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Relationship between Hospital Characteristics and Value-Based Program Measure Performance: A Literature Review
Shannon Renee Rutter1, Shin Hye Park1
1University of Kansas Medical Center School of Nursing, Kansas City, KS, USA.
Western Journal of Nursing Research
|May 24, 2020
Summary
Value-based programs from the Centers for Medicare and Medicaid Services (CMS) may not fully reflect acute-care hospital quality. Hospital characteristics like size and location, often beyond their control, significantly impact performance metrics.
Area of Science:
- Health Services Research
- Healthcare Quality Measurement
- Hospital Administration
Background:
- Assessing the accuracy of value-based programs in representing acute-care hospital quality is crucial for fair evaluation.
- Understanding hospital characteristics influencing performance on these programs is essential for policy development.
Purpose of the Study:
- To summarize research on hospital characteristics associated with performance in Centers for Medicare and Medicaid Services (CMS) value-based programs.
- To identify factors influencing hospital performance metrics within these value-based initiatives.
Main Methods:
- An integrative literature review was conducted.
- Searches were performed in PubMed and CINAHL databases.
- Twelve research articles meeting inclusion criteria were analyzed.
Main Results:
- Key hospital characteristics influencing value-based program performance included size, safety-net status, geographical location, and teaching status.
- Observed performance differences are often linked to factors outside hospitals' direct control.
Conclusions:
- Factors beyond hospital control significantly impact CMS value-based program performance.
- Consideration of patient population, socioeconomic status, and acuity is recommended before implementing financial penalties.
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