scholarly journals Hospital Quality Reporting in the United States: Does Report Card Design and Incorporation of Patient Narrative Comments Affect Hospital Choice?

2016 ◽  
Vol 52 (3) ◽  
pp. 933-958 ◽  
Author(s):  
Martin Emmert ◽  
Mark Schlesinger
Keyword(s):  
United States ◽  
The United States ◽  
Report Card ◽  
Hospital Quality ◽  
Hospital Choice ◽  
Quality Reporting ◽  
Patient Narrative ◽  
Narrative Comments

Managing Our Microbial Mark

2016 ◽  
Vol 42 (2-3) ◽  
pp. 393-428
Author(s):  
Ann Marie Marciarille
Keyword(s):  
United States ◽  
Infection Control ◽  
The United States ◽  
West African ◽  
Healthcare Associated Infections ◽  
Healthcare Facilities ◽  
Quality Reporting ◽  
Reporting Systems ◽  
Control Procedures ◽  
Healthcare Associated

The narrative of Ebola's arrival in the United States has been overwhelmed by our fear of a West African-style epidemic. The real story of Ebola's arrival is about our healthcare system's failure to identify, treat, and contain healthcare associated infections. Having long been willfully ignorant of the path of fatal infectious diseases through our healthcare facilities, this paper considers why our reimbursement and quality reporting systems made it easy for this to be so. West Africa's challenges in controlling Ebola resonate with our own struggles to standardize, centralize, and enforce infection control procedures in American healthcare facilities.

Bringing an American Report Card to Russia

2020 ◽  
pp. 45-70
Author(s):  
Anne Searcy
Keyword(s):  
United States ◽  
Soviet Union ◽  
The United States ◽  
Report Card ◽  
Political Values ◽  
Russian Art ◽  
Art Form ◽  
The Soviet Union

Chapter 2 analyzes American Ballet Theatre’s (ABT’s) often-overlooked 1960 tour of the Soviet Union. The tour took place under highly fraught circumstances. Ballet was considered a uniquely Russian art form in both the United States and the Soviet Union. At many points in the spring and summer of 1960, both the Soviet and American governments threatened to withdraw support from the tour. In dealing with these concerns, ABT director Lucia Chase developed a strategy for presenting her company and the United States as the leader of an international, elite art form. Through repertoire and casting choices, she balanced the troupe’s profile, showing it as both an international company and an American organization. Moreover, the company’s American works bore striking similarities to Soviet drambalety and were therefore praised by Russian critics for displaying common aesthetic and political values. Much to the surprise of everyone involved, the strategy was successful.

Results from the United States’ 2014 Report Card on Physical Activity for Children and Youth

2014 ◽  
Vol 11 (s1) ◽  
pp. S105-S112 ◽  
Author(s):  
Kara N. Dentro ◽  
Kim Beals ◽  
Scott E. Crouter ◽  
Joey C. Eisenmann ◽  
Thomas L. McKenzie ◽  
...  
Keyword(s):  
Physical Activity ◽  
United States ◽  
Sport Participation ◽  
Comprehensive Evaluation ◽  
The United States ◽  
Report Card ◽  
Children And Youth ◽  
Activity Levels ◽  
Sedentary Behaviors ◽  
Physical Activity Levels

Background:The National Physical Activity Plan Alliance partnered with physical activity experts to develop a report card that provides a comprehensive assessment of physical activity among United States children and youth.Methods:The 2014 U.S. Report Card on Physical Activity for Children and Youth includes 10 indicators: overall physical activity levels, sedentary behaviors, active transportation, organized sport participation, active play, health-related fitness, family and peers, school, community and the built environment, and government strategies and investments. Data from nationally representative surveys were used to provide a comprehensive evaluation of the physical activity indicators. The Committee used the best available data source to grade the indicators using a standard rubric.Results:Approximately one-quarter of children and youth 6 to 15 years of age were at least moderately active for 60 min/day on at least 5 days per week. The prevalence was lower among youth compared with younger children, resulting in a grade of D- for overall physical activity levels. Five of the remaining 9 indicators received grades ranging from B- to F, whereas there was insufficient data to grade 4 indicators, highlighting the need for more research in some areas.Conclusions:Physical activity levels among U.S. children and youth are low and sedentary behavior is high, suggesting that current infrastructure, policies, programs, and investments in support of children’s physical activity are not sufficient.

Unequal Access to Hospital Palliative Care in the United States: A State-by-State Report Card (RP518)

2020 ◽  
Vol 60 (1) ◽  
pp. 239
Author(s):  
Maggie Rogers ◽  
Diane Meier ◽  
R Sean Morrison ◽  
Jaison Moreno ◽  
Rachael Heitner ◽  
...  
Keyword(s):  
United States ◽  
Palliative Care ◽  
The United States ◽  
Report Card ◽  
Unequal Access ◽  
State Report Card

Surgical Volume, Hospital Quality, and Hospitalization Cost in Congenital Heart Surgery in the United States

2014 ◽  
Vol 36 (1) ◽  
pp. 205-213 ◽  
Author(s):  
Titus Chan ◽  
Jaewhan Kim ◽  
L. LuAnn Minich ◽  
Nelangi M. Pinto ◽  
Norman J. Waitzman
Keyword(s):  
United States ◽  
Congenital Heart ◽  
Heart Surgery ◽  
The United States ◽  
Congenital Heart Surgery ◽  
Hospital Quality ◽  
Surgical Volume ◽  
Hospitalization Cost

Disagreement Between Hospital Rating Systems: Measuring the Correlation of Multiple Benchmarks and Developing a Quality Composite Rank

2019 ◽  
Vol 35 (3) ◽  
pp. 222-230 ◽  
Author(s):  
Bala Hota ◽  
Thomas Webb ◽  
Avanthi Chatrathi ◽  
Elizabeth McAninch ◽  
Omar Lateef
Keyword(s):  
United States ◽  
Logistic Regression ◽  
The United States ◽  
Hospital Quality ◽  
Rank Aggregation ◽  
Rating System ◽  
Rating Systems ◽  
Star Rating ◽  
Hospital Safety ◽  
Ranking Systems

In the United States, hospital rating system usefulness is limited by heterogeneity and conflicting results. US News Best Hospitals, Vizient Quality and Accountability Study, Centers for Medicare & Medicaid Services (CMS) Star Rating, Leapfrog Hospital Safety Grade, and the Truven Top 100 Hospitals ratings were compared using Spearman correlations. Rank aggregation was used to combine the scores generating a Quality Composite Rank (QCR). The highest correlation between rating systems was shown between the Leapfrog Safety Grade and the CMS Star Rating. In a proportional odds logistic regression, a greater discordance between the CMS Star Rating, Vizient rank, US News, and Leapfrog was associated with a lower overall rank in the QCR. Lack of transparency and understanding about the differences and similarities for these hospital ranking systems complicates use of the measures. By combining the results of these ranking systems into a composite, the measurement of hospital quality can be simplified.

scholarly journals Performance of Multihospital Health Systems’ Flagship Hospitals in the CMS Star Rating Program

2020 ◽  
Vol 15 (7) ◽  
pp. 407-410
Author(s):  
Jianhui Hu ◽  
David R Nerenz
Keyword(s):  
United States ◽  
Acute Care ◽  
Health Systems ◽  
The United States ◽  
Hospital Quality ◽  
Uncompensated Care ◽  
Star Rating ◽  
The Difference ◽  
Hospital Compare ◽  
Teaching Intensity

Using the Hospital Compare overall hospital quality star ratings and other publicly available data on acute care hospitals, we examined star ratings for the flagship hospitals of a set of multihospital health systems in the United States. We compared star ratings and hospital characteristics of flagship and nonflagship hospitals across and within 113 health systems. The system flagship hospitals had significantly lower star ratings than did nonflagship hospitals, and they did not generally have the highest star ratings in their own systems. Higher teaching intensity, larger bed size, higher uncompensated care, and higher disproportionate share hospital (DSH) patient percentage were all significantly associated with lower star ratings of flagship hospitals when compared with nonflagship hospitals across all health systems; the flagship hospital of a system was more likely to have the lowest star rating in its system if the difference in DSH percentage was relatively large between the flagship and nonflagship hospitals in that system.

Afterword

2020 ◽  
pp. 211-218
Author(s):  
Julia E. Rusk
Keyword(s):  
United States ◽  
Gross Domestic Product ◽  
Well Being ◽  
The United States ◽  
Report Card ◽  
City Government ◽  
The People ◽  
Wellbeing Index ◽  
Santa Monica ◽  
The City

This afterword presents a vision for well-being policies and actions in the United States, focusing on the experience of the City of Santa Monica, California. The purpose of data is to put it into action. The goal in Santa Monica is to make this a reality, with benefits accruing regularly to every resident, neighborhood, business, and contributor to the community. This was the idea behind Santa Monica’s local Wellbeing Index: harnessing the power of data for the commonwealth that would reveal the story of the people and the community in new ways, and that would help to transform city government. The goal of the Wellbeing Index was to expand the measures of a community far beyond the traditional and economically-focused gross domestic product (GDP). Going forward, the Wellbeing Index will be the tool used to evaluate whether policies, programs, and other City investments are in fact improving community well-being. The chapter also looks at Santa Monica’s programs, such as the Youth Wellbeing Report Card and the Pico Wellbeing Project.

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