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Updated: Feb 24, 2026

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

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Published on: February 19, 2021

One-star rating for a five-star program: evaluating 'Hospital Compare'.

¹Department of Economics, American University, 4400 Massachusetts Avenue, Washington, DC, USA.

|August 15, 2017

Summary

This summary is machine-generated.

The Hospital Compare program, designed to improve hospital quality and inform consumers, showed little evidence of motivating significant changes in hospital performance or consumer choice. Alternative strategies are needed to reduce hospital complications.

Keywords:

Asymmetric information Hospital-acquired infection Hospitals PPACA

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Area of Science:

Health Services Research
Health Policy Analysis
Quality Improvement in Healthcare

Background:

Healthcare systems aim to minimize costs and maximize outcomes.
Reducing hospital-related complications is a key strategy for achieving these goals.
The US 'Hospital Compare' program was implemented to enhance hospital quality and consumer choice.

Purpose of the Study:

To evaluate the effectiveness of the 'Hospital Compare' policy in improving hospital quality and outcomes.
To assess whether the program successfully motivated changes in hospital performance and consumer behavior.

Main Methods:

An observed cohort study design was employed, analyzing data from most US hospitals.
Hospitals were evaluated over three years for rates of hospital-acquired infections.
Performance of poorly rated hospitals was compared against national benchmarks in subsequent years.

Main Results:

Limited evidence suggests 'Hospital Compare' substantially influenced consumer choices or motivated significant hospital improvements.
Poorly rated hospitals did not consistently improve at the rates anticipated by the program's designers.
The policy's impact on hospital quality and consumer decision-making was found to be minimal.

Conclusions:

The 'Hospital Compare' program may not have accurately anticipated patient decision-making processes for hospital selection.
Technical complexities and other factors appear to have undermined the program's effectiveness.
While reducing hospital complications is a worthy objective, a different strategic approach is recommended.