Hospital performance improvement: trends in quality and efficiency : a quantitative analysis of performance improvement in U.S. hospitals
- Collection:
- Health Policy and Services Research
- Contributor(s):
- Kroch, Eugene A. Duan, Michael. Silow-Carroll, Sharon. Meyer, Jack A. Commonwealth Fund.
- Publication:
- [New York, N.Y.] : Commonwealth Fund, [2007]
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Hospitals -- statistics & numerical data Hospital Mortality Quality of Health Care -- statistics & numerical data Forecasting Length of Stay Quality Indicators, Health Care Quality of Health Care -- trends Humans United States
- Genre(s):
- Technical Report
- Abstract:
- This report presents results of a quantitative examination of the dynamics of hospital performance: the degree to which hospitals are improving (or deteriorating) in quality and efficiency over time. Results indicate significant improvements across hospitals in reducing mortality and increasing efficiency over 2001--2005, with mixed results in complication and morbidity rates. Reduced mortality is likely due to improvements in care, such as better diagnostic techniques and earlier interventions, as well as more conscientious record "coding" and changing discharge practices. Consistent reductions in length of stay underscore the financial pressures on hospitals, perhaps combined with improved ability to stabilize, treat, and discharge patients. The characteristics of the most-improving hospitals indicate that quality improvement is immanently attainable, occurring at least as much among small, non-teaching institutions as among their larger, more prominent counterparts. A companion report, Hospital Quality Improvement: Strategies and Lessons from U.S. Hospitals, presents case studies of four top-improving hospitals identified in this analysis.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101316794 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101316794