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. Author manuscript; available in PMC: 2010 Dec 20.
Published in final edited form as: Health Aff (Millwood). 2009 Mar–Apr;28(2):526–532. doi: 10.1377/hlthaff.28.2.526

EXHIBIT 1.

Mean Hospital Performance Scores On Measures Of Quality, CMS/Premier Hospital Quality Initiative Demonstration (HQID) Segment For Hip And Knee Replacement

Mean hospital score (SD)

Top 20 percent Remaining hospitals p value
Proportion of patients who received prophylactic
antibiotics within 1 hour before surgical incision
90% (5.79) 83% (10.56) <0.0001

Proportion of patients who had appropriate
prophylactic antibiotic selection for surgical patients
99% (2.16) 97% (3.43) <0.030

Proportion of patients whose prophylactic antibiotics
were discontinued within 24 hours after surgery end time
85% (9.22) 73% (14.96) <0.030

Metabolic derangement avoidance indexa 1.00 (0.000138) 1.00 (0.000161) 0.913
Hematoma avoidance indexa 1.00 (0.000037) 1.00 (0.0000358) 0.864
Readmission (30-day) avoidance indexa 1.00 (0.0333) 1.00 (0.0272) 0.488

Composite quality score 0.9570 (0.0169) 0.8466 (0.0984) <0.0001

SOURCE: Authors’ analysis; see methods section in text.

NOTES: CMS is Centers fo Medicare and Medicaid Services. SD is standard deviation.

a

Top 50 percent performing hospitals only.