Laschober Mary, Maxfield Myles, Felt-Lisk Suzanne, Miranda David J
Mathematica Policy Research, Inc, Washington, DC 20024-2512, USA.
Health Care Financ Rev. 2007 Spring;28(3):61-76.
Senior hospital executives responding to a 2005 national telephone survey conducted for the Centers for Medicare & Medicaid Services (CMS) report that Hospital Compare and other public reports on hospital quality measures have helped to focus hospital leadership attention on quality matters. They also report increased investment in quality improvement (QI) projects and in people and systems to improve documentation of care. Additionally, more consideration is given to best practice guidelines and internal sharing of quality measure results among hospital staff Large, Joint Commission on Accreditation of Healthcare Organizations (JCAHO) accredited hospitals appear to be responding to public reporting efforts more consistently than small, non-JCAHO accredited hospitals.
针对医疗保险和医疗补助服务中心(CMS)2005年开展的一项全国性电话调查,医院高层管理人员报告称,“医院比较”及其他关于医院质量指标的公开报告有助于使医院领导层将注意力集中在质量问题上。他们还报告称,在质量改进(QI)项目以及用于改善护理记录的人员和系统方面的投资有所增加。此外,医院更加重视最佳实践指南,并在医院工作人员之间内部共享质量指标结果。与小型、未获得医疗组织评审联合委员会(JCAHO)认证的医院相比,大型、获得JCAHO认证的医院似乎对公开报告举措的响应更为一致。