Table 3.
Heart Attack | Heart Failure | Pneumonia | Heart Attack | Heart Failure | Pneumonia | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Easy | Hard | Easy | Hard | Easy | Hard | Easy | Hard | Easy | Hard | Easy | Hard | |
P4P | 1.24** | 0.76 | 5.20* | 0.99 | 0.19 | 2.20* | 1.00** | 0.24 | 2.57 | −0.4 | 0.23 | 1.23 |
(0.43) | (1.36) | (2.52) | (0.74) | (0.16) | (0.99) | (0.34) | (1.49) | (3.08) | (0.92) | (0.20) | (0.79) | |
Year 2 | 1.30** | 3.74** | 8.04** | 4.23** | 0.62** | 8.73** | 1.32** | 4.02** | 8.33** | 4.33** | 0.61** | 8.61** |
(0.17) | (0.62) | (0.84) | (0.27) | (0.09) | (0.30) | (0.17) | (0.62) | (0.80) | (0.27) | (0.09) | (0.29) | |
Year 3 | 2.67** | 6.32** | 18.83** | 6.48** | 0.93** | 15.66** | 2.68** | 6.55** | 19.04** | 6.57** | 0.92** | 15.56** |
(0.19) | (0.65) | (0.96) | (0.30) | (0.10) | (0.35) | (0.20) | (0.66) | (0.93) | (0.30) | (0.09) | (0.35) | |
P4P × Year 2 | −0.04 | 0.89 | 3.64 | 0.36 | 0.06 | 2.15** | 0.05 | 1.02 | 2.27 | 0.16 | 0.04 | 2.01** |
(0.37) | (1.56) | (2.09) | (0.65) | (0.17) | (0.68) | (0.37) | (1.52) | (1.94) | (0.64) | (0.16) | (0.69) | |
P4P × Year 3 | 0.23 | 2.39 | 2.47 | 0.6 | −0.08 | 2.19** | 0.32 | 2.54 | 1.34 | 0.42 | −0.09 | 2.05* |
(0.42) | (1.57) | (2.41) | (0.70) | (0.18) | (0.83) | (0.42) | (1.55) | (2.32) | (0.68) | (0.17) | (0.83) | |
Teaching hospital | 1.31** | 0.89 | −0.11 | 1.97** | 0.20* | −1.37* | 0.44** | −0.53 | −2.53* | 1.12** | 0.25** | −0.09 |
(0.25) | (0.65) | (1.33) | (0.38) | (0.08) | (0.61) | (0.15) | (0.56) | (1.01) | (0.28) | (0.08) | (0.35) | |
% Medicare admits | 0.002 | −0.05* | 0.15** | 0.006 | −0.001 | 0.17** | 0.003 | 0.03 | 0.14** | 0.004 | −0.007* | 0.10** |
(0.01) | (0.02) | (0.02) | (0.007) | (0.002) | (0.01) | (0.004) | (0.02) | (0.02) | (0.01) | (0.002) | (0.01) | |
RN per admission | 0.35* | 0.53 | 1.01 | 0.52* | 0.05 | 0.05 | 0.04 | 0.11 | 0.40 | 0.29 | 0.04 | −0.22 |
(0.15) | (0.39) | (0.82) | (0.21) | (0.04) | (0.37) | (0.09) | (0.33) | (0.59) | (0.16) | (0.04) | (0.20) | |
Low volume quarterly | −0.97** | −1.09 | −0.46 | −0.31 | −0.07 | 0.8 | −1.21** | −0.78 | −0.01 | −0.17 | −0.1 | 0.47 |
(0.30) | (0.93) | (1.17) | (0.44) | (0.09) | (0.42) | (0.24) | (0.84) | (1.03) | (0.39) | (0.09) | (0.34) | |
High volume quarterly | 0.94** | 1.14* | 0.35 | 0.22 | 0.06 | 0.000 | 0.70** | 0.21 | −0.06 | 0.11 | 0.07 | 0.38 |
(0.18) | (0.56) | (0.89) | (0.30) | (0.07) | (1.06) | (0.18) | (0.55) | (0.90) | (0.29) | (0.08) | (1.14) | |
P4P × low volume | −1.56* | −0.89 | 3.94 | 0 | −0.35 | 1.12 | −0.78 | 1.29 | 2.38 | −0.29 | −0.44 | −0.22 |
(0.73) | (2.23) | (3.11) | (1.09) | (0.27) | (1.13) | (0.55) | (1.90) | (2.62) | (0.97) | (0.29) | (0.79) | |
P4P × high volume | −0.76* | −1.51 | −3.76 | 0.01 | −0.02 | 2.14 | −0.66 | −1.02 | −1.75 | 0.29 | 0.07 | 1.9 |
(0.37) | (1.31) | (2.40) | (0.66) | (0.19) | (1.60) | (0.35) | (1.22) | (2.35) | (0.66) | (0.21) | (1.70) | |
Initial performance quintile and interaction | No | No | No | No | No | No | Yes | Yes | Yes | Yes | Yes | Yes |
R2 | 0.15 | 0.06 | 0.14 | 0.16 | 0.06 | 0.35 | 0.51 | 0.2 | 0.41 | 0.42 | 0.09 | 0.69 |
Note. Robust standard errors in parentheses. 987 hospitals engaged in some form of voluntary public reporting prior in 2003.
Significant at 5%.
Significant at 1%.
RN, registered nurses.