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Hospital Quality Performance Report: An Application of Composite Scoring

BlueCross and BlueShield of North Carolina, Durham, john.fong{at}bcbsnc.com

Gary M. Marsh, PhD

Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania

Leslie A. Stokan, RN, MSN

Highmark Inc, Pittsburgh, Pennsylvania

Weilian Sang, MS

Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania

Carey Vinson, MD, MPM

Highmark Inc, Pittsburgh, Pennsylvania

Linda Ruhl, PA-C

Highmark Inc, Pittsburgh, Pennsylvania

To assess the performance of its contracted hospitals, Highmark developed the Hospital Quality Performance Report, which used 4 databases (patient satisfaction, patient safety, quality indicators, and hospital compare data) to assess patient safety and quality of care. Our study found little pairwise correlation among any of the databases used in the Hospital Quality Performance Report, highlighting the importance of assessing performance across multiple measures. Regression analysis of a set of common characteristics used to describe hospitals revealed an association between hospital bed size and the composite score, patient satisfaction score, patient safety score, and hospital compare data score and an association between hospital accreditation with the composite score, patient safety score, and hospital compare data score. Additional study is necessary to assess whether the report, as currently constructed, is sufficient to advance patient safety and quality of care in hospitals. (Am J Med Qual 2008; 23:287-295)

Key Words: insurer • composite score • hospital performance • patient satisfaction • patient safety • quality indicators • hospital compare data

American Journal of Medical Quality, Vol. 23, No. 4, 287-295 (2008)
DOI: 10.1177/1062860608317064


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