Using Harm-Based Weights for the AHRQ Patient Safety for Selected Indicators Composite (PSI-90): Does It Affect Assessment of Hospital Performance and Financial Penalties in Veterans Health Administration Hospitals?
| Autor: | Michael Shwartz, M.P.H. Ann M. Borzecki M.D., Qi Chen, Amy K. Rosen |
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| Rok vydání: | 2016 |
| Předmět: |
Hospitals
Veterans media_common.quotation_subject Veterans Health Affect (psychology) 03 medical and health sciences Patient safety 0302 clinical medicine United States Agency for Healthcare Research and Quality Best of the 2016 AcademyHealth Annual Research Meeting Health care Humans Medicine Quality (business) 030212 general & internal medicine Reimbursement Incentive Quality Indicators Health Care Retrospective Studies media_common Finance business.industry 030503 health policy & services Health Policy Payment Veterans health medicine.disease United States Harm Patient Safety Medical emergency 0305 other medical science business Administration (government) |
| Zdroj: | Health Services Research. 51:2140-2157 |
| ISSN: | 0017-9124 |
| Popis: | Objective To assess whether hospital profiles for public reporting and pay-for-performance, measured by the Agency for Healthcare Research and Quality (AHRQ) Patient Safety for Selected Indicators (PSI-90) composite measure, were affected by using the recently developed harm-based weights. Data Sources/Study Setting Retrospective analysis of 2012–2014 data from the Veterans Health Administration (VA). Study Design The AHRQ PSI software (v5.0) was applied to obtain the original volume-based PSI-90 scores for 132 acute-care hospitals. We constructed a modified PSI-90 using the harm-based weights developed by AHRQ. We compared hospital profiles for public reporting and pay-for-performance between these two PSI-90s and assessed patterns in these changes. Principal Findings The volume-based and the harm-based PSI-90s were strongly correlated (r = 0.67, p |
| Databáze: | OpenAIRE |
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