Table 2:
Comparison of care coordination strategies implementation, hospital characteristics, and county-characteristics between high-rated (4 or 5 star) and low-rated (1, 2, or 3 star) hospitals who answered one or more care coordination questions a
| Total (n=710) | 1–3 Star Hospitals (n=505) | 4–5 Star Hospitals (n=205) | 1–3 vs. 4–5 Stars | |
|---|---|---|---|---|
| Mean (SE) | Mean (SE) | Mean (SE) | p-value | |
| Mean Number of Strategies | 5.69 (0.13) | 5.48 (0.15) | 6.22 (0.23) | 0.007** |
| 0–2 strategies (%) | 15.80% (1.41%) | 18.46% (1.77%) | 8.99% (2.08%) | 0.012 |
| 3–4 strategies (%) | 30.25% (1.77%) | 30.71% (2.10%) | 29.10% (3.30%) | |
| 5–7 strategies (%) | 22.65% (1.61%) | 21.58% (1.87%) | 25.40% (3.17%) | |
| 8–12 strategies (%) | 31.30% (1.78%) | 29.25% (2.07%) | 36.51% (3.50%) | |
| Care Coordination Strategies | ||||
| Predictive Analytics (%) | 25.46% (1.64%) | 24.50% (1.92%) | 27.80% (3.14%) | 0.370 |
| Medication Reconciliation (%) | 90.35% (1.11%) | 89.07% (1.39%) | 93.56% (1.73%) | 0.043* |
| Hospitalists (%) | 90.20% (1.12%) | 89.20% (1.39%) | 92.65% (1.83%) | 0.135 |
| Visit Summaries (%) | 54.65% (1.88%) | 51.50% (2.24%) | 62.50% (3.43%) | 0.008** |
| Outreach after Discharge (%) | 64.91% (1.80%) | 61.72% (2.18%) | 72.77% (3.14%) | 0.004** |
| Home Visits (%) | 31.96% (1.76%) | 31.80% (2.08%) | 32.35% (3.28%) | 0.887 |
| Prospective Patient Management (%) | 37.11% (1.82%) | 36.85% (2.16%) | 37.75% (3.40%) | 0.825 |
| Discharge Care Plans (%) | 30.06% (1.73%) | 27.35% (1.99%) | 36.82% (3.41%) | 0.017* |
| Outpatient Follow-up (%) | 36.75% (1.82%) | 34.40% (2.13%) | 42.57% (3.49%) | 0.046* |
| Chronic Care Management (%) | 39.26% (1.84%) | 36.80% (2.16%) | 45.32% (3.50%) | 0.039* |
| Disease Management Programs (%) | 40.97% (1.86%) | 38.08% (2.18%) | 48.04% (3.51%) | 0.016* |
| Nurse Case Manager (%) | 33.71% (1.78%) | 32.26% (2.09%) | 37.25% (3.39%) | 0.212 |
| Hospital characteristics | ||||
| Rural (%) | 5.77% (0.88%) | 6.14% (1.07%) | 4.88% (1.51%) | 0.496 |
| Academic (%) | 47.89% (1.87%) | 48.12% (2.23%) | 47.32% (3.50%) | 0.847 |
| System-affiliated (%) | 68.17% (1.75%) | 66.93% (2.10%) | 71.22% (3.17%) | 0.260 |
| Ownership status | ||||
| Public (%) | 15.77% (1.37%) | 17.62% (1.70%) | 11.22% (2.20%) | <0.001** |
| Non-profit (%) | 74.36% (1.64%) | 70.30% (2.03%) | 84.39% (2.53%) | |
| For-profit (%) | 9.86% (1.12%) | 12.08% (1.45%) | 4.39% (1.43%) | |
| Hospital size | ||||
| Small (<100 beds) (%) | 23.24% (1.59%) | 22.57% (1.86%) | 24.88% (3.02%) | 0.263 |
| Medium (100–399 beds) (%) | 54.23% (1.87%) | 53.27% (2.22%) | 56.59% (3.46%) | |
| Large (>399 beds) (%) | 22.54% (1.57%) | 24.16% (1.90%) | 18.54% (2.71%) | |
| Safety net (%) | 14.79% (1.33%) | 18.02% (1.71%) | 6.83% (1.77%) | <0.001*** |
| Mean RN FTEs per 1000 patient-days | 3.98 (0.06) | 3.88 (0.06) | 4.24 (0.10) | 0.003** |
| Mean percent discharges Medicare | 47.94% (0.43%) | 47.41% (0.54%) | 49.25% (0.65%) | 0.029* |
| County characteristics | ||||
| Mean percent in poverty | 15.18% (0.21%) | 15.74% (0.25%) | 13.80% (0.35%) | <0.001*** |
| Mean percent Black | 11.78% (0.47%) | 12.75% (0.59%) | 9.39% (0.73%) | <0.001*** |
| Overall Rating Methodology | ||||
| Mean number contributing measures | 47.26 (0.29) | 46.94 (0.35) | 48.05 (0.50) | 0.068 |
| Mean number contributing domains | 6.78 (0.02) | 6.77 (0.02) | 6.82 (0.05) | 0.359 |
a.
*p<0.05, **p<0.01, ***p<0.001