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Enhancing Quality: Insights from the 2007 National Health Policy Conference on Public Reporting

This summary discusses findings from a 2007 National Health Policy Conference examining the impact of public reporting on hospital performance. Led by Christopher Queram, the research investigates whether transparency in performance metrics leads to improved quality of care. The study analyzed Wisconsin hospitals through an experimental design funded by the Robert Wood Johnson Foundation, revealing substantial improvements in maternity performance among hospitals with previously poor scores. Key factors for enhancement include public reporting, professional pride, and effective leadership.

deborah-mcintosh
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Enhancing Quality: Insights from the 2007 National Health Policy Conference on Public Reporting

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  1. Accountability and Improvement: Lessons from the Field 2007 National Health PolicyConference Christopher Queram President and CEO

  2. Does Public Reporting Matter? • University of Oregon Research Team • Judith Hibbard, PhD • Funding from Robert Wood Johnson Foundation • Experimental Design using WI Hospitals • Does making hospital performance public improve quality compared to sharing performance information with hospitals on a private basis?

  3. Percent of Hospitals with Statistically Significant Improvements or Declines in Maternity Performance in the Post-Report Period:

  4. Changes in Performance in the Post-Report Period – Among Hospitals with ‘Worse Than Expected’ Scores at Baseline* * p < .05

  5. Year One (82%) Baseline (72%) WCHQ Ambulatory Performance Reporting - - Anecdotal Evidence

  6. 50% 46% 35% 35% to 50% in ‘Good Control’

  7. 47% to 56% in ‘Good Control’

  8. A1c<7 Year Three A1c<7 Baseline

  9. Factors Influencing Positive Gains in Quality • Public Reporting • Professional/Institutional Pride • Enlightened Clinical Leadership • Collaborative Models for Knowledge Sharing, Transfer • Financial Incentives?

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