Improving Quality of Care for Hospitalized Children and Adults
Improving Quality of Care for Hospitalized Children and Adults Naomi S. Bardach, Renée Asteria-Peñaloza, Michael D. Cabana, and R. Adams Dudley Policy Issue: Capturing and Improving Quality in Pediatrics PRL-IHPS develops quality measures for hospitalized pediatric patients, to help identify high and low performing hospitals There are few pediatric quality measures for inpatient stays, which account for 1 out of 6 hospital stays nationally There is a national call for pediatric quality measures, with a priority placed on readmissions measures We are developing pediatric readmissions measures, using them to measure quality for hospitals in a multi-state database, and will conduct interviews with high and low performers to explore potential reasons for variations in quality Policy Issue: Activating Patients and Amplifying the Patient Voice to Improve Outcomes PRL-IHPS is exploring how timely and actionable patient feedback regarding their care may improve outcomes There is a correlation between patient experience scores and hospitals mortality and readmissions. It is possible that patients are observing variations in care that have a meaningful impact on their health Capturing those observations and sharing them with others might lead to better outcomesHigher Patient Scores from Online Reviews Correlate withLower Hospital Mortality and ReadmissionsOutcome Correlation with p-value Correlation with p-value Percent High Yelp Percent High Ratings Score on HCAHPSMortality rate, Heart Attack -0.19 0.005 -0.13 0.052Mortality rate, Pneumonia -0.14 0.03 -0.18 0.004Readmissions, Heart Attack -0.17 0.01 -0.39 <0.001Readmissions, Heart Failure -0.31 <0.001 -0.39 <0.001Readmissions, Pneumonia -0.18 0.005 -0.27 <0.001Hospitals with >5 Yelp ratings (N=270) were analyzed. Weighted Pearson’s product moment correlation coefficients, using weightsinversely proportional to the number of Yelp raters.Data for 30-day mortality and readmission rates come from the Center for Medicaid and Medicare Services public reporting website,HospitalCompare.hhs.gov.Bardach et al. “The Relationship between Commercial Website Ratings and Traditional Hospital Performance Measures in the US” (BMJ Quality andSafety, November 2012).