Lack of relationship between the Cleveland Health Quality Choice project and decreased inpatient mortality in Cleveland

被引：19

作者：

Clough, JD

Engler, D

Snow, R

Canuto, PE

机构：

[1] Cleveland Clin Fdn, Cleveland, OH 44195 USA

[2] Ohio Hosp Assoc, Data Serv, Columbus, OH USA

[3] Appl Hlth Serv, Columbus, OH USA

[4] Cleveland Clin Journal Med, Cleveland, OH USA

来源：

AMERICAN JOURNAL OF MEDICAL QUALITY | 2002年 / 17卷 / 02期

关键词：

accountability; mortality; public reporting; quality indicators; report card; risk adjustment;

D O I：

10.1177/106286060201700202

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The Cleveland Health Quality Choice (CHQC) project was previously suggested to have been responsible for declines in inpatient mortality in Cleveland hospitals during the first years of the project (1992-1993). We sought to (a) verify this decline in mortality and (b) better understand its possible relationship to CHQC. We employed regression analysis to compare mortality rate trends for Cleveland versus the rest of Ohio using Ohio Hospital Association inpatient mortality data. We found that the rate of decline in mortality in Cleveland (-.218% per 6 months; 95% confidence limits, -.278% to -.159% per 6 months) was statistically indistinguishable from that in the rest of the state (-.188% per 6 months; 95% confidence limits, -.234% to -.143% per 6 months) (P =.35). We could not demonstrate a significant beneficial effect of the CHQC project on hospital mortality in Cleveland. Inpatient mortality was simultaneously declining at a statistically indistinguishable rate throughout the state.

引用

页码：47 / 55

页数：9

共 47 条

[41] Community-wide assessment of intensive care outcomes using a physiologically based prognostic measure - Implications for critical care delivery from Cleveland Health Quality Choice [J].