Division of Healthcare Quality Evaluation, Department of Health Services Research, Center for Quality, Patient Safety and Innovation Research, The Joint Commission, Oakbrook Terrance, IL 60181, USA.
Int J Qual Health Care. 2011 Dec;23(6):697-704. doi: 10.1093/intqhc/mzr056. Epub 2011 Aug 12.
To assess perceptions about the value and impact of publicly reporting hospital performance measure data.
Qualitative research.
Administrators, physicians, nurses and other front-line staff from 29 randomly selected Joint Commission-accredited hospitals reporting core performance measure data.
Structured focus-group interviews were conducted to gather hospital staff perceptions of the perceived impact of publicly reporting performance measure data.
Interviews revealed six common themes. Publicly reporting data: (i) led to increased involvement of leadership in performance improvement; (ii) created a sense of accountability to both internal and external customers; (iii) contributed to a heightened awareness of performance measure data throughout the hospital; (iv) influenced or re-focused organizational priorities; (v) raised concerns about data quality and (vi) led to questions about consumer understanding of performance reports. Few differences were noted in responses based on hospitals' performance on the measures.
Public reporting of performance measure data appears to motivate and energize organizations to improve or maintain high levels of performance. Despite commonly cited concerns over the limitations, validity and interpretability of publicly reported data, the heightened awareness of the data intensified the focus on performance improvement activities. As the healthcare industry has moved toward greater transparency and accountability, healthcare professionals have responded by re-prioritizing hospital quality improvement efforts to address newly exposed gaps in care.
评估公众对医院绩效衡量数据报告的价值和影响的看法。
定性研究。
从随机抽取的 29 家获得联合委员会认证并报告核心绩效衡量数据的医院中选取行政人员、医生、护士和其他一线员工进行了 29 次结构化焦点小组访谈，以收集医院员工对绩效衡量数据公开报告的感知影响的看法。
进行了结构化的焦点小组访谈，以收集医院工作人员对公开报告绩效衡量数据的感知影响的看法。
访谈揭示了六个共同的主题。公开报告数据：(i) 导致领导层更多地参与绩效改进；(ii) 对内部和外部客户产生了责任感；(iii) 有助于提高整个医院对绩效衡量数据的认识；(iv) 影响或重新聚焦组织的优先事项；(v) 对数据质量表示担忧；(vi) 引发了对消费者对绩效报告理解的质疑。根据医院在这些衡量标准上的表现，对这些反应的差异很小。
绩效衡量数据的公开报告似乎激励和激发了组织提高或保持高水平的绩效。尽管人们普遍对公开报告的数据的局限性、有效性和可解释性表示担忧，但对数据的认识提高了对绩效改进活动的关注。随着医疗保健行业向更高的透明度和问责制发展，医疗保健专业人员通过重新优先考虑医院质量改进工作来解决新出现的护理差距，对此做出了回应。
