Password forgotten You are here:
Medicare Mortality Rates and Hospital Quality: Are They Related
Author(s):
Jessee WF, Schranz CM.
Journal:
Qual Assur Health Care. 1990;2(2):137-144
Year:
1990
Setting:
Hospital
Accreditation:
Hospital (HAP)
Certification:
Not applicable
International:
No
Purpose:
To examine the relationship between 1986 Medicare mortality rates and hospital quality, as measured by accreditation survey performance.
Design:
Other
Methods:
For purposes of the study, the authors included all hospitals from the Health Care Financing Administration (HCFA) report which, (a) had either significantly higher than predicted or significantly lower than predicted mortality rates as determined by HCFA; (b) had been surveyed by the Joint Commission in 1986; © had at least 50 deaths. Separate analyses of accreditation performance using three different measures (grid screening score, number of contingencies, and number of category I elements out of compliance) were undertaken for overall mortality rate, and for mortality among patients with stroke or acute heart disease.
Findings:
No statistically significant (p = 0.05) differences were found in survey performance for any of the mortality groups compared. This lack of association between mortality and hospital quality, as measured by Joint Commission accreditation performance, reinforces concern about the use of mortality rates as measures of quality for public policy or patient decision-making purposes.
Data Year(s):
1986
Key Words:
hospitals, mortality
Impact:
Neutral
Copyright © by the contributing authors. All material on this collaboration platform is the property of the contributing authors.
Ideas, requests, problems regarding Performance Measurement Network? Send feedback
Ideas, requests, problems regarding Performance Measurement Network? Send feedback
This website is using cookies. More info.
That's Fine