Actions to Improve Quality: Results From a National Hospital Survey

AJMC December 8, 2021
Kanaka D. Shetty, MD, MS, Michael W. Robbins, PhD, Anagha A. Tolpadi, MS, Kyle N. Campbell, PharmD, Ann M. Clancy, MBA, Noni Bodkin, PhD, Maria Durham, MBA, MS, Cheryl L. Damberg, PhD

Hospitals reported widespread adoption of quality improvement (QI) changes to improve on CMS quality measures, and QI adoption was associated with improved performance on quality measures.

ABSTRACT

Objectives: CMS measures and reports hospital performance to drive quality improvement (QI), but information on actions that hospitals have taken in response to quality measurement is lacking. We aimed to develop national estimates of QI actions undertaken by hospitals and to explore their relationship to performance on CMS quality measures.

Study Design: Nationally representative cross-sectional survey of acute care hospitals in 2016 (n = 1313 respondents; 64% response rate).

Methods: We assessed 23 possible QI changes. Using multivariate linear regression, we estimated the relationship between reported QI changes and performance on composite measures derived from...

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