Association Between Effectiveness of Care Quality Ratings and Insurer Characteristics in the Health Insurance Marketplaces

The present article revealed the results on evaluation of medical care quality in 430 patients with parodontologic diseases provided in 14 municipal and city dental policlinics in 2014-2016 under the compulsory health insurance (CHI) in Saint Petersburg. The performed analysis allows to compare the possibilities of therapeutic and diagnostic assistance to treat periodontitis, provided under CHI and regulated by the clinical recommendations developed by Russia Dental Association. Due to the developed clinical recommendations the quality dental care under CHI could be provided only on the initial and supportive treatment stages and considered to be therapeutic, thus the surgical treatment could not be fully provided. The types of medical services provided under CHI restrict the use of clinical recommendation (Russia Dental Association) to treat patients with periodontal diseases in dental policlinics and do not ensure the provision of entirely quality dental care under CHI. Therefore, the development of new criteria to include the full range of treatment and diagnostic dental services into the basic CHI is of high importance.

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Relationship between employee engagement scores and service quality ratings: analysis of the National Health Service staff survey across 97 acute NHS Trusts in England and concurrent Care Quality Commission outcomes (2012–2016)

BMJ Open ◽

10.1136/bmjopen-2018-026472 ◽

2019 ◽

Vol 9 (7) ◽

pp. e026472 ◽

Cited By ~ 3

Author(s):

Mark Wake ◽

William Green

Keyword(s):

National Health Service ◽

Health Service ◽

Employee Engagement ◽

National Health ◽

Care Quality ◽

Cross Sectional ◽

Quality Ratings ◽

Service Staff ◽

Care Quality Commission ◽

Receive Treatment

ObjectiveThis research explores measures of employee engagement in the National Health Service (NHS) acute Trusts in England and examines the association between organisation-level engagement scores and quality ratings by the Care Quality Commission (CQC).DesignCross-sectional.Setting97 acute NHS Trusts in England.Participants97 NHS acute Trusts in England (2012–2016). Data include provider details, staff survey results and CQC reports. Hybrid Trusts or organisations affected by recent mergers are excluded.Outcome measuresAnalysis uses organisation-level employee engagement and CQC quality ratings.ResultsEmployee engagement is affected by organisational factors, including patient bed numbers (β=−0.46, p<0.05) and financial revenue (β=0.38, p<0.05). CQC ratings are predicted by overall employee engagement score (β=0.57, p<0.001) and financial deficit (β=−0.19, p<0.05). The most influential employee engagement dimension on provider ratings is ‘advocacy’ (λ=0.54, p<0.001). Analysis supports the notion that employee engagement can be predicted from advocacy scores alone (eigenvalue=4.03). Better still, combining advocacy scores from the previous year’s survey or adding in motivation scores is a highly reliable indication of overall employee engagement (95.4% of total variance).ConclusionsNHS acute Trusts with high employee engagement scores tend to have better CQC ratings. Trusts with a high financial deficit tend to have lower ratings. Employee engagement subdimensions have different associations with CQC ratings, the most influential dimension being advocacy score. A two subdimension model of engagement efficiently predicts overall employee engagement in NHS acute Trusts in England. Healthcare leaders should pay close attention to the proportion of employees who would recommend their organisation as a place to work or receive treatment, because this is a proxy for the level of engagement, and it predicts CQC ratings.

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Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting

Journal of Applied Gerontology ◽

10.1177/0733464820969283 ◽

2020 ◽

pp. 073346482096928

Author(s):

Naomi Yount ◽

Katarzyna A. Zebrak ◽

Theresa Famolaro ◽

Joann Sorra ◽

Rebecca Birch

Keyword(s):

Patient Safety ◽

Nursing Home ◽

Nursing Homes ◽

Safety Culture ◽

Health Care Quality ◽

Patient Safety Culture ◽

Care Quality ◽

Home Setting ◽

Star Rating ◽

Quality Ratings

There is limited evidence on the associations between patient safety culture and measures of health care quality in nursing homes. This study examines the relationship between scores on the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey (NH SOPS) and Centers for Medicare and Medicaid Services Nursing Home Five-Star Quality Ratings. Using data from 186 nursing homes, we conducted multiple regression analyses predicting the Five-Star Quality Ratings from the NH SOPS survey measures. Five NH SOPS measures were related to the Overall, Health Inspections, and Quality Five-Star Ratings. Four NH SOPS measures were related to at least two of the four Five-Star Quality Ratings and three SOPS measures were related to one Five-Star Rating. None of the NH SOPS measures were significantly associated with the Staffing Five-Star Rating. Findings generally indicated that stronger patient safety culture is associated with higher quality ratings.

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Kebutuhan Jaminan Kesehatan Masyarakat di Wiliyah Perdesaan

Kesmas National Public Health Journal ◽

10.21109/kesmas.v7i1.69 ◽

2012 ◽

Vol 7 (1) ◽

pp. 3

Author(s):

Arif Kurniawan ◽

Arih Diyaning Intiasari

Keyword(s):

Health Care ◽

Health Insurance ◽

Rural Areas ◽

Health Care Quality ◽

Health Financing ◽

Local Communities ◽

Research Data ◽

Care Quality ◽

District Health ◽

Cross Sectional

Jaminan kesehatan adalah salah satu cara untuk mengurangi beban pembiayaan kesehatan yang dikeluarkan masyarakat. Sebagian besar masyarakat perdesaan di Kabupaten Banyumas yang mempunyai tingkat kemampuan membayar pelayanan kesehatan rendah belum mempunyai jaminan kesehatan. Penelitian ini bertujuan untuk menganalisis kebutuhan jaminan dan faktor-faktor yang memengaruhi kesehatan masyarakat daerah. Penelitian ini merupakan penelitian observasional dengan desain studi cross sectional. Populasi penelitian adalah seluruh kepala keluarga diKabupaten Banyumas dengan jumlah sampel 130 orang. Metode analisis yang digunakan meliputi analisis univariat, bivariat, dan multivariat. Penelitian menemukan bahwa sebagian besar masyarakat Kabupaten Banyumas (72,3%) membutuhkan jaminan kesehatan daerah (Jamkesda).Terdapat hubungan antara pendidikan, pengetahuan, pendapatan, dan keyakinan terhadap mutu pelayanan kesehatan serta pola pembiayaan kesehatan dengan kebutuhan Jamkesda. Persepsi berpengaruh terhadap tarifpelayanan kesehatan dengan kebutuhan Jamkesda. Persepsi terhadap tarif pelayanan kesehatan merupakan variabel yang berpengaruh terhadap kebutuhan Jamkesda.Kata kunci: Kebutuhan, pembiayaan kesehatan daerah, jaminan kesehatanAbstractHealth insurance is one of the ways to reduce the burden of health financing issued by the society. Most communities in Banyumas district living in rural areas do not have health insurance. Rural communities in Banyumas district have low ability to pay health care services. The aim of this study isto analyze the health insurance needs of local communities and the factors that affect the public health insurance need of the area. This study is an observational study with survey research methods. This study used cross sectional approach. The study population was all households in Banyumas district.The research sample consisted of 130 people. Retrieval research data used a questionnaire instrument. Analysis of research data used univariate, bivariate, and multivariate. The research was conducted in Banyumas district. Most people in Banyumas district (72,3%) required regional health insurance. The result showed no relationship between education, knowledge, income, beliefs in health care quality and patterns of health financing in local communities needs of health insurance. The result showed the influence perceptions of health care rates with the health insurance needs of local communities. Perceptions of health care is a variable rate which affects the health insurance needs of local communities.Keywords: Needs, district health financing, health insurance

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Large firms are more likely to offer health insurance plans with high quality ratings

PsycEXTRA Dataset ◽

10.1037/e556322006-025 ◽

2004 ◽

Keyword(s):

Health Insurance ◽

Large Firms ◽

High Quality ◽

Quality Ratings

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Implementation of patient-focused care: before-after effects

International Journal of Health Care Quality Assurance ◽

10.1108/ijhcqa-06-2013-0067 ◽

2014 ◽

Vol 27 (7) ◽

pp. 594-604 ◽

Cited By ~ 5

Author(s):

Bodil Wilde-Larsson ◽

Marianne Inde ◽

Annika Carlson ◽

Gun Nordström ◽

Gerry Larsson ◽

...

Keyword(s):

Large Scale ◽

Healthcare Providers ◽

Work Climate ◽

Care Quality ◽

Content Type ◽

After Effects ◽

Quality Ratings ◽

Health And Social Care ◽

Before And After ◽

Post Assessment

Purpose – The purpose of this paper is to evaluate an organizationally oriented, patient-focused care (PFC) model's effects on care quality and work climate. Design/methodology/approach – The study has a before-after (PFC implementation) design. The sample included 1,474 patients and 458 healthcare providers in six participating wards before and after PFC implementation, plus five additional randomly chosen wards, which only featured in the post-assessment. Findings – No pre-post differences were found regarding care perceptions or provider work climate evaluations. Statistically significant improvements were noted among provider care evaluations. Using aggregate-level ward data, multiple regression analyses showed that high adherence to PFC principles and a positive work climate contributed significantly to variance among care quality ratings. Research limitations/implications – Among healthcare providers, questions related to specific PFC aspects during evenings, nights and weekends had to be dropped owing to a low response rate. Practical implications – An important requirement for both practice and research is to tailor PFC to various health and social care contexts. Originality/value – The study is large-scale before-after PFC model review, where patient and provider data were collected using well-established measurements.

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Concordance of Patient and Caregiver Reports on the Quality of Colorectal Cancer Care

Journal of Oncology Practice ◽

10.1200/jop.19.00136 ◽

2019 ◽

Vol 15 (11) ◽

pp. e979-e988

Author(s):

Rachel D. Havyer ◽

Michelle van Ryn ◽

Patrick M. Wilson ◽

Lauren R. Bangerter ◽

Joan M. Griffin

Keyword(s):

Colorectal Cancer ◽

Quality Of Care ◽

Cancer Care ◽

Secondary Analysis ◽

Care Quality ◽

Patient Reports ◽

Quality Ratings ◽

Caregiver Quality ◽

Very High

PURPOSE: We aimed to better understand how similarly patients with colorectal cancer and caregivers view care quality and to assess factors that may influence concordance. MATERIALS AND METHODS: We conducted a secondary analysis of paired patient and caregiver quality ratings of colorectal cancer care in three specific domains: surgery, chemotherapy overall, and chemotherapy nursing. Agreement was assessed with difference scores, concordance with Gwet second-order agreement statistics (AC2), and variation in agreement with stratified analyses. We examined whether the care experiences of patients and caregivers were associated with top-box (most-positive) ratings and examined variations in concordance on the basis of the presence of a top-box score. RESULTS: Four hundred seventeen patient-caregiver dyads completed the surveys. Quality-of-care ratings were positively skewed, with most dyads indicating top-box ratings. Patient and caregiver care experiences were highly associated with top-box ratings. Overall patient-caregiver concordance was very high for all three care domains (surgery: AC2, 0.87 [95% CI, 0.83 to 0.90]; chemotherapy overall: AC2, 0.84 [95% CI, 0.79 to 0.88]; chemotherapy nursing: AC2, 0.91 [95% CI, 0.87 to 0.94]). Stratified analyses of patient and caregiver characteristics did not identify any patterns that consistently affected concordance. The concordance statistic significantly decreased for all three outcomes ( P < .001), however, when the patient or caregiver assessed quality as anything other than top box. CONCLUSION: Caregiver and patient reports on care quality were highly concordant for top-box care and did not vary with patient or caregiver factors. Additional exploration is needed to identify reasons for increased variability when the quality scores were less than a top-box response.

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