Table 1.
Unadjusted Average Process Compliance by Pay-for-Performance (P4P) and Public-Reporting-Only Hospitals, Fiscal Years 2003–2005
| P4P Hospitals |
Reporting Early Adopters |
Public-Reporting Only |
|||||||
|---|---|---|---|---|---|---|---|---|---|
| Year 1 | Year 3 | Gain | Year 1 | Year 3 | Gain | Year 1 | Year 3 | Gain | |
| AMI easy composite | 93.3 (4.8) | 96.5 (3.0) | 3.2 | 92.5 (6.1) | 95.5 (3.9) | 3.0 | 91.9 (6.7) | 95.3 (4.1) | 3.4 |
| Aspirin at arrival (E) | 95.0 (4.3) | 97.2 (2.9) | 2.2 | 94.7 (5.1) | 96.5 (3.4) | 1.8 | 94.5 (5.1) | 96.4 (3.4) | 1.9 |
| Aspirin at discharge (E) | 94.1 (6.6) | 96.8 (4.3) | 2.6 | 92.9 (8.1) | 95.5 (5.2) | 2.6 | 92.2 (9.1) | 95.2 (5.8) | 3.0 |
| β-Blockers at arrival (E) | 79.6 (14.2) | 88.5 (10.7) | 8.8 | 89.9 (9.2) | 93.6 (5.5) | 3.7 | 78.2 (17.9) | 85.3 (11.6) | 7.1 |
| β-Blockers at discharge (E) | 92.5 (6.8) | 96.8 (3.7) | 4.2 | 91.2 (8.8) | 95.6 (4.8) | 4.5 | 90.2 (9.6) | 95.2 (5.3) | 5.0 |
| ACE-inhibitors for LVSD (difficult measure) | 90.7 (7.2) | 94.9 (4.3) | 4.2 | 79.2 (16.9) | 86.0 (11.2) | 6.7 | 89.1 (9.8) | 93.4 (5.6) | 4.3 |
| Heart failure (HF) easy composite | 59.1 (24.8) | 78.3 (13.8) | 19.2 | 53.3 (25.4) | 72.3 (17.5) | 19.0 | 51.7 (26.3) | 71.4 (17.8) | 19.7 |
| Discharge instructions (E) | 56.0 (27.0) | 74.5 (16.3) | 18.5 | 49.7 (26.9) | 68.4 (19.9) | 18.8 | 47.9 (28.0) | 67.4 (20.2) | 19.5 |
| Smoking cessation advice (E) | 75.7 (20.8) | 95.8 (6.7) | 20.1 | 69.1 (26.3) | 90.5 (11.9) | 21.3 | 68.1 (26.8) | 90.1 (12.1) | 22.0 |
| HF difficult composite | 86.2 (7.4) | 93.5 (4.8) | 7.3 | 85.0 (9.3) | 91.6 (5.4) | 84.3 (9.5) | 91.1 (5.9) | 6.8 | |
| ACE-inhibitors for LVSD | 89.0 (7.7) | 95.5 (4.6) | 6.4 | 88.1 (9.7) | 94.0 (5.4) | 6.0 | 87.3 (10.0) | 93.5 (6.1) | 6.2 |
| Left ventricular assessment | 78.5 (12.2) | 88.2 (8.3) | 9.8 | 76.2 (14.0) | 85.5 (8.6) | 9.4 | 75.8 (14.2) | 85.1 (9.1) | 9.3 |
| Pneumonia easy composite | 98.9 (2.1) | 99.8 (0.5) | 0.9 | 98.8 (2.7) | 99.7 (0.7) | 0.9 | 98.7 (2.6) | 99.7 (0.8) | 1.0 |
| Pneumonia vaccination status (E) | 51.6 (24.3) | 80.9 (13.0) | 29.3 | 43.3 (25.8) | 71.9 (18.0) | 28.6 | 42.1 (25.5) | 70.6 (18.8) | 28.5 |
| Oxygenation assessment (E) | 98.9 (2.1) | 99.8 (0.5) | 0.9 | 98.8 (2.7) | 99.7 (0.7) | 0.9 | 98.7 (2.6) | 99.7 (0.8) | 0.9 |
| Pneumonia difficult composite | 66.2 (10.3) | 83.8 (6.9) | 17.6 | 63.7 (11.3) | 79.2 (9.2) | 15.5 | 63.2 (11.3) | 78.6 (9.4) | 15.4 |
| Blood culture preantibiotics | 83.4 (7.8) | 92.1 (5.4) | 8.6 | 82.3 (9.5) | 89.9 (6.4) | 7.6 | 82.3 (9.8) | 89.7 (6.5) | 7.4 |
| Antibiotic timing | 68.7 (9.5) | 80.3 (7.6) | 11.6 | 68.5 (11.6) | 77.4 (10.3) | 8.8 | 68.3 (11.6) | 77.0 (10.3) | 8.6 |
| % Medicare patient days | 0.51 (0.11) | 0.50 (0.13) | 0.50 (0.13) | ||||||
| RN:patient ratio | 0.02 (0.01) | 0.02 (0.01) | 0.02 (0.01) | ||||||
| Quality reporting | 0.78 (0.41) | 0.76 (0.43) | |||||||
| Teaching hospital | 0.38 (0.49) | 0.28 (0.45) | 0.27 (0.45) | ||||||
| Observations | 145 | 842 | 1,089 | ||||||
Note. Standard deviations in parentheses. (E) indicates easy tasks. Summary statistics of process compliance for P4P and public-reporting-only hospitals reporting on at least 30 patients with targeted admissions annually. Public-reporting column includes early adopters.
AMI, acute myocardial infarction; LVSD, left ventricular systolic dysfunction; RN, registered nurse.