![]() One hundred thirty eight hospitals and 35,998 patients were included in the analysis. Two-level logistic regression models were used to construct unadjusted and risk-adjusted caterpillar plots to compare inter-hospital variability in inpatient fall rates. After excluding maternity and outpatient wards, all inpatients older than 18 years were included. Methodsĭata on inpatient falls in Swiss acute care hospitals were collected on one day in 2017, 20, as part of an annual multicentre cross-sectional survey. Therefore, the aims of this study were to develop an inpatient fall risk adjustment model based on patient-related fall risk factors, and to analyse the impact of applying this model on comparisons of inpatient fall rates in acute care hospitals in Switzerland. Research on risk-adjusted fall rates and their impact on hospital comparisons is currently sparse. Thereafter, the remaining variability in risk-adjusted fall rates can be attributed to differences in quality of care provided by a hospital. To improve the comparability of performance between hospitals, adjustments for patient-related fall risk factors that are not modifiable by care are recommended. Patient experience of care is measures by a national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. This is also referred to as HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems).Comparing inpatient fall rates can serve as a benchmark for quality improvement.Outcome measures are measures designed to reflect the results of care, rather than whether or not a specific treatment or intervention was performed.Providing this information allows consumers to compare the performance of a health care provider to other providers in their state and the nation. These measures convert patient medical record information into percentages and/or rates of performance. Process of care measures are measures that show whether or not a health care provider gives recommended care based on guidelines, standards of care or practice parameters that is, the treatment known to give the best results for most patients with a particular condition.The Hospital IQR Program was established by Section 501(b) of the Medicare Modernization Act (MMA (PDF)) of 2003 and extended and expanded by Section 5001(a) of the Deficit Reduction Act of 2005.Ĭare Compare currently provides quality measure information on: Most of the participants are short-term acute care hospitals that will receive a reduction to the annual update of their Medicare fee-for-service payment rate if they do not participate by submitting data or meet other requirements of the Hospital Inpatient Quality Reporting (IQR) Program. The Centers for Medicare & Medicaid Services (CMS) and the nation’s hospitals work collaboratively to publicly report hospital quality performance information on Care Compare website located at and the Provider Data Catalog on .Ĭare Compare displays hospital performance data in a consistent, unified manner to ensure the availability of credible information about the care delivered in the nation’s hospitals.
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