Hospitals in Canada did not see significant improvements on their cardiac-care processes through the use of publicly reported data, according to a study published in the Journal of the American Medical Association.
Little impact seen from report card use: study
Researchers looked at 86 hospitals in Ontario and compiled data on patients admitted with acute myocardial infarction or congestive heart failure for the study. Using baseline data from April 1999 and March 2001, researchers provided hospitals a report card of that performance, which was launched publicly. Researchers followed up with early feedback (January 2004) and delayed feedback (September 2005) after dividing the facilities in two groups, according to the study. Outcomes on mortality rates as well as 12 process measures for AMI and six process measures for congestive heart failure were scored for the report card.
Hospitals in the early feedback group had slightly lower rates of 30-day mortality for AMI patients than the group receiving delayed feedback, according to the study. There was no significant difference in performance on process measures among hospitals in either group. While hospitals in the early feedback group implemented quality-improvement initiatives based on their results, the researchers said they could not detect a significant systemwide difference in performance.
In addition, hospitals in the delayed feedback group implemented initiatives before receiving their results, based on the public reports of hospitals in the early feedback group. “Greater attention to developing common strategies across hospitals for addressing report card results might enhance the systemwide effectiveness of future report cards,” the researchers wrote.
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