Table 4.

Associations of QMSI, QMCI and CQII with department-level quality measures (significant results of P < 0.05 are marked in bold)

Pathway	Hospital-level quality measure	Specialized expertise and responsibility (0–4)				Evidence-based organization (0–4)				Patient safety strategies (0–4)				Clinical review (0–4)
		b	SE	pr >|t|	ICC	b	SE	pr >|t|	ICC	b	SE	pr >|t|	ICC	b	SE	pr >|t|	ICC
AMI (N = 69)	QMSIa (Index 0–27)	0.026	0.030	0.383	0.511	−0.039	0.029	0.190	0.197	0.044	0.017	0.014	0.015	0.058	0.040	0.150	0.350
	QMCIa,b (Index 0–16)	0.114	0.043	0.010	0.456	0.148	0.041	0.001	0.104	0.089	0.024	0.001	0.000	0.074	0.060	0.217	0.319
	CQIIa,b,c (Score 0–14)	0.047	0.050	0.352	0.447	0.027	0.047	0.566	0.101	0.058	0.028	0.045	0.000	0.044	0.069	0.526	0.319
Deliveries (N = 69)	QMSIa (Index 0–27)	0.031	0.032	0.342	0.316	−0.003	0.010	0.755	0.389	0.035	0.020	0.079	0.150	0.063	0.042	0.137	0.326
	QMCIa,b (Index 0–16)	0.149	0.046	0.002	0.188	0.029	0.015	0.061	0.397	0.109	0.026	0.001	0.000	0.130	0.062	0.040	0.258
	CQIIa,b,c (Score 0–14)	0.044	0.055	0.426	0.150	0.009	0.018	0.632	0.400	0.038	0.031	0.234	0.012	0.067	0.073	0.366	0.260
Hip fracture (N = 71)	QMSIa (Index 0–27)	0.014	0.029	0.644	0.266	−0.045	0.027	0.010	0.574	0.043	0.017	0.015	0.000	0.080	0.036	0.030	0.342
	QMCIa,b (Index 0–16)	0.176	0.039	<.001	0.148	0.113	0.039	0.005	0.578	0.089	0.025	0.001	0.000	0.125	0.053	0.021	0.405
	CQIIa,b,c (Score 0–14)	0.003	0.046	0.952	0.148	0.024	0.045	0.601	0.563	0.039	0.029	0.178	0.000	0.003	0.061	0.962	0.402
Stroke (N = 71)	QMSIa (Index 0–27)	0.047	0.034	0.171	0.519	0.031	0.028	0.273	0.403	0.050	0.017	0.006	0.000	0.128	0.041	0.003	0.441
	QMCIa,b (Index 0–16)	0.119	0.049	0.019	0.477	0.104	0.041	0.015	0.320	0.097	0.025	0.001	0.000	0.151	0.061	0.016	0.417
	CQIIa,b,c (Score 0–14)	−0.028	0.057	0.628	0.468	0.001	0.048	0.981	0.318	0.074	0.028	0.010	0.010	0.016	0.070	0.822	0.417

^aMultivariate mixed linear regression with random intercept by country, and adjusted for fixed effects at the hospital level (ownership, teaching status and number of bed).

^bAdditionally adjusted for fixed effect at the hospital level: QMSI.

^cAdditionally adjusted for fixed effect at the hospital level: QMCI.