Health Affairs

Health Affairs, 22, no. 2 (2003): 60-71 doi: 10.1377/hlthaff.22.2.60 © 2003 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (13) Citing Articles via Google Scholar Google Scholar Articles by Mehrotra, A. Articles by Dudley, R. A. Search for Related Content PubMed PubMed Citation Articles by Mehrotra, A. Articles by Dudley, R. A. Related Collections Hospitals Insurance - Business Coalitions Business Of Health Quality Of Care

Employers & Quality

Employers’ Efforts To Measure And Improve Hospital Quality: Determinants Of Success

Ateev Mehrotra, Thomas Bodenheimer and R. Adams Dudley

We examined eleven communities in which an employer coalition created a report card to compare the performance of the community’s hospitals. After interviewing employer coalition and hospital representatives from each community, we found great variability in report cards’ capacity to prompt quality improvement. Although some were successful, others had less impact because of conflicts between employer coalitions and hospitals. Areas of disagreement included selection of appropriate goals, methodology of quality measurement, whether report cards should be publicly released, and the use of economic incentives to improve quality. We describe these conflicts and offer recommendations for future hospital report cards.

                      What's this?

This article has been cited by other articles:

				J. E. Schneider, T. R. Miller, R. L. Ohsfeldt, M. A. Morrisey, B. A. Zelner, and Pengxiang Li The Economics of Specialty Hospitals Med Care Res Rev, October 1, 2008; 65(5): 531 - 553. [Abstract] [PDF]

				C. P. Wen, S. P. Tsai, and W.-S. I. Chung A 10-Year Experience with Universal Health Insurance in Taiwan: Measuring Changes in Health and Health Disparity Ann Intern Med, February 19, 2008; 148(4): 258 - 267. [Abstract] [Full Text] [PDF]

				M. B. Rosenthal and R. A. Dudley Pay-for-Performance: Will the Latest Payment Trend Improve Care? JAMA, February 21, 2007; 297(7): 740 - 744. [Full Text] [PDF]

				H. H. Pham, J. Coughlan, and A. S. O'Malley The Impact Of Quality-Reporting Programs On Hospital Operations Health Aff., September 1, 2006; 25(5): 1412 - 1422. [Abstract] [Full Text] [PDF]

				N. J.O. Birkmeyer and J. D. Birkmeyer Strategies for improving surgical quality--should payers reward excellence or effort? N. Engl. J. Med., February 23, 2006; 354(8): 864 - 870. [Full Text] [PDF]

				E. L. Arsura, M. Lewis, A. K. Jha, J. B. Perlin, and R. A. Dudley The Quality of Care in the Veterans Affairs Health Care System N. Engl. J. Med., September 11, 2003; 349(11): 1093 - 1094. [Full Text] [PDF]