TY - JOUR
T1 - The development and implementation of a new hospital performance measure to assess hospital contributions to community health and equity
AU - Plott, Caroline F.
AU - Thornton, Rachel L.J.
AU - Punwani, Ekta
AU - Dankwa-Mullan, Irene
AU - Karunakaram, Hema
AU - Craig, Kelly Jean Thomas
AU - Rhee, Kyu
AU - Sharfstein, Joshua M.
N1 - Funding Information:
This research study was supported in part by IBM Watson Health and some co‐authors are or were employed by IBM Corporation (Ekta Punwani, Irene Dankwa‐Mullan, Hema Karunakaram, Kyu Rhee). This research was also supported by the Johns Hopkins School of Medicine Dean's Research grant (Caroline F. Plott) and by the Bloomberg American Health Initiative (Joshua M. Sharfstein, Rachel L. J. Thornton). Unrelated to this work, Dr. Sharfstein reports receiving consulting fees from Sachs Policy Group, where he advises health care systems on payment reform.
Publisher Copyright:
© 2022 The Authors. Health Services Research published by Wiley Periodicals LLC on behalf of Health Research and Educational Trust.
PY - 2022/12
Y1 - 2022/12
N2 - Objective: To develop and implement a measure of how US hospitals contribute to community health with a focus on equity. Data Sources: Primary data from public comments and hospital surveys and secondary data from the IBM Watson Top 100 Hospitals program collected in the United States in 2020 and 2021. Study Design: A thematic analysis of public comments on the proposed measure was conducted using an iterative grounded approach for theme identification. A cross-sectional survey of 207 hospitals was conducted to assess self-attestation to 28 community health best practice standards in the revised measure. An analysis of hospital rankings before and after inclusion of the new measure was performed. Data Collection/Extraction Methods: Public comment on the proposed measure was collected via an online survey, email, and virtual meetings in 2020. The survey of hospitals was conducted online by IBM in 2021. The analysis of hospital ranking compared the 2020 and 2021 IBM Watson Top 100 Hospitals program results. Principal Findings: More than 650 discrete comments from 83 stakeholders were received and analyzed during measure development. Key themes identified in thematic analysis included equity, fairness, and community priorities. Hospitals that responded to a cross-sectional survey reported meeting on average 76% of applicable best practice standards. Least met standards included providing emergent buprenorphine treatment for opioid use disorder (53%), supporting an evidence-based home visiting program (53%), and establishing a returning citizens employment program (27%). Thirty-seven hospitals shifted position in the 100 Top Hospital rankings after the inclusion of the new measure. Conclusions: There is broad interest in measuring hospital contributions to community health with a focus on equity. Many highly ranked hospitals report meeting best practice standards, but significant gaps remain. Improving measurement to incentivize greater hospital contributions to community health and equity is an important priority.
AB - Objective: To develop and implement a measure of how US hospitals contribute to community health with a focus on equity. Data Sources: Primary data from public comments and hospital surveys and secondary data from the IBM Watson Top 100 Hospitals program collected in the United States in 2020 and 2021. Study Design: A thematic analysis of public comments on the proposed measure was conducted using an iterative grounded approach for theme identification. A cross-sectional survey of 207 hospitals was conducted to assess self-attestation to 28 community health best practice standards in the revised measure. An analysis of hospital rankings before and after inclusion of the new measure was performed. Data Collection/Extraction Methods: Public comment on the proposed measure was collected via an online survey, email, and virtual meetings in 2020. The survey of hospitals was conducted online by IBM in 2021. The analysis of hospital ranking compared the 2020 and 2021 IBM Watson Top 100 Hospitals program results. Principal Findings: More than 650 discrete comments from 83 stakeholders were received and analyzed during measure development. Key themes identified in thematic analysis included equity, fairness, and community priorities. Hospitals that responded to a cross-sectional survey reported meeting on average 76% of applicable best practice standards. Least met standards included providing emergent buprenorphine treatment for opioid use disorder (53%), supporting an evidence-based home visiting program (53%), and establishing a returning citizens employment program (27%). Thirty-seven hospitals shifted position in the 100 Top Hospital rankings after the inclusion of the new measure. Conclusions: There is broad interest in measuring hospital contributions to community health with a focus on equity. Many highly ranked hospitals report meeting best practice standards, but significant gaps remain. Improving measurement to incentivize greater hospital contributions to community health and equity is an important priority.
KW - community health
KW - health care reporting
KW - health equity
KW - hospital quality
KW - measures
KW - methods
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U2 - 10.1111/1475-6773.14018
DO - 10.1111/1475-6773.14018
M3 - Article
C2 - 35798679
AN - SCOPUS:85134571765
SN - 0017-9124
VL - 57
SP - 304
EP - 314
JO - Health services research
JF - Health services research
IS - S2
ER -