Feds Launch Hospital Quality Comparisons
Database Rates Quality of Care for Heart Attacks, Heart Failure, and Pneumonia
April 1, 2005 -- Federal officials unveiled a new reporting system Friday allowing consumers to compare the quality of care at nearly all the nation's acute care hospitals.
The database let's patients compare hospitals' performance in care for several aspects of three diseases: heart attacks, congestive heart failure, and pneumonia. Individual hospitals are graded against a national average and also against grades from unnamed top-performing institutions.
The program does not evaluate hospitals on survival rates for patients with different ailments or on how well facilities are doing overall in treating the three diseases. Instead, institutions are graded on specific parts of care, such as providing aspirin to patients after heart attacks or oxygenation treatment to those admitted with pneumonia.
Officials from Medicare, which launched the database on its web site, billed it as an important way to spur
by shining light on their comparative track records. The program plans to spend an estimated $400 million on payment incentives to hospitals that agree to report quality data, they said.
Approximately 4,200 hospitals, or 99% of acute care facilities in the nation, are included in the database, said Mark B. McClellan, MD, head of the federal Centers for Medicare and Medicaid Services.
The database is not the first to compare limited quality measures at American hospitals. In July, the Joint Commission on Accreditation of Healthcare Organizations, a non-profit accrediting group for hospitals and health clinics, released a similar database, called
The Medicare database displays hospitals performance in up to 17 aspects of care for the three ailments. Hospitals are required to report on only 10 of the areas but are encouraged to report on all 17, officials said.
Hospitals that agreed to report the data did so in exchange for a 0.4% boost in Medicare payments. McClellan said that the site is also designed to spur care improvements and provide a competitive advantage to hospitals to boost performance.
"There is the potential benefit to attracting patients and being viewed for quality in your community," he told reporters. Medicare will add additional scores encompassing patient satisfaction and postsurgical infection rates "within the year," McClellan said.
The database was launched after years of hesitation from hospital and provider groups. Medicare, which has similar programs for nursing homes and home health providers, first attempted a hospital database two years ago. But it ran into resistance when many facilities could not agree on which measures to make public.
Supporters expressed hope that the program would also influence business decisions by health insurers and employers. "It would be our hope that we'd see a movement toward the high-quality providers and away from the low-quality [ones]," said Gerry Shea, director of governmental affairs for the AFL-CIO.