The Relationship of Engagement in Improvement Practices to Outcome Measures in Large-Scale Quality Improvement Initiatives
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 cre...
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| Veröffentlicht in: | American journal of medical quality 2017-07, Vol.32 (4), p.361-368 |
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| container_title | American journal of medical quality |
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| creator | Foster, Gregory L. Kenward, Kevin Hines, Stephen Joshi, Maulik S. |
| description | 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. |
| doi_str_mv | 10.1177/1062860616661628 |
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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. 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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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27493200</pmid><doi>10.1177/1062860616661628</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of medical quality, 2017-07, Vol.32 (4), p.361-368 |
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| subjects | Centers for Medicare and Medicaid Services (U.S.) Hospitals - standards Humans Leadership Medicaid - statistics & numerical data Organizational Culture Quality Improvement - organization & administration Quality Improvement - standards Quality Indicators, Health Care - statistics & numerical data United States |
| title | The Relationship of Engagement in Improvement Practices to Outcome Measures in Large-Scale Quality Improvement Initiatives |
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