Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Mortality trends during a program that publicly reported hospital performance.

David W Baker1, Doug Einstadter, Charles L Thomas

  • 1Center for Health Care Research and Policy, Case Western Reserve University at MetroHealth Medical Center, Cleveland, Ohio, USA. dwbaker@northwesern.edu

Medical Care
|October 24, 2002
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Demographic, Clinical and Social Determinants of Blood Pressure Control Among Black men who have had Stroke or Transient Ischemic Attack.

Journal of racial and ethnic health disparities·2026
Same author

The TargetEd MAnageMent Intervention for Reducing Stroke Risk in Black Men: A 6-Month Prospective Randomized Controlled Trial.

International journal of aging & human development·2026
Same author

Factors Influencing Quality Improvement Success in Primary Care: A Comparative Case Study of High- and Low-Performing Sites in Patient Hypertension Outcomes.

Journal of the American Heart Association·2026
Same author

Differences in Performance on Quality Measures for Thrombectomy-Capable Stroke Centers Compared With Comprehensive Stroke Centers in 2019 to 2020.

Stroke (Hoboken, N.J.)·2026
Same author

Association Between Adherence Barriers, Self-Reported Adherence, and Psychiatric Symptoms Among Adults With Bipolar Disorder.

Bipolar disorders·2025
Same author

The Journey Toward Health Care Equity: Accredited Hospitals' Alignment with Joint Commission Health Care Equity Standards Preimplementation.

Health equity·2025

Publicly reporting hospital mortality rates did not improve patient outcomes. Deaths shifted to post-discharge, showing little net reduction in 30-day mortality for most conditions studied.

Area of Science:

  • Health Services Research
  • Quality Improvement
  • Public Health Policy

Background:

  • The impact of public reporting of hospital risk-adjusted mortality on patient outcomes remains uncertain.
  • Assessing the effectiveness of hospital quality initiatives is crucial for healthcare improvement.

Purpose of the Study:

  • To evaluate mortality trends in Medicare patients during the Cleveland Health Quality Choice program (1991-1997).
  • To determine if public reporting of hospital performance influenced patient mortality rates.

Main Methods:

  • A time series analysis was conducted on Medicare beneficiaries.
  • Data included patients hospitalized for acute myocardial infarction, congestive heart failure, gastrointestinal hemorrhage, COPD, pneumonia, and stroke.
  • Key measures were risk-adjusted in-hospital, early postdischarge, and 30-day mortality.

Related Experiment Videos

Main Results:

  • In-hospital mortality decreased significantly for most conditions, except stroke and GIH.
  • Early postdischarge mortality increased significantly for all conditions except COPD.
  • 30-day mortality declined significantly only for CHF and COPD; it increased for stroke.

Conclusions:

  • Public reporting of hospital mortality shifted deaths from in-hospital to post-discharge periods.
  • There was little to no net reduction in 30-day mortality for most conditions.
  • Hospital profiling is an unproven strategy for improving patient care outcomes; in-hospital rates may be misleading.