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Developing an outcomes report card for hospitals: a case study and implementation guidelines.

D J Slovensky1, M D Fottler, H W Houser

  • 1University of Alabama at Birmingham, USA.

Journal of Healthcare Management / American College of Healthcare Executives
|December 8, 1997
PubMed
Summary
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Healthcare provider report cards are voluntary initiatives responding to public demand for performance data. This case study outlines developing a hospital report card, detailing stakeholder engagement and information dissemination for improved transparency.

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Health Informatics

Background:

  • Healthcare provider report cards are largely voluntary, driven by public demand for performance data.
  • Existing initiatives are often market-specific or mandated by few states.
  • Transparency in healthcare performance is increasingly important for consumers and organizations.

Purpose of the Study:

  • To investigate the decision-making processes and operational activities involved in developing a hospital report card.
  • To understand how a hospital identified stakeholders and determined their information needs for performance reporting.
  • To explore stakeholder preferences for reporting formats regarding clinical outcomes and financial indicators.

Main Methods:

  • A detailed case study investigation of a single, typical hospital.

Related Experiment Videos

  • Analysis of the hospital's decision processes for report card development.
  • Examination of operational activities for communicating clinical and financial data to external stakeholders.
  • Main Results:

    • The study identified key steps in developing a report card, including defining intent and performance domains.
    • Stakeholder needs, desires, and intended use of information are crucial for determining report card format.
    • Effective dissemination requires multiple channels: direct mail, print, and internet.

    Conclusions:

    • A general model for developing and implementing public healthcare report cards is proposed.
    • Continuous evaluation of report card usefulness is essential.
    • Outcomes report cards enhance transparency, aiding organizations in a competitive market and informing consumers.