Institute of Health Administration, J. Mack Robinson College of Business, Georgia State University, Atlanta, Georgia.
Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, (UAB), Birmingham, Alabama.
J Healthc Manag. 2022 Jul 1;67(4):266-282. doi: 10.1097/JHM-D-21-00045.
The national Baldrige program has supported performance excellence in healthcare since 1999. Previous studies have compared the performance of Baldrige hospital recipients to nonrecipients. This study, however, sought to address the question of whether the mere pursuit of the Baldrige award provides value.
This study used propensity score matching with linear and quantile regression techniques to understand the impact of hospitals applying the Baldrige Excellence Framework across a comprehensive set of standardized industry performance measures, regardless of award recognition.
The analysis demonstrated that Baldrige applicants outperformed non-Baldrige applicants in select operational measures of efficiency (such as inpatient average length of stay), patient experience, and financial measures (including return on net assets, days in accounts receivable, and expenses as a percentage of patient revenues). However, there was no statistically significant difference in clinical performance between Baldrige applicants and nonapplicants.
The findings from this study suggest that hospital leaders can realize significant gains with select operational and financial measures without compromising clinical outcomes when applying the Baldrige Excellence Framework to their organizations.
自 1999 年以来，国家波多里奇奖计划一直支持医疗保健领域的卓越绩效。先前的研究比较了获得波多里奇奖的医院和未获得该奖项的医院的绩效。然而，本研究旨在探讨追求波多里奇奖本身是否具有价值。
本研究使用倾向评分匹配、线性和分位数回归技术，了解医院在一套全面的标准化行业绩效指标方面应用波多里奇卓越框架的影响，而不论是否获得奖项认可。
分析表明，在某些效率运营指标（如住院患者平均住院天数）、患者体验和财务指标（包括净资产回报率、应收账款天数和费用占患者收入的百分比）方面，波多里奇奖申请者的表现优于非波多里奇奖申请者。然而，在临床绩效方面，波多里奇奖申请者和非申请者之间没有统计学上的显著差异。
本研究的结果表明，当医院领导将波多里奇卓越框架应用于组织时，他们可以在不影响临床结果的情况下，通过特定的运营和财务指标实现显著收益。
