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Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers
IMPORTANCE: Patient experience and patient safety are 2 major domains of health care quality; however empirical data on the association of physician vs nonphysician chief executive officers (CEOs) with public and private quality measures are rare but critical to evaluate as hospitals increasingly se...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Medical Association
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9561952/ https://www.ncbi.nlm.nih.gov/pubmed/36227592 http://dx.doi.org/10.1001/jamanetworkopen.2022.36621 |
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author | See, Helen Shreve, Lacey Hartzell, Sarah Daniel, Sarah Slonim, Anthony D. |
author_facet | See, Helen Shreve, Lacey Hartzell, Sarah Daniel, Sarah Slonim, Anthony D. |
author_sort | See, Helen |
collection | PubMed |
description | IMPORTANCE: Patient experience and patient safety are 2 major domains of health care quality; however empirical data on the association of physician vs nonphysician chief executive officers (CEOs) with public and private quality measures are rare but critical to evaluate as hospitals increasingly seek out physician CEOs. OBJECTIVES: To evaluate whether there is an association of CEO background with hospital quality and to investigate differences in hospital characteristics between hospitals with a physician CEO vs those with a nonphysician CEO. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used 2019 data from 3 sources (ie, the American Hospital Association [AHA] Annual Survey, the Hospital Consumer Assessment of Healthcare Providers and Systems [HCAHPS], and the Leapfrog Hospital Safety Grades) to identify statistical differences in hospital characteristics and outcomes. Data were analyzed from April to December 2021 . MAIN OUTCOMES AND MEASURES: Multivariable ordinal logistic regression was used to examine the association of physician CEOs with hospital quality assessment outcomes while controlling for other confounding factors. Characteristics from the AHA Annual Survey database were assessed as potential confounders, including hospital control, bed size, region, teaching status, and patient volume. RESULTS: The AHA database contained 6162 hospitals; 1759 (29%) had HCAHPS ratings, 1824 (30%) had Leapfrog grades, and 383 (6%) had physician CEOs. A positive Spearman correlation coefficient was found between physician CEOs and HCAHPS patient willingness to recommend the hospital (ρ = 0.0756; P = .002), but the association between CEO medical background and Leapfrog safety grades or HCAHPS ratings did not reach a level of significance in the multivariable ordinal logistic regression models. CONCLUSIONS AND RELEVANCE: In this study, a positive correlation was found between physician CEOs and HCAHPS patient willingness to recommend the hospital, but the multivariable analysis did not find an association between hospital physician CEOs and the examined quality and safety outcomes. |
format | Online Article Text |
id | pubmed-9561952 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | American Medical Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-95619522022-10-28 Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers See, Helen Shreve, Lacey Hartzell, Sarah Daniel, Sarah Slonim, Anthony D. JAMA Netw Open Original Investigation IMPORTANCE: Patient experience and patient safety are 2 major domains of health care quality; however empirical data on the association of physician vs nonphysician chief executive officers (CEOs) with public and private quality measures are rare but critical to evaluate as hospitals increasingly seek out physician CEOs. OBJECTIVES: To evaluate whether there is an association of CEO background with hospital quality and to investigate differences in hospital characteristics between hospitals with a physician CEO vs those with a nonphysician CEO. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used 2019 data from 3 sources (ie, the American Hospital Association [AHA] Annual Survey, the Hospital Consumer Assessment of Healthcare Providers and Systems [HCAHPS], and the Leapfrog Hospital Safety Grades) to identify statistical differences in hospital characteristics and outcomes. Data were analyzed from April to December 2021 . MAIN OUTCOMES AND MEASURES: Multivariable ordinal logistic regression was used to examine the association of physician CEOs with hospital quality assessment outcomes while controlling for other confounding factors. Characteristics from the AHA Annual Survey database were assessed as potential confounders, including hospital control, bed size, region, teaching status, and patient volume. RESULTS: The AHA database contained 6162 hospitals; 1759 (29%) had HCAHPS ratings, 1824 (30%) had Leapfrog grades, and 383 (6%) had physician CEOs. A positive Spearman correlation coefficient was found between physician CEOs and HCAHPS patient willingness to recommend the hospital (ρ = 0.0756; P = .002), but the association between CEO medical background and Leapfrog safety grades or HCAHPS ratings did not reach a level of significance in the multivariable ordinal logistic regression models. CONCLUSIONS AND RELEVANCE: In this study, a positive correlation was found between physician CEOs and HCAHPS patient willingness to recommend the hospital, but the multivariable analysis did not find an association between hospital physician CEOs and the examined quality and safety outcomes. American Medical Association 2022-10-13 /pmc/articles/PMC9561952/ /pubmed/36227592 http://dx.doi.org/10.1001/jamanetworkopen.2022.36621 Text en Copyright 2022 See H et al. JAMA Network Open. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the CC-BY License. |
spellingShingle | Original Investigation See, Helen Shreve, Lacey Hartzell, Sarah Daniel, Sarah Slonim, Anthony D. Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers |
title | Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers |
title_full | Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers |
title_fullStr | Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers |
title_full_unstemmed | Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers |
title_short | Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers |
title_sort | comparison of quality measures from us hospitals with physician vs nonphysician chief executive officers |
topic | Original Investigation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9561952/ https://www.ncbi.nlm.nih.gov/pubmed/36227592 http://dx.doi.org/10.1001/jamanetworkopen.2022.36621 |
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