIK DOSIS PADA AUDIT DOSIS PROSEDUR FLUOROSKOPI INTERVENSIONAL: STUDI MULTISENTER." Prosiding Seminar Si-INTAN 3, no. 1 (2023): 11–16. http://dx.doi.org/10.53862/ssi.v3.092023.002.

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This study aims to evaluate conventional dose metrics, namely Dose-Area Product (DAP) and fluoroscopy time, commonly used in interventional fluoroscopy procedure dose audits, by comparing them to a dose metric that more closely represents the dose at the patient's skin, namely Entrance Surface Dose (ESD). The research was conducted by first calculating the ESD using AndroidTM-based software from a previous study (Mulia et al., 2020) with retrospective data from 2 (two) hospitals (20 patients each) that utilized the Philips Allura XPer FD20 interventional fluoroscopy system. The results showed

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Oddleifson, August, Xiao Xu, Patrick Liu, Chengan Du, Erica Spatz, and Nihar Desai. "Association Between Hospital Performance Metrics and Market Share." JAMA Network Open 4, no. 10 (2021): e2130353. http://dx.doi.org/10.1001/jamanetworkopen.2021.30353.

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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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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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Golden, Sherita Hill, and Neil R. Powe. "Hospital Equity Rating Metrics—Promise, Pitfalls, and Perils." JAMA Health Forum 4, no. 10 (2023): e233188. http://dx.doi.org/10.1001/jamahealthforum.2023.3188.

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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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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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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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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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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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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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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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Maeda, Masayuki, Mari Nakata, Yuika Naito, et al. "Days of Antibiotic Spectrum Coverage Trends and Assessment in Patients with Bloodstream Infections: A Japanese University Hospital Pilot Study." Antibiotics 11, no. 12 (2022): 1745. http://dx.doi.org/10.3390/antibiotics11121745.

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The antibiotic spectrum is not reflected in conventional antimicrobial metrics. Days of antibiotic spectrum coverage (DASC) is a novel quantitative metric for antimicrobial consumption developed with consideration of the antibiotic spectrum. However, there were no data regarding disease and pathogen-specific DASC. Thus, this study aimed to evaluate the DASC trend in patients with bloodstream infections (BSIs). DASC and days of therapy (DOT) of in-patients with positive blood culture results during a 2-year interval were evaluated. Data were aggregated to calculate the DASC, DOT, and DASC/DOT p

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Walker, Robin, Tanmay Patil, Staci Hastings, et al. "Enhancing Care Transitions in Alberta: Measuring the Impact of Implementing a Provincial Clinical Information System on Hospital to Home Transitions." International Journal of Integrated Care 25 (April 9, 2025): 594. https://doi.org/10.5334/ijic.icic24279.

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Introduction: Transitions between hospitals and primary care pose challenges, leading to increased mortality, morbidity, and high costs due to information loss. To improve patient safety during transitions, the World Health Organization emphasizes standardized discharge planning, better documentation, and enhanced Clinical Information Systems (CIS). Together, Alberta's newly implemented CIS “Connect Care” (CC) and the Primary Health Care Integration Network's (PHCIN) Home to Hospital to Home (H2H2H) Transitions Guideline and related metrics, aim to improve patient outcomes and system integrati

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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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Staggenborg, Joseph L. "‘Helping’ Your Hospital Partner with Quality and Performance Metrics." ASA Monitor 88, no. 8 (2024): 17–19. http://dx.doi.org/10.1097/01.asm.0001027540.50857.25.

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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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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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Wang, Yun, Erica C. Leifheit, Larry B. Goldstein, and Judith H. Lichtman. "Association of short-term hospital-level outcome metrics with 1-year mortality and recurrence for US Medicare beneficiaries with ischemic stroke." PLOS ONE 18, no. 8 (2023): e0289790. http://dx.doi.org/10.1371/journal.pone.0289790.

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Background Whether stroke patients treated at hospitals with better short-term outcome metrics have better long-term outcomes is unknown. We investigated whether treatment at US hospitals with better 30-day hospital-level stroke outcome metrics was associated with better 1-year outcomes, including reduced mortality and recurrent stroke, for patients after ischemic stroke. Methods This cohort study included Medicare fee-for-service beneficiaries aged ≥65 years discharged alive from US hospitals with a principal diagnosis of ischemic stroke from 07/01/2015 to 12/31/2018. We categorized patients

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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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Monirah, I. Alenazi, I. Alhassoun Madawi, A. Alhammad Loulwah, and R. Alanazi Maryam. "Optimizing Laboratory Workflows for Enhanced Patient Care: Investigating Strategies to Streamline Processes and Improve Turnaround Times in Hospital Settings." International Journal of Innovative Research in Engineering & Multidisciplinary Physical Sciences 6, no. 3 (2018): 1–6. https://doi.org/10.5281/zenodo.13375205.

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Objective: This study investigates strategies for optimizing laboratory workflows in hospital settings to enhance patient care and improve turnaround times for test results. Methods: A quantitative research design was employed across three large hospitals. Data were collected from 150 laboratory staff through structured surveys and hospital performance metrics. Turnaround times, staff perceptions, and laboratory performance metrics were analyzed before and after implementing workflow improvements, including automation, process redesign, and IT integration. Results: Significant reductions in tu

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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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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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Owusu-Guha, Jocelyn, Connie Yoon, Jordan DeWitt, et al. "Lean into Clinical Pharmacy: An Experience in Implementing Key Performance Indicators and Gemba Walks into Clinical Pharmacy Services." INNOVATIONS in pharmacy 12, no. 4 (2021): 15. http://dx.doi.org/10.24926/iip.v12i4.4316.

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Purpose: The Lean methodology was applied to clinical metrics by a critical care pharmacy team. The experiences associated with the development and implementation of clinical metrics and their impact on daily workflow are described. Summary: The Lean methodology has been introduced into the healthcare system as a means of process improvement, which can eliminate waste through appropriate medication utilization. At OhioHealth Riverside Methodist Hospital, the department of pharmacy was tasked with the development of clinical metrics after a health system wide Gemba walk was initiated. The pharm

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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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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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Kakiuchi, Satoshi, Michihiko Goto, Fernando Casado-Castillo, Eli N. Perencevich, and Daniel J. Livorsi. "102. Evaluation of the Association between the Antibiotic Spectrum Index and Antibiotic Days of Therapy: A Retrospective Study across 124 Acute-care Hospitals." Open Forum Infectious Diseases 8, Supplement_1 (2021): S165—S166. http://dx.doi.org/10.1093/ofid/ofab466.304.

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Abstract Background Antibiotic stewardship programs often measure antibiotic days of therapy (DOT), but this metric does not reflect the antibiotic spectrum. In this study, we used the previously published Antibiotic Spectrum Index (ASI), which attaches a score (1-13) to the spectrum of each antibiotic, to evaluate the content of antibiotic use across all Veterans Health Administration (VHA) hospitals. We also assessed how benchmarking hospital performance changed when ASI was used instead of DOT. Methods We conducted a retrospective cohort study of patients admitted to 124 acute-care VHA hosp

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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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