Document Detail


The relationship between hospital market competition, evidence-based performance measures, and mortality for chronic heart failure.
MedLine Citation:
PMID:  22931022     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Using data from the Joint Commission's ORYX initiative and the Medicare Provider Analysis and Review file from 2003 to 2006, this study employed a fixed-effects approach to examine the relationship between hospital market competition, evidence-based performance measures, and short-term mortality at seven days, 30 days, 90 days, and one year for patients with chronic heart failure. We found that, on average, higher adherence with most of the Joint Commission's heart failure performance measures was not associated with lower mortality; the level of market competition also was not associated with any differences in mortality. However, higher adherence with the discharge instructions and left ventricular function assessment indicators at the 80th and 90th percentiles of the mortality distribution was associated with incrementally lower mortality rates. These findings suggest that targeting evidence-based processes of care might have a stronger impact in improving patient outcomes.
Authors:
Jared Lane K Maeda; Anthony T Lo Sasso
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Inquiry : a journal of medical care organization, provision and financing     Volume:  49     ISSN:  0046-9580     ISO Abbreviation:  Inquiry     Publication Date:  2012  
Date Detail:
Created Date:  2012-08-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0171671     Medline TA:  Inquiry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  164-75     Citation Subset:  IM    
Affiliation:
Analytic Consulting & Research Services, Thomson Reuters Healthcare, Washington, DC 20008, USA. jared.maeda@thomsonreuters.com
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MeSH Terms
Descriptor/Qualifier:
Grant Support
ID/Acronym/Agency:
R36 HS17944/HS/AHRQ HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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