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Accountability and Improvement:. Lessons from the Field. 2007 National Health PolicyConference Christopher Queram President and CEO. Does Public Reporting Matter?. University of Oregon Research Team Judith Hibbard, PhD Funding from Robert Wood Johnson Foundation

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Accountability and improvement

Accountability and Improvement:

Lessons from the Field

2007 National Health PolicyConference

Christopher Queram

President and CEO


Does public reporting matter
Does Public Reporting Matter?

  • University of Oregon Research Team

    • Judith Hibbard, PhD

    • Funding from Robert Wood Johnson Foundation

  • Experimental Design using WI Hospitals

    • Does making hospital performance public improve quality compared to sharing performance information with hospitals on a private basis?


Percent of Hospitals with Statistically Significant Improvements or Declines in Maternity Performance in the Post-Report Period:


Changes in Performance in the Post-Report Period – Among Hospitals with ‘Worse Than Expected’ Scores at Baseline*

* p < .05


Wchq ambulatory performance reporting anecdotal evidence

Year One (82%) Hospitals with ‘Worse Than Expected’ Scores at Baseline*

Baseline (72%)

WCHQ Ambulatory Performance Reporting - - Anecdotal Evidence


35 to 50 in good control

50% Hospitals with ‘Worse Than Expected’ Scores at Baseline*

46%

35%

35% to 50% in ‘Good Control’


47 to 56 in good control
47% to 56% in ‘Good Control’ Hospitals with ‘Worse Than Expected’ Scores at Baseline*


A1c<7 Year Three Hospitals with ‘Worse Than Expected’ Scores at Baseline*

A1c<7 Baseline


Factors influencing positive gains in quality
Factors Influencing Positive Gains in Quality Hospitals with ‘Worse Than Expected’ Scores at Baseline*

  • Public Reporting

  • Professional/Institutional Pride

  • Enlightened Clinical Leadership

  • Collaborative Models for Knowledge Sharing, Transfer

  • Financial Incentives?


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