Table 3.
Multivariable Model Parameter Estimates
| Covariate* |
QI Strategies and Practices |
Composite HQA Process of Care |
Observed to Expected Mortality Rate |
||||||
|---|---|---|---|---|---|---|---|---|---|
| Beta | 95% CI | P | Beta | 95% CI | P | Beta | 95% CI | P | |
| bed-size category |
|
|
0.285 |
|
|
0.022 |
|
|
0.972 |
| 25-99 beds |
−0.177 |
−0.398, 0.045 |
0.119 |
−0.04 |
−0.07, -0.010 |
0.009 |
0.007 |
−0.123, 0.137 |
0.916 |
| 100-399 beds |
−0.057 |
−0.205, 0.091 |
0.453 |
−0.011 |
−0.032, 0.010 |
0.308 |
−0.004 |
−0.103, 0.095 |
0.940 |
| ownership type |
|
|
0.438 |
|
|
0.001 |
|
|
0.626 |
| government |
−0.159 |
−0.404, 0.086 |
0.204 |
−0.003 |
−0.046, 0.039 |
0.881 |
−0.017 |
−0.205, 0.170 |
0.856 |
| not-for-profit |
−0.122 |
−0.334, 0.090 |
0.260 |
0.034 |
−0.006, 0.073 |
0.093 |
−0.053 |
−0.229, 0.124 |
0.557 |
| urban |
0.079 |
−0.078, 0.236 |
0.323 |
−0.009 |
−0.029, 0.010 |
0.353 |
−0.098 |
−0.181, -0.014 |
0.022 |
| non-teaching |
0.046 |
−0.113, 0.205 |
0.569 |
0.006 |
−0.017, 0.029 |
0.607 |
0.050 |
−0.056, 0.156 |
0.350 |
| HIT category |
|
|
0.003 |
|
|
0.257 |
|
|
0.005 |
| low |
−0.378 |
−0.610, -0.146 |
0.001 |
−0.021 |
−0.049, 0.008 |
0.157 |
0.065 |
−0.061, 0.191 |
0.312 |
| medium |
−0.084 |
−0.236, 0.068 |
0.277 |
−0.016 |
−0.037, 0.004 |
0.122 |
−0.076 |
−0.172, 0.020 |
0.121 |
| commitment |
0.123 |
−0.091, 0.336 |
0.261 |
0.03 |
0.002, 0.058 |
0.037 |
−0.029 |
−0.155, 0.096 |
0.646 |
| resources |
0.090 |
−0.085, 0.265 |
0.312 |
0.007 |
−0.015, 0.029 |
0.545 |
−0.010 |
−0.109, 0.089 |
0.842 |
| R2 |
0.109 |
|
|
0.136 |
|
|
0.072 |
|
|
| |
HCAHPS Patient Satisfaction |
Quality Manager Assessment of Patient Care Quality |
Front-line Clinicians’ Assessment of Patient Care Quality |
||||||
| Covariate* |
Beta |
95% CI |
P |
Beta |
95% CI |
P |
Beta |
95% CI |
P |
| bed-size category |
|
|
0.002 |
|
|
0.153 |
|
|
0.006 |
| 25-99 beds |
2.390 |
−1.493, 6.273 |
0.227 |
0.119 |
−0.186, 0.424 |
0.443 |
0.112 |
0.004, 0.220 |
0.042 |
| 100-399 beds |
−2.256 |
−4.977, 0.466 |
0.104 |
−0.082 |
−0.316, 0.153 |
0.493 |
−0.011 |
−0.094, 0.072 |
0.797 |
| ownership type |
|
|
0.001 |
|
|
0.613 |
|
|
0.094 |
| government |
8.952 |
3.467, 14.437 |
0.001 |
0.207 |
−0.221, 0.634 |
0.343 |
0.168 |
0.015, 0.320 |
0.031 |
| not-for-profit |
9.373 |
4.400, 14.347 |
0.000 |
0.199 |
−0.203, 0.601 |
0.331 |
0.130 |
−0.013, 0.274 |
0.075 |
| urban |
−0.149 |
−2.569, 2.271 |
0.903 |
0.056 |
−0.137, 0.249 |
0.570 |
−0.021 |
−0.089, 0.048 |
0.557 |
| non-teaching |
−1.220 |
−4.030, 1.590 |
0.393 |
−0.030 |
−0.280, 0.220 |
0.813 |
−0.097 |
−0.186, -0.008 |
0.032 |
| HIT category |
|
|
0.000 |
|
|
0.006 |
|
|
0.392 |
| low |
−7.208 |
−11.047, -3.680 |
0.000 |
−0.439 |
−0.730, -0.147 |
0.003 |
−0.067 |
−0.170, 0.036 |
0.202 |
| medium |
−1.177 |
−3.776, 1.421 |
0.370 |
−0.342 |
−0.567, -0.117 |
0.003 |
−0.022 |
−0.102, 0.058 |
0.586 |
| commitment |
2.686 |
−0.889, 6.261 |
0.140 |
0.337 |
0.050, 0.623 |
0.021 |
0.370 |
0.268, 0.473 |
0.000 |
| resources |
2.814 |
0.029, 5.599 |
0.048 |
0.022 |
−0.209, 0.253 |
0.851 |
0.354 |
0.271, 0.436 |
0.000 |
| R2 | 0.228 | 0.078 | 0.579+ | ||||||
* The reference category is excluded for each covariate, e.g. estimates for non-teaching hospitals are relative to teaching hospitals.
+ High R2 is due to the strong relationship between the commitment question and the quality performance measure question.