| Analysis of federal process of care data reported from hospitals in rural westernmost North Carolina. | |
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MedLine Citation:
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PMID: 19860358 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate standardized process of care data collected on selected hospitals serving a remote, rural section of westernmost North Carolina. MATERIALS & METHODS: Centers for Medicare & Medicaid Services (CMS) data were retrospectively analyzed for 21 clinical parameters at Fannin Regional Hospital (FRH), Murphy Medical Center (MMC), and Union General Hospital (UGH). A binomial test was used to compare each study site to state (NC) and national (U.S.A.) average. RESULTS: Summary data showed FRH to have higher scores on a significant number of standardized clinical process of care measures compared to state (p < 0.05) and national (p < 0.005) averages. Too few process of care measures at UGH were significantly higher than state and national averages to conclude that differences were not due to Type I error. Similarly, at MMC too few process of care measures were significantly higher than national averages to conclude that observed differences were not attributable to Type I error. MMC did not achieve a significantly higher score on any process of care measure when compared to state averages. CONCLUSION: Despite limitations associated with summary data analysis, the CMS "Hospitals Compare" information suggests that process of care scores at FRH are significantly higher than the state and national average. As these hospital quality data are freely available to patients, it remains to be determined what impact this may have on hospital volume and/or market share in this region. Additional research is planned to identify process of care trends in this geographical area. |
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Authors:
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E S Sills; B A Lotto; W S Bremer; A J Bacchi; A P H Walsh |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: Clinical and experimental obstetrics & gynecology Volume: 36 ISSN: 0390-6663 ISO Abbreviation: Clin Exp Obstet Gynecol Publication Date: 2009 |
Date Detail:
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Created Date: 2009-10-28 Completed Date: 2009-12-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802110 Medline TA: Clin Exp Obstet Gynecol Country: Italy |
Other Details:
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Languages: eng Pagination: 160-2 Citation Subset: IM |
Affiliation:
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Department of Obstetrics & Gynaecology, School of Medicine, Royal College of Surgeons of Ireland/The Sims Institute, Dublin, Ireland. drscottsills@sims.ie |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Hospitals, Rural
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standards* Humans North Carolina Process Assessment (Health Care)* Retrospective Studies |
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