Table 3.
Effect of Magnet Recognition on VBP Outcomes, Before and After Matching.
| Before matching | After matching | ||||
|---|---|---|---|---|---|
|
|
|
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| VBP outcomes | Unadjusted Coefficient (95% CI) | Adjusted for hospital characteristics Coefficient (95% CI) | VBP outcomes | Unadjusted Coefficient (95% CI) | Adjusted for hospital characteristics Coefficient (95% CI) |
| Total performance score (N=3,021) | −1.13 (−2.57, 0.31) | 2.73*** (1.27, 4.18) | Total performance score (N=576) | 1.60* (0.05, 3.14) | 1.66* (0.17, 3.16) |
| Domain scores | Domain scores | ||||
| Clinical process (N=2,906) | 3.37** (1.03, 5.72) | 3.61** (1.10, 6.11) | Clinical process (N=575) | 3.53* (0.78, 6.28) | 3.85** (1.10, 6.61) |
| Patient experience (N=2,990) | 0.93 (−1.43, 3.29) | 7.11*** (4.86, 9.36) | Patient experience (N=573) | 6.03*** (3.44, 8.61) | 6.33*** (3.86, 8.80) |
| Outcomea (N=2,720) | 1.66 (−0.49, 3.81) | 1.66 (−0.66, 3.98) | Outcomea (N=572) | 0.08 (−2.86, 3.01) | −0.05 (−3.01, 2.90) |
| Efficiencyb (N=3,012) | −1 09*** (−1.40, -0.77) | −0.32 (−0.66, 0.03) | Efficiencyb (N=575) | −0.45* (−0.87, −0.02) | −0.38 (−0.83, 0.07) |
Note. Adjusted for hospital size, profit status, technology status, teaching status, CBSA type, CMI: case-mix index; HHI: Herfindahl-Hirschman index.
a
Outcome domain excludes adjustment for CMI.
b
Percent of hospitals performing better than the national average on the Efficiency Domain.
*
p <.05.
**
p <.01.
***
p <.001.