accountability and improvement:
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Accountability and Improvement:. Lessons from the Field. 2007 National Health PolicyConference Christopher Queram President and CEO. Does Public Reporting Matter?. University of Oregon Research Team Judith Hibbard, PhD Funding from Robert Wood Johnson Foundation - PowerPoint PPT PresentationTRANSCRIPT
Accountability and Improvement:
Lessons from the Field
2007 National Health PolicyConference
Christopher Queram
President and CEO
Does Public Reporting Matter?
• University of Oregon Research Team– Judith Hibbard, PhD
– Funding from Robert Wood Johnson Foundation
• Experimental Design using WI Hospitals– Does making hospital performance public improve
quality compared to sharing performance information with hospitals on a private basis?
Percent of Hospitals with Statistically Significant Improvements or Declines in Maternity Performance in the Post-Report Period:
35%
23%
13%
5%
14% 13%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Public Report(n=20)
PrivateReport (n=37)
No Report(n=41)
SignificantImprovement
Significant Decline
Changes in Performance in the Post-Report Period – Among Hospitals with ‘Worse Than Expected’ Scores at Baseline*
12%
67%58%
88%
33%42%
0%
20%
40%
60%
80%
100%
Public Report (n=8) Private Report (n=15) No Report (n=12)
Performance Unchanged in Post-Report Period
Performance Improved in Post-Report Period
* p < .05
WCHQ Ambulatory Performance Reporting - - Anecdotal Evidence
Baseline (72%)
Year One (82%)
35% to 50% in ‘Good Control’
46%
35%
50%
47% to 56% in ‘Good Control’
A1c<7 Year Three
A1c<7 Baseline
Factors Influencing Positive Gains in Quality
• Public Reporting• Professional/Institutional Pride• Enlightened Clinical Leadership• Collaborative Models for Knowledge Sharing,
Transfer• Financial Incentives?