Table 2.
Physician (P) | Nurse (N) | Manager (M) | Home Care (H) | Prehospital (Ph) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Model of Performance/Indicator | Mean | SD | Rank | Mean | SD | Rank | Mean | SD | Rank | Mean | SD | Rank | Mean | SD | Rank | ||||
1. Time to thrombolysis for AMI *** | 6.42 | 0.72 | 1 | 6.63 | 0.97 | 1 | 6.55 | 0.75 | 1 | 6.4 | 1.18 | 3 | 6.71>P, C | 0.75 | 1 | ||||
2. Time to MD assessment** | 5.69 | 1.13 | 10 | 6.18> P | 0.89 | 11 | 6.15> P | 0.99 | 5 | 6.03 | 1.31 | 14 | 6.17> P | 0.96 | 4 | ||||
3. Time to thrombolysis for stroke*** | 4.78 | 2.11 | 69 | 6.45>P, M | 1.16 | 3 | 5.84>P | 1.77 | 23 | 6.45>P, M | 1.14 | 2 | 6.34>P | 1.39 | 2 | ||||
4. Availability of diagnostic testing** | 5.65 | 1.27 | 15 | 6.24>P, M | 0.81 | 8 | 5.8 | 1.1 | 27 | 5.93 | 1.24 | 25 | 6.04 | 0.95 | 9 | ||||
5. Time to triage*** | 5.55 | 1.24 | 20 | 6.14>P | 1.02 | 16 | 6.11>P | 1.05 | 8 | 5.98 | 1.35 | 18 | 6.2>P | 1.05 | 3 | ||||
6. Time to nursing assessment** | 5.57 | 1.12 | 18 | 6.19>P | 1 | 10 | 6.11>P | 1.01 | 7 | 5.98 | 1.33 | 17 | 6.04>P | 1.05 | 8 | ||||
7. Cycle time for diagnostic tests | 5.85 | 1.02 | 5 | 6.07 | 0.88 | 20 | 5.92 | 1.03 | 14 | 5.75 | 1.29 | 40 | 5.82 | 1.1 | 16 | ||||
8. Availability of MD consultants*** | 5.59 | 1.25 | 17 | 6.16>P, M, Ph | 0.9 | 14 | 5.71 | 1.33 | 31 | 6.01 | 1.04 | 16 | 5.75 | 1.04 | 19 | ||||
9. Time to pain management*** | 5.38 | 1.04 | 29 | 6.29>P, M, Ph | 0.85 | 6 | 5.86>P | 1.15 | 20 | 6.22>P | 1.17 | 7 | 5.86>P | 1.22 | 13 | ||||
10. Time from admission to transfer to inpatient unit*** | 5.66 | 1.21 | 13 | 6.23>all | 0.92 | 9 | 5.83 | 1.25 | 24 | 5.53 | 1.5 | 61 | 5.7 | 1.22 | 23 | ||||
11. Inpatient days in ED | 5.72 | 1.44 | 9 | 6.03 | 1.44 | 23 | 5.57 | 1.78 | 38 | 5.63 | 1.49 | 54 | 5.6 | 1.4 | 27 | ||||
12. Ambulance arrivals from other EDs*** | 5.09 | 1.67 | 48 | 5.23 | 1.92 | 78 | 4.58 | 2.18 | 93 | 5.38>M | 1.85 | 73 | 5.83> P, M | 1.55 | 15 | ||||
13. Critical patients transferred out due to no in-house critical care beds/services | 5.42 | 1.82 | 25 | 5.6 | 1.81 | 53 | 5.56 | 1.61 | 40 | 5.69 | 1.76 | 50 | 6.04 | 1.33 | 10 | ||||
14. Ambulance redirects *** | 5.37>M | 1.59 | 31 | 5.07 | 1.9 | 87 | 4.56 | 2.16 | 95 | 5.43>M | 1.85 | 68 | 6.12>All | 1.37 | 5 | ||||
15. Time on ambulance redirects*** | 5.06 | 1.52 | 51 | 5.5>M | 1.67 | 63 | 4.64 | 2.05 | 91 | 5.58>M | 1.61 | 59 | 6.01>P, M | 1.27 | 11 | ||||
16. Adverse events* | 5.65 | 1.19 | 14 | 6.09>P | 1.2 | 19 | 5.93 | 1.05 | 13 | 6.02 | 1.32 | 15 | 6.1>P | 1.1 | 6 | ||||
17. Client satisfaction–pain management*** | 5.41 | 1.2 | 26 | 6.17>P, Ph | 0.84 | 12 | 6.06>P, Ph | 0.87 | 10 | 6.14>P, Ph | 1.1 | 10 | 5.6 | 1.17 | 26 | ||||
18. Client satisfaction–outcomes of care*** | 5.56 | 1.25 | 19 | 6.3>P, Ph | 0.77 | 5 | 6.18>P, Ph | 0.87 | 4 | 6.1>P | 1.1 | 12 | 5.76 | 1.19 | 18 | ||||
19. Client satisfaction–quality of care*** | 5.54 | 1.26 | 21 | 6.25>P, H, Ph | 0.81 | 7 | 6.27>P, H, Ph | 0.8 | 3 | 5.93 | 1.16 | 24 | 5.8 | 1.09 | 17 | ||||
20. Client satisfaction–nursing care*** | 5.16 | 1.28 | 42 | 6.1>P, H, Ph | 0.97 | 18 | 6.06>P, Ph | 0.89 | 11 | 5.74>P | 1.24 | 41 | 5.43 | 1.16 | 41 | ||||
21. Client satisfaction–physician care*** | 5.27 | 1.31 | 36 | 5.98>P, Ph | 1.01 | 27 | 6.07>P, Ph | 0.85 | 9 | 5.81>P | 1.2 | 34 | 5.57 | 1.19 | 32 | ||||
22. Visits by triage category*** | 5.39 | 1.67 | 27 | 6.04>P, Ph | 1.07 | 22 | 6.41> all | 0.92 | 2 | 5.69 | 1.44 | 46 | 5.53 | 1.33 | 36 | ||||
23. Total cost of ED care*** | 5.1 | 1.41 | 47 | 5.48>Ph | 1.15 | 64 | 5.92>P, N.H | 1.21 | 15 | 5.4 | 1.64 | 69 | 5.06 | 1.39 | 70 | ||||
24. Staff satisfaction*** | 5.99 | 0.9 | 3 | 6.55>all | 0.76 | 2 | 6.14 | 0.84 | 6 | 5.96 | 1.3 | 22 | 6.08 | 1 | 7 | ||||
25. Total worked nursing hours*** | 5.29 | 1.42 | 35 | 6.17>P, M, H, Ph | 1.01 | 13 | 5.91>P, H | 1.15 | 16 | 5.44 | 1.66 | 65 | 5.58 | 1.29 | 30 | ||||
26. Nursing turnover* | 5.66 | 1.18 | 12 | 5.98>P, Ph | 1.26 | 25 | 5.97>Ph | 1.05 | 12 | 5.86 | 1.37 | 29 | 5.65 | 1.28 | 24 | ||||
27. Recruitment/retention activities** | 5.76 | 0.96 | 6 | 6.15>P, H, Ph | 1 | 15 | 5.81 | 1.23 | 26 | 5.71 | 1.45 | 44 | 5.58 | 1.33 | 29 | ||||
28. Physician workload | 5.87 | 0.9 | 4 | 5.91 | 1.14 | 35 | 5.91 | 0.99 | 17 | 5.69 | 1.47 | 47 | 5.88 | 1.1 | 12 | ||||
29. Follow-up for x-ray discrepancies | 5.67 | 0.12 | 11 | 5.56 | 1.18 | 59 | 5.66 | 1.33 | 34 | 5.84 | 1.2 | 32 | 5.63 | 0.1 | 25 | ||||
30. Physician turnover | 5.74 | 1.11 | 7 | 5.68 | 1.29 | 48 | 5.87 | 1.11 | 19 | 5.8 | 1.34 | 35 | 5.73 | 1.29 | 21 | ||||
31. Opportunities for staff training/certification*** | 5.73 | 1.02 | 8 | 6.43> all | 0.89 | 4 | 5.85 | 1.18 | 22 | 5.96 | 1.33 | 23 | 5.84 | 1.26 | 14 | ||||
32. Treatment information is provided to family MD*** | 5.6 | 1.26 | 16 | 5.63 | 1.2 | 50 | 5.58 | 1.33 | 37 | 6.11>all | 1.12 | 11 | 5.3 | 1.42 | 51 | ||||
33. Access to primary care in the community*** | 6.11>Ph | 1.03 | 2 | 5.87 | 1 | 38 | 5.69 | 1.28 | 33 | 6.35>N, M, Ph | 0.87 | 5 | 5.57 | 1.38 | 31 | ||||
34. ED and community staff examine scope of care*** | 4.7 | 1.54 | 75 | 5.4>P | 1.34 | 71 | 5.05 | 1.38 | 74 | 6.39>all | 0.87 | 4 | 5.17 | 1.38 | 60 | ||||
35. Community participates in ED planning/evaluation*** | 4.37 | 0.14 | 84 | 5.15 | 1.35 | 81 | 4.82 | .11 | 83 | 6.15>all | 0.07 | 9 | 4.6 | .1 | 89 | ||||
36. Return visits linked to breakdown of in-home care*** | 4.73 | 1.77 | 71 | 5.14 | 1.4 | 82 | 5.05 | 1.51 | 75 | 6.19>all | 1.06 | 8 | 4.74 | 1.65 | 83 | ||||
37. Availability/use of community staff*** | 4.96 | 1.3 | 60 | 5.61>P, Ph | 1.16 | 51 | 5.3>Ph | 1.28 | 62 | 6.29>all | 0.88 | 6 | 4.57 | 1.47 | 90 | ||||
38. Appropriate patients are referred to community staff*** | 4.93 | 1.3 | 61 | 5.43>P, Ph | 1.23 | 70 | 5.26>Ph | 1.26 | 63 | 6.46>all | 0.67 | 1 | 4.74 | 1.5 | 82 | ||||
39. Return visits that result in hospitalization*** | 5.14 | 1.21 | 43 | 5.58>P | 1.16 | 56 | 5.51 | 1.27 | 47 | 6.07>all | 1.04 | 13 | 5.4 | 1.36 | 44 |
p <.05;
p <.01;
p <.001;
Post-hoc analysis are summarized using a greater than (>) sign to denote the significant group differences.