From: Association between value-based purchasing score and hospital characteristics
VARIABLES | OVERALL | QUARTILE 1 | QUARTILE 2 | QUARTILE 3 | QUARTILE 4 | P VALUE | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | Mean | SD | Mean | SD | ||
CASE MIX INDEX | 1.4 | 0.3 | 1.4 | 0.2 | 1.4 | 0.2 | 1.4 | 0.3 | 1.4 | 0.3 | 0.05 |
DISPROPORTIONATE SHARE PERCENT | 26.7 | 16.3 | 29.5 | 19.1 | 28.0 | 15.7 | 25.0 | 14.2 | 24.1 | 14.9 | 0.00 |
PERCENT OF MEDICARE DAYS TO TOTAL INPATIENT DAYS | 48.8 | 13.9 | 48.8 | 14.1 | 47.9 | 13.5 | 49.4 | 12.6 | 49.2 | 15.1 | 0.23 |
PERCENT OF MEDICAID DAYS TO TOTAL INPATIENT DAYS | 19.4 | 13.3 | 22.2 | 15.5 | 20.5 | 13.0 | 18.4 | 12.3 | 16.3 | 11.3 | 0.00 |
PERCENT OF NURSE STAFFING LEVEL | 79.6 | 42.0 | 74.3 | 34.3 | 75.9 | 26.5 | 78.8 | 31.8 | 89.6 | 63.5 | 0.00 |
TEACHING PERCENT | 6.8 | 20.4 | 8.0 | 22.0 | 9.2 | 23.6 | 6.3 | 19.1 | 3.8 | 15.3 | 0.00 |
TOTAL NUMBER OF MEASURES REPORTED | 9.7 | 1.3 | 9.8 | 1.3 | 9.9 | 1.1 | 9.8 | 1.2 | 9.3 | 1.6 | 0.00 |
n | % | n | % | n | % | n | % | n | % | ||
PROFIT STATUS | 0.000 | ||||||||||
FOR PROFIT | 412 | 16.5 | 49 | 7.6 | 61 | 10.1 | 88 | 14.1 | 214 | 34.7 | |
NON-PROFIT | 1707 | 68.5 | 466 | 72.3 | 441 | 72.8 | 456 | 73.2 | 344 | 55.8 | |
GOVERNMENT-OWNED(NON-FEDERAL) | 372 | 14.9 | 130 | 20.2 | 104 | 17.2 | 79 | 12.7 | 59 | 9.6 | |
CATEGORIES OF NUMBER OF HOSPITAL BEDS | 0.000 | ||||||||||
BEDS 6-49 | 244 | 9.8 | 44 | 6.8 | 46 | 7.6 | 52 | 8.4 | 102 | 16.5 | |
BEDS 50-99 | 477 | 19.2 | 113 | 17.5 | 102 | 16.8 | 123 | 19.7 | 139 | 22.5 | |
BEDS 100-199 | 783 | 31.4 | 229 | 35.5 | 171 | 28.2 | 191 | 30.7 | 192 | 31.1 | |
BEDS 200-299 | 429 | 17.2 | 114 | 17.7 | 116 | 19.1 | 107 | 17.2 | 92 | 14.9 | |
BEDS 300-399 | 253 | 10.2 | 57 | 8.8 | 77 | 12.7 | 65 | 10.4 | 54 | 8.8 | |
BEDS 400-499 | 130 | 5.2 | 43 | 6.7 | 42 | 6.9 | 32 | 5.1 | 13 | 2.1 | |
BEDS 500 OR MORE | 175 | 7.0 | 45 | 7.0 | 52 | 8.6 | 53 | 8.5 | 25 | 4.1 | |
GEOGRAPHIC REGIONS | 0.000 | ||||||||||
NEW ENGLAND | 119 | 4.8 | 25 | 3.9 | 27 | 4.5 | 40 | 6.4 | 27 | 4.4 | |
MID ATLANTIC | 301 | 12.1 | 94 | 14.6 | 91 | 15.0 | 77 | 12.4 | 39 | 6.3 | |
SOUTH ATLANTIC | 453 | 18.2 | 111 | 17.2 | 96 | 15.8 | 123 | 19.7 | 123 | 19.9 | |
EAST NORTH CENTRAL | 408 | 16.4 | 103 | 16.0 | 108 | 17.8 | 106 | 17.0 | 91 | 14.8 | |
EAST SOUTH CENTRAL | 212 | 8.5 | 39 | 6.1 | 35 | 5.8 | 54 | 8.7 | 84 | 13.6 | |
WEST NORTH CENTRAL | 213 | 8.6 | 55 | 8.5 | 61 | 10.1 | 54 | 8.7 | 43 | 7.0 | |
WEST SOUTH CENTRAL | 370 | 14.9 | 79 | 12.3 | 82 | 13.5 | 77 | 12.4 | 132 | 21.4 | |
MOUNTAIN | 148 | 5.9 | 48 | 7.4 | 38 | 6.3 | 31 | 5.0 | 31 | 5.0 | |
PACIFIC | 267 | 10.7 | 91 | 14.1 | 68 | 11.2 | 61 | 9.8 | 47 | 7.6 | |
ACCREDITATION BY JCAHO | 2146 | 86.2 | 536 | 83.1 | 529 | 87.3 | 545 | 87.5 | 536 | 86.9 | 0.080 |
OBSTETRIC CARE HOSPITAL | 2072 | 83.2 | 565 | 87.6 | 531 | 87.6 | 524 | 84.1 | 452 | 73.3 | 0.000 |
WOUND MANAGEMENT SERVICES HOSPITAL | 1914 | 76.8 | 521 | 80.8 | 495 | 81.7 | 490 | 78.7 | 408 | 66.1 | 0.000 |
MRI HOSPITAL | 2221 | 89.2 | 564 | 87.4 | 551 | 90.9 | 573 | 92.0 | 533 | 86.4 | 0.000 |
GERIATRIC SERVICES HOSPITAL | 1184 | 47.5 | 314 | 48.7 | 309 | 51.0 | 287 | 46.1 | 274 | 44.4 | 0.100 |
CLINICAL PROCESS OF CARE MEASURES | |||||||||||
FIBRINOLYTIC THERAPY WITHIN 30 MINUTES ON ARRIVAL | 16 | 0.6 | 5 | 0.8 | 4 | 0.7 | 3 | 0.5 | 4 | 0.7 | 0.93 |
PRIMARY PCI WITHIN 90 MINUTES OF ARRIVAL | 1219 | 48.9 | 320 | 49.6 | 336 | 55.5 | 317 | 50.9 | 246 | 39.9 | 0.00 |
PATIENTS GIVEN INSTRUCTIONS AT DISCHARGE | 2420 | 97.2 | 632 | 98.0 | 603 | 99.5 | 616 | 98.9 | 569 | 92.2 | 0.00 |
BLOOD CULTURE PERFORMED IN EMERGENCY DEPARTMENT PRIOR TO INITIAL ANTIBIOTIC | 2409 | 96.7 | 631 | 97.8 | 602 | 99.3 | 612 | 98.2 | 564 | 91.4 | 0.00 |
INITIAL ANTIBIOTIC SELECTION FOR ICU/NON-ICU PATIENTS | 2420 | 97.2 | 634 | 98.3 | 606 | 100.0 | 611 | 98.1 | 569 | 92.2 | 0.00 |
PROPHYLACTIC ANTIBIOTIC GIVEN WITHIN 1 HOUR OF INCISION | 2452 | 98.4 | 628 | 97.4 | 601 | 99.2 | 617 | 99.0 | 606 | 98.2 | 0.04 |
PROPHYLACTIC ANTIBIOTICS FOR SURGICAL PATIENTS | 2451 | 98.4 | 628 | 97.4 | 602 | 99.3 | 616 | 98.9 | 605 | 98.1 | 0.03 |
ANTIBIOTICS DISCONTINUED WITHIN 24 HOURS AFTER SURGERY | 2449 | 98.3 | 628 | 97.4 | 600 | 99.0 | 617 | 99.0 | 604 | 97.9 | 0.05 |
CARDIAC PATIENTS WITH CONTROLLED 6 AM POSTOPERATIVE SERUM GLUCOSE | 1001 | 40.2 | 250 | 38.8 | 276 | 45.5 | 267 | 42.9 | 208 | 33.7 | 0.00 |
RECOMMENDED VTE PROPHYLAXIS ORDERED | 2448 | 98.3 | 636 | 98.6 | 597 | 98.5 | 618 | 99.2 | 597 | 96.8 | 0.01 |
APPROPRIATE VTE PROPHYLAXIS WITHIN 24 HOURS OF SURGERY | 2447 | 98.2 | 636 | 98.6 | 597 | 98.5 | 617 | 99.0 | 597 | 96.8 | 0.01 |
BETA BLOCKER PRIOR TO ADMISSION AND PERIOPERATIVELY | 2379 | 95.5 | 605 | 93.8 | 587 | 96.86 | 603 | 96.79 | 584 | 94.65 | 0.02 |