Related Experiment Video
Updated: Aug 6, 2026
06:05
The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Public versus private institutional performance reporting: what is mandatory for quality improvement?
Veena Guru1, Stephen E Fremes, C David Naylor
1Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada. veena.guru@utoronto.ca
American Heart Journal
|August 23, 2006
Summary
Confidential reporting of coronary artery bypass graft (CABG) surgery outcomes in Ontario led to a significant 29% reduction in mortality. Public reporting did not yield further improvements, suggesting confidential disclosure is key for quality enhancement.
Area of Science:
- Health Services Research
- Quality Improvement Science
- Cardiac Surgery Outcomes
Background:
- Ontario has a history of generating institution-level performance report cards for coronary artery bypass graft (CABG) surgery over 11 years.
- The study examines changes in patient characteristics and outcomes during the transition from no reporting to confidential and public performance report cards.
Purpose of the Study:
- To evaluate the impact of different performance reporting strategies (none, confidential, public) on CABG surgery outcomes in Ontario.
- To assess whether reporting led to improvements in patient mortality and other health outcomes.
Main Methods:
- Utilized clinical and administrative data for 67,693 isolated CABG patients from 1991 to 2002.
- Assessed crude, expected, and risk-adjusted 30-day mortality rates, comparing trends across reporting eras.
- Used bootstrapping for confidence intervals and compared 30-day readmission rates as a control outcome.
Main Results:
- Risk-adjusted 30-day mortality decreased by 29% from no reporting to confidential reporting (1991-1998).
- No significant mortality reduction was observed with subsequent public reporting (1999-2001).
- In-hospital mortality declined faster in Ontario than in the rest of Canada during confidential reporting.
Conclusions:
- Confidential, institutional-level disclosure of CABG outcomes significantly improved mortality rates in Ontario.
- Public reporting of outcomes did not demonstrate a further impact on performance.
- Confidential disclosure appears sufficient to drive quality improvement in public healthcare systems.
Related Concept Videos
01:21Types of Reports II: Incident or Occurrence Report
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:20Introduction to Documentation and Reporting
Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive and precise...
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive and precise...
01:18Types of Records II: Educational and Administrative Records
Maintaining nurses' educational and administrative records in healthcare settings, including hospitals and nursing schools, is paramount. Here's a breakdown of the types of academic records mentioned:
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:24Data Reporting and Recording
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...