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Literature DB >> 30259508

Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer.

Matthew S Cefalu¹, Marc N Elliott¹, Claude M Setodji², Paul D Cleary³, Ron D Hays⁴.

Abstract

OBJECTIVE: To evaluate the dimensionality of hospital quality indicators treated as unidimensional in a prior publication. DATA SOURCE/STUDY
DESIGN: Pooled cross-sectional 2010-2011 Hospital Compare data (10/1/10 and 10/1/11 archives) and the 2012 American Hospital Association Annual Survey. DATA EXTRACTION: We used 71 indicators of structure, process, and outcomes of hospital care in a principal component analysis of Ridit scores to evaluate the dimensionality of the indicators. We conducted an exploratory factor analysis using only the indicators in the Centers for Medicare & Medicaid Services' Hospital Value-Based Purchasing. PRINCIPAL
FINDINGS: There were four underlying dimensions of hospital quality: patient experience, mortality, and two clinical process dimensions.
CONCLUSIONS: Hospital quality should be measured using a variety of indicators reflecting different dimensions of quality. Treating hospital quality as unidimensional leads to erroneous conclusions about the performance of different hospitals. © Health Research and Educational Trust.

Entities: Disease Species

Keywords: Quality of care/patient safety (measurement); hospitals; patient experience

Mesh：

Year: 2018 PMID： 30259508 PMCID： PMC6407350 DOI： 10.1111/1475-6773.13056

Source DB: PubMed Journal: Health Serv Res ISSN： 0017-9124 Impact factor: 3.402

15 in total

1. National quality monitoring of Medicare health plans: the relationship between enrollees' reports and the quality of clinical care.

Authors: E C Schneider; A M Zaslavsky; B E Landon; T R Lied; S Sheingold; P D Cleary
Journal: Med Care Date: 2001-12 Impact factor: 2.983

2. Development and evaluation of the CAHPS hospital survey.

Authors: Charles Darby; Ron D Hays; Phillip Kletke
Journal: Health Serv Res Date: 2005-12 Impact factor: 3.402

3. Characteristics of hospitals demonstrating superior performance in patient experience and clinical process measures of care.

Authors: William G Lehrman; Marc N Elliott; Elizabeth Goldstein; Megan K Beckett; David J Klein; Laura A Giordano
Journal: Med Care Res Rev Date: 2009-07-28 Impact factor: 3.929

4. Examining the role of patient experience surveys in measuring health care quality.

Authors: Rebecca Anhang Price; Marc N Elliott; Alan M Zaslavsky; Ron D Hays; William G Lehrman; Lise Rybowski; Susan Edgman-Levitan; Paul D Cleary
Journal: Med Care Res Rev Date: 2014-07-15 Impact factor: 3.929

5. Medicare program; hospital inpatient value-based purchasing program. Final rule.

Authors:
Journal: Fed Regist Date: 2011-05-06

6. Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer.

Authors: Matthew S Cefalu; Marc N Elliott; Claude M Setodji; Paul D Cleary; Ron D Hays
Journal: Health Serv Res Date: 2018-09-26 Impact factor: 3.402

7. The patient experience and health outcomes.

Authors: Matthew P Manary; William Boulding; Richard Staelin; Seth W Glickman
Journal: N Engl J Med Date: 2012-12-26 Impact factor: 91.245

8. Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and fiscal year 2015 rates; quality reporting requirements for specific providers; reasonable compensation equivalents for physician services in excluded hospitals and certain teaching hospitals; provider administrative appeals and judicial review; enforcement provisions for organ transplant centers; and electronic health record (EHR) incentive program. Final rule.

Authors:
Journal: Fed Regist Date: 2014-08-22

4. The underlying structure of the English Cancer Patient Experience Survey: Factor analysis to support survey reporting and design.

Authors: Mayam Gomez-Cano; Georgios Lyratzopoulos; John L Campbell; Marc N Elliott; Gary A Abel
Journal: Cancer Med Date: 2021-12-05 Impact factor: 4.452

4 in total

Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer.

1. National quality monitoring of Medicare health plans: the relationship between enrollees' reports and the quality of clinical care.

2. Development and evaluation of the CAHPS hospital survey.

3. Characteristics of hospitals demonstrating superior performance in patient experience and clinical process measures of care.

4. Examining the role of patient experience surveys in measuring health care quality.

5. Medicare program; hospital inpatient value-based purchasing program. Final rule.

6. Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer.

7. The patient experience and health outcomes.

9. Methods used to streamline the CAHPS Hospital Survey.

10. Understanding The Role Played By Medicare's Patient Experience Points System In Hospital Reimbursement.

1. Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer.

2. Hospital value-based purchasing: How acute care advanced practice nurses demonstrate value.

3. Correlation between hospital finances and quality and safety of patient care.

4. The underlying structure of the English Cancer Patient Experience Survey: Factor analysis to support survey reporting and design.