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Rating the Hospital Raters

The Healthcare Association of New York State’s Quality Institute has issued a report card on report cards on hospital quality. The publication is targeted to hospital leaders to help them understand the confusion that differing reports with conflicting ratings can create.

Building on research and the recommendations of the National Priorities Partnership convened by the National Quality Forum, HANYS recommends that health provider report cards adhere to these principles that were used for their evaluation:

  • Transparent methodology
  • Evidence-based measures
  • Measure alignment
  • Appropriate data source
  • Most current data
  • Risk-adjusted data
  • Data quality
  • Consistent data
  • Hospital preview

Ten raters were evaluated, and the best-rated rating sources were the Joint Commission Quality Check, Hospital Compare from the Centers for Medicare & Medicaid Services, and New York State Department of Health’s Hospital-Acquired Infections Report and Hospital Profile Quality web sites.

Source: HANYS’ report on report cards: understanding publicly reported hospital quality measures. Healthcare Association of New York State, Nov. 2013. http://www.hanys.org/quality/data/report_cards/2013/docs/2013_hanys_report_card_book.pdf

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

Hospital Quality Reporting: Overview

Hospital quality measurement and reporting have made significant strides over the past 20 years, and yet, it may still be difficult for consumers to interpret and use the information. Employers and other purchasers/payers looking for high-value health services can play a key role in improving and promoting use of hospital quality performance indicators.

Useful background information on quality reporting is provided on these aspects:

  • Growth of quality measurement and reporting
  • Types of quality measures
  • Sources of quality data
  • Challenges to meaningful measurement
  • Measure maintenance and certification
  • Health information technology and quality measurement

Factors employers/purchasers should address in an active quality-based purchasing strategy include:

  • Understanding the health plan member/enrollee base
  • Making sense of quality reports
  • Assessing market and provider characteristics
  • Communicating quality information to both plan members and providers

Overall quality reporting takeaways for purchaser consideration are summarized.

Source: Carrier E and Cross DA. Hospital quality reporting: separating the signal from the noise. National Institute for Health Care Reform Policy Analysis, no. 11, Apr. 2013. http://www.nihcr.org/index.php?download=1tlcfl252

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

Consumer vs Traditional Ratings of Hospital Performance

Crowd-sourced consumer ratings of businesses have grown in popularity on the web, and the number of hospital ratings on these sites has been growing as well. How do sites such as Yelp compare to the more traditional hospital rating sources like HCAHPS? To answer that question, researchers at the University of California, San Francisco, compared Yelp ratings of hospitals to the HCAHPS patient experience scores available on the Hospital Compare web site.

Surprisingly, the Yelp and HCAHPS overall scores had a high correlation. It’s recommended that hospital leaders check Yelp and similar sources to learn more about how raters view hospital performance and to consider their scores as another useful input for quality improvement planning.

Source: Bardach NS and others. The relationship between commercial website ratings and traditional hospital performance. Quality and Safety in Health Care, 22:194-202, Mar. 2013. http://qualitysafety.bmj.com/content/22/3/194.full.pdf+html

Update – Related resource: Aiello M. Stop ignoring online review and rating sites. HealthLeaders Media, Mar. 20, 2013.  http://www.healthleadersmedia.com/page-1/MAR-290324/Stop-Ignoring-Online-Review-and-Rating-Sites

Posted by AHA Resource Center, (312) 422-2050, rc@aha.org