Table 3.
Adjusted odds ratios from multiple logistic regression of hospital overall rating regressed on number of care coordination strategies, controlling for county and hospital characteristics, with and without state fixed effects a
| Model #1 (without state fixed effects) | Model #2 (with state fixed effects) b | |||||
|---|---|---|---|---|---|---|
| AOR | p-value | 95% CI | AOR | p-value | 95% CI | |
| Number of Strategies (Ref: 0–2) | ||||||
| 3–4 Strategies | 2.42 | 0.007** | 1.28–4.58 | 2.21 | 0.027* | 1.09–4.46 |
| 5–7 Strategies | 2.85 | 0.002** | 1.47–5.50 | 1.96 | 0.070 | 0.95–4.08 |
| 8–12 Strategies | 2.68 | 0.002** | 1.43–5.03 | 2.05 | 0.047* | 1.01–4.17 |
| Hospital characteristics | ||||||
| Rural | 1.15 | 0. 843 | 0.41–2.96 | 0.84 | 0.751 | 0.29–2.46 |
| Academic | 1.06 | 0.773 | 0.70–1.62 | 1.06 | 0.804 | 0.66–1.70 |
| System-affiliated | 1.46 | 0.081 | 0.95–2.25 | 1.71 | 0.028* | 1.06–2.75 |
| Ownership status: Non-profit | Reference | Reference | ||||
| Public | 0.88 | 0.677 | 0.49–1.59 | 0.96 | 0.898 | 0.49–1.87 |
| For-profit | 0.24 | <0.001*** | 0.11–0.53 | 0.23 | 0.002** | 0.09–0.58 |
| Size: Small (Less than 100 Beds) | Reference | Reference | ||||
| Medium (100–399 Beds) | 0.77 | 0.316 | 0.49–1.28 | 1.12 | 0.705 | 0.63–1.97 |
| Large (More than 399 Beds) | 0.44 | 0.023* | 0.22–0.89 | 0.71 | 0.382 | 0.33–1.53 |
| Safety-net | 0.44 | 0.016* | 0.23–0.86 | 0.38 | 0.011* | 0.18–0.81 |
| RN FTEs per 1000 patient-days | 1.27 | 0.001** | 1.10–1.46 | 1.24 | 0.012* | 1.05–1.45 |
| Percent Discharges Medicare | 1.01 | 0.495 | 0.99–1.03 | 1.01 | 0.387 | 0.99–1.03 |
| County characteristics | ||||||
| Percent Below Poverty Level | 0.95 | 0.019* | 0.91–0.99 | 0.96 | 0.085 | 0.91–1.01 |
| Percent Black | 0.99 | 0.263 | 0.97–1.01 | 0.99 | 0.368 | 0.96–1.01 |
| Overall Rating Methodology | ||||||
| Number of Domains | 0.91 | 0.633 | 0.62–1.34 | 0.82 | 0.341 | 0.54–1.24 |
| Intercept | 0.31 | 0.433 | 0.02–5.68 | |||
| Observations | 671 | 635 | ||||
| Log likelihood | −362.83 | −263.53 | ||||
| LR chi2 | 72.19 | 48.96 | ||||
| Pseudo R2 | 0.0905 | |||||
| VIF | 1.62 | |||||
*p<0.05, **p<0.01, ***p<0.001
Eleven hospitals omitted because all hospitals participating in AHA Care Systems and Payment Survey received a high or low-rating.