Table 3. New Data Collection or Abstraction Activities for Quality Measurement.
| Clinical Area | Hospital has Initiated New Data Collection or Abstraction Activities | Hospital has Initiated New Efforts to Improve Documentation of Care | ||||||
|---|---|---|---|---|---|---|---|---|
|
|
|
|||||||
| Of Hospitals that Initiated These New Activities1 | Large, JCAHO Accredited | Small, Non-JCAHO Accredited | Others | Of All Hospitals | Large, JCAHO Accredited | Small, Non-JCAHO Accredited | Others | |
|
| ||||||||
| Percent | ||||||||
| Heart Attacks2,3 | 66.6 | 72.9 | 57.7 | 66.7 | 90.0 | 98.4 | 81.0 | 89.9 |
| Heart Failure3 | 67.3 | 69.3 | 64.8 | 67.2 | 94.5 | 100.0 | 90.0 | 94.1 |
| Pneumonia3 | 69.0 | 72.2 | 67.9 | 68.2 | 93.5 | 97.3 | 88.8 | 93.6 |
| Surgical Infection Prevention3,4 | 78.0 | 82.0 | 46.7 | 82.9 | 74.3 | 88.8 | 51.0 | 76.3 |
| ICU3,4 | 25.2 | 36.8 | 15.7 | 23.5 | 10.4 | 21.7 | 7.2 | 8.0 |
| Stroke (CVA)3,4 | 9.3 | 26.0 | 3.6 | 5.4 | 7.4 | 10.8 | 1.8 | 4.0 |
| All Clinical Areas4 | 7.3 | 6.6 | 9.0 | 7.3 | 12.6 | 22.6 | 5.0 | 11.8 |
Of all hospitals, 85 percent initiated new data collection or abstraction activities, as did 93 percent of all large, JCAHO accredited hospitals, 67 percent of small, non-JCAHO accredited hospitals, and 87 percent of other hospitals.
Chi-square test significant, p<0.10, for significantly different responses among the hospital subgroups large, JCAHO accredited; small, non-JCAHO accredited; and others, as to whether they initiated new data collection or abstraction activities for this condition.
Chi-square test significant, p<0.05, for significantly different responses among the hospital subgroups large, JCAHO accredited; small, non-JCAHO accredited; and others, as to whether they initiated new efforts to improve documentation of care for this condition.
Chi-square test significant, p<0.05, for significantly different responses among the hospital subgroups large, JCAHO accredited; small, non-JCAHO accredited; and others, as to whether they initiated new data collection or abstraction activities for this condition.
NOTES: As a percent of all QI directors. JCAHO is Joint Commission on Accreditation of Healthcare Organizations. ICU is intensive care unit. CVA is cerebrovascular accident.
SOURCE: Laschober, M., Maxfield, M., Felt-Lisk, S., Mathematica Policy Research, Inc., and Miranda, D., Centers for Medicare & Medicaid Services, 2005.