How hospital performs on these indicators versus two of its competitors.
How hospital performs on these indicators versus two of its competitors.
How hospital performs on these indicators versus two of its competitors.
Access the Hospital Compare website (.hospitalcompare.hhs.gov/”>www.Hospitalcompare.hhs.gov) and select a local hospital. Look at the hospital’s publically reported indicators for Process of Care.
Write a paper of 1,000-1,200 words that analyzes how the selected hospital performs on these indicators versus two of its competitors. Include your thoughts on the pros and cons of publically reporting these data sets.
Refer to the website and incorporate specific examples and details into your paper.
How hospital performs on these indicators versus two of its competitors.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review
HCA 675 Assignment Process of Care Paper
the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
Process of care refers to an evidence based action or intervention performed during the delivery of patient care. Process of care measures reflect a healthcare facilities’ ability to execute and comply with recommended best patient care practices. Infection control process measures provide actionable and measurable indicators for performance improvement, and provide opportunities to reduce risk healthcare associated infections (HAIs).
Substantial variation exists in the provision of evidence-based, guideline-recommended care to patients hospitalized for heart failure in the United States.1 Recent efforts to improve the quality of care for these patients have focused on process-based performance measures. The Centers for Medicare & Medicaid Services (CMS) and the Joint Commission have designated 4 such process measures, and the American Heart Association (AHA) and the American College of Cardiology (ACC) have designated 5 discharge measures for heart failure (the 4 CMS measures plus anticoagulation for atrial fibrillation).2 Medicare and other payers use such measures in pay-for-performance programs and report the measures publicly on the Hospital Compare Web site to help patients select high-quality providers. Central to these programs is the implicit assumption that conformance with process measures improves patient outcomes. However, data supporting the process–outcome link are sparse.
Previous studies have examined associations between hospital-level performance and hospital-level outcomes3–5 and associations between patient-level adherence to process measures and patient-level outcomes.5 Hospital-level analyses have found no association between hospital-level adherence and 30-day mortality.3 Patient-level analyses suggest that adherence to certain process measures is strongly associated with 60-day to 90-day postdischarge outcomes and that adherence to other process measures is not.5 These types of analyses do not address an important question from the patient’s perspective: Are hospital-level performance measures important indicators of long-term patient outcomes? That is, is receiving care at a hospital with better conformity to recommended processes of care associated with better long-term outcomes for patients with heart failure?
Using data from the Organized Program to Initiate Treatment in Hospitalized Patients with Heart Failure (OPTIMIZE-HF) registry linked to Medicare claims data, we examined the relationship between adherence to hospital-level process measures and patient-level mortality and readmission in the first year after discharge.
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