Grading the Graders
Medical CarePublished 1 March 1999
Patrick S. Romano, Julie Rainwater, Deirdre Antonius
Citations58
SJR quartileQ1
SJR score1.57
SNIP1.38
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Recent hospital report cards were rated better than pioneering federal efforts, and a report based on clinical data was rated better, understood better, and disseminated more often to key staff than one based on administrative data.
Abstract
Recent hospital report cards were rated better than pioneering federal efforts. A report based on clinical data was rated better, understood better, and disseminated more often to key staff than one that was based on administrative data. Barriers to constructive use of outcomes data persist, especially at high mortality hospitals.
Keywords
Medicine
JAMAImproving the Outcomes of Coronary Artery Bypass Surgery in New York State
759 Citations1994Edward L. Hannan
Quality improvement programs based on similar principles for other procedures and conditions should be undertaken after changes in outcomes of coronary artery bypass graft (CABG) surgery in New York since 1989.
New England Journal of MedicineInfluence of Cardiac-Surgery Performance Reports on Referral Practices and Access to Care — A Survey of Cardiovascular Specialists
399 Citations1996Eric C. Schneider, Arnold M. Epstein
The Consumer Guide to Coronary Artery Bypass Graft Surgery has limited credibility among cardiovascular specialists and may introduce a barrier to care for severely ill patients.
New England Journal of MedicineReport Cards on Cardiac Surgeons — Assessing New York State's Approach
389 Citations1995J Green, Neil Wintfeld
Publication of “report cards” on hospitals and surgeons is an important new trend and the New York State Department of Health pioneered this practice by developing the Cardiac Surgery Reporting System (CSRS), which generated the first physician-specific mortality report ever published.
Health AffairsWill Quality Report Cards Help Consumers?
212 Citations1997Judith H. Hibbard, Jacquelyn J. Jewett
The findings show that poorly understood indicators are viewed as not useful and salience alone is not sufficient to determine which indicators should be included in report cards.
The Annals of Thoracic SurgeryNew York state's cardiac surgery reporting system: Four years later
199 Citations1994Edward L. Hannan, Dinesh Kumar +3 more
The results indicate that all groups of providers exhibited large reductions in the risk-adjusted mortalities, with the groups that showed the highest initial mortalities manifesting the most improvement.
JAMAStatewide Quality Improvement Initiatives and Mortality After Cardiac Surgery
183 Citations1997William A. Ghali
In-hospital mortality after CABG surgery has decreased in Massachusetts despite the absence of statewide outcome reporting, and the mortality reduction seen in Massachusetts is comparable to the reductions seen in New York and northern New England over similar periods.
Medical Care Research and ReviewWhat Type of Quality Information do Consumers Want in a Health Care Report Card?
142 Citations1996Judith H. Hibbard, Jacquelyn J. Jewett
The findings show that consumers have a high interest in quality information and there is a stated preference for quality indicators that reveal how well the plans perform on preventive care and on consumer satisfaction.
JAMAHospital Leaders' Opinions of the HCFA Mortality Data
140 Citations1990Donald M. Berwick
A national sample of hospitals was surveyed to determine the reactions of hospital leaders to the data and to learn if hospitals with high mortality had different attitudes from those of hospitals with average or low mortality as measured by the Health Care Financing Administration.
JAMAConsumer Reports in Health Care
119 Citations1997Daniel R. Longo
Public release of consumer reports may be useful not only in assisting consumers to make informed health care choices, but also in facilitating improvement in the quality of hospital services offered and care provided.
American Heart JournalPublic release of cardiac surgery outcomes data in New York: What do New York state cardiologists think of it?
117 Citations1997Edward L. Hannan, Cathy C. Stone +2 more
A majority of cardiologists has not generally changed their well-established referral patterns as a result of the New York coronary artery bypass graft surgery reports, however, there has been a modest impact on referrals resulting from the distribution of these reports.
Annals of Internal MedicineScorecard Cardiovascular Medicine: Its Impact and Future Directions
117 Citations1994Eric J. Topol, Robert M. Califf
The arguments in favor of the scorecard approach from the clinical medicine viewpoint are that the process of measuring outcome provides a formal approach to improving individual decision making and system-wide allocation of resources, as shown in other complex work environments with the adoption of the Deming method of continuous quality improvement.
The Annals of Thoracic SurgeryHow a New York cardiac surgery program uses outcomes data
109 Citations1994Stanley W. Dziuban, Joseph B. McIlduff +2 more
The experience of one hospital in New York State whose results showed a higher than expected surgical mortality is described, with a focused effort to optimize the management of patients, resulting in zero mortality for emergency coronary artery bypass grafting during the following year.
JAMAImproving the outcomes of coronary artery bypass surgery in New York State
104 Citations1994Edward L. Hannan
The Joint Commission Journal on Quality ImprovementHow Pennsylvania Hospitals Have Responded to Publicly Released Reports on Coronary Artery Bypass Graft Surgery
87 Citations1998J. Marvin Bentley, David B. Nash
It is suggested that public release of performance information has encouraged hospitals in Pennsylvania to make changes in the areas of marketing, governance, and clinical care and that the impact of the release of public data on performance was greater in Pennsylvania hospitals than New Jersey hospitals.
The Joint Commission Journal on Quality ImprovementThe California Hospital Outcomes Project: How Useful Is California’s Report Card for Quality Improvement?
60 Citations1998Julie Rainwater, Patrick S. Romano +1 more
Although the 1996 CHOP reports and data were widely disseminated within hospitals, most reported uses did not directly affect the process of care for patients with acute myocardial infarction, which reflects two critical weaknesses of the project--nontimely data and lack of information about theprocess of care.
The Joint Commission Journal on Quality ImprovementThe California Hospital Outcomes Project: Using Administrative Data to Compare Hospital Performance
60 Citations1995Patrick S. Romano, Andra Zach +4 more
A validation study is undertaken to explore whether differences in coding, unmeasured risk factors, or processes of care explain the reported differences in risk-adjusted outcome rates.
PubMedUse of risk-adjusted outcome data for quality improvement by public hospitals.
35 Citations1996John M. Luce, Gertrud Thiel +4 more
It is found that the hospitals generally did minimal analyses of the OSHPD RAMO data and considered the data of little value to them, suggesting that the California Hospital Outcomes Project has had little effect on quality improvement in public hospitals.