The Relationship of Engagement in Improvement Practices to Outcome Measures in Large-Scale Quality Improvement Initiatives
| Autor: | Stephen Hines, Gregory L. Foster, Maulik S. Joshi, Kevin Kenward |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Quality management quality measures Centers for Medicare and Medicaid Services U.S 03 medical and health sciences 0302 clinical medicine Nursing Acute care Health care medicine Humans 030212 general & internal medicine hospital Baseline (configuration management) Quality Indicators Health Care business.industry Medicaid 030503 health policy & services Health Policy Outcome measures Articles Organizational Culture Quality Improvement Hospitals United States Leadership Scale (social sciences) Quality Score 0305 other medical science business Demography engagement |
| Zdroj: | American Journal of Medical Quality |
| ISSN: | 1555-824X |
| Popis: | Hospital engagement networks (HENs) are part of the largest health care improvement initiative ever undertaken. This article explores whether engagement in improvement activities within a HEN affected quality measures. Data were drawn from 1174 acute care hospitals. A composite quality score was created from 10 targeted topic area measures multiplied by the number of qualifying topics. Scores improved from 5.4 (SD = 6.8) at baseline to 4.6 (5.9) at remeasurement; P < .0001. Hospitals with higher baseline scores demonstrated greater improvement ( P < .0001) than hospitals with lower baseline scores. Hospitals with larger Medicaid populations ( P = .023) and micropolitan ( P = .034) hospitals tended to have greater improvement, whereas hospitals in the West ( P = .0009) did not improve as much as hospitals in other regions. After adjusting for hospital characteristics, hospitals with improvement champions ( P = .008), a higher level of engagement with their state association ( P = .001), and more leadership involvement ( P = .005) in HEN demonstrated greater improvement. |
| Databáze: | OpenAIRE |
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