Our New Reality of Public Reporting: Shame Rather Than Blame?

Annals of Thoracic Surgery

Volumn 101, Issue 4, 2016, Pages 1255-1261

  Moffatt Bruce, Susan D ^a   Nguyen, Michelle C ^a   Fann, James I ^b   Westaby, Stephen ^c  

^a THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER   (United States)

^b STANFORD UNIVERSITY   (United States)

^c UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

HYDROCORTISONE;

ARTICLE; CARDIAC SURGEON; CHOLECYSTECTOMY; COMPENSATION; CORONARY ARTERY BYPASS GRAFT; DEPRESSION; DISEASE ASSESSMENT; FEEDBACK SYSTEM; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH PROGRAM; HEART SURGERY; HIP ARTHROPLASTY; HOSPITAL ACQUIRED CONDITIONS SCORE; HOSPITAL CHARGE; HOSPITAL READMISSION; HUMAN; KNEE ARTHROPLASTY; LEARNING DISORDER; LENGTH OF STAY; LUMBAR SPINAL FUSION; LUMBAR SPINE; MEDICAL SOCIETY; MEDICARE; METHODOLOGY; MORTALITY; PATIENT MONITORING; PATIENT SAFETY; PERFORMANCE; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PROSTATECTOMY; PUBLIC REPORTING; PUNISHMENT; PURCHASING; SURGICAL TRAINING; TOTAL QUALITY MANAGEMENT; TREATMENT OUTCOME; TRICUSPID VALVE REPAIR; CARDIOLOGY; ORGANIZATION AND MANAGEMENT; PHYSICIAN; PUBLIC HEALTH; RESEARCH; SHAME; STANDARDS; TRENDS; UNITED STATES;

AMERICAN HEART ASSOCIATION; CARDIOLOGY; HUMANS; PHYSICIANS; PUBLIC HEALTH; QUALITY ASSURANCE, HEALTH CARE; RESEARCH REPORT; SHAME; UNITED STATES;

EID: 84961279303     PISSN: 00034975     EISSN: 15526259     Source Type: Journal    
DOI: 10.1016/j.athoracsur.2016.02.029     Document Type: Article

References (31)

1. M.B. Rothberg, E. Morsi, E.M. Benjamin, P.S. Pekow, and P.K. Lindenauer Choosing the best hospital: the limitations of public quality reporting Health Aff (Millwood) 27 2008 1680 1687
2. Medicare program. Hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and fiscal year 2015 rates; quality reporting requirements for specific providers; reasonable compensation equivalents for physician services in excluded hospitals and certain teaching hospitals; provider administrative appeals and judicial review; enforcement provisions for organ transplant centers; and electronic health record (EHR) incentive program. Final rule Federal Register 79 2014 49853 50536
3. Medicare. Hospital-acquired condition reduction program. Available at https://www.medicare.gov/hospitalcompare/hac-reduction-program.html. Accessed November 22, 2015.
4. A. Jha Penalizing hospitals for being unsafe. An ounce of evidence; health policy 2014 WordPress Boston, MA
5. L.E. Vaz, K.P. Kleinman, A.T. Kawai, and et al. Impact of medicare's hospital-acquired condition policy on infections in safety net and non-safety net hospitals Infect Control Hosp Epidemiol 36 2015 649 655
6. D.M. Berwick, T.W. Nolan, and J. Whittington The triple aim: care, health, and cost Health Aff (Millwood) 27 2008 759 769
7. Pressure ulcers are increasing among hospital patients. Available at http://archive.ahrq.gov/news/nn/nn120308.htm. Accessed January 13, 2016.
8. E.S. Moghissi, M.T. Korytkowski, M. DiNardo, and et al. American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control Endocr Pract 15 2009 353 369
9. Preventing central line-associated bloodstream infections: A global challenge, a global perspective. Available at http://www.jointcommission.org/assets/1/18/clabsi-monograph.pdf. Accessed January 13, 2015.
10. J.M. Austin, A.K. Jha, P.S. Romano, and et al. National hospital ratings systems share few common scores and may generate confusion instead of clarity Health Aff (Millwood) 34 2015 423 430
11. Rau J. Hospital ratings are in the eye of the beholder. Kaiser Health News 2013. Available at http://khn.org/news/expanding-number-of-groups-offer-hospital-ratings/. Accessed January 13, 2016.
12. A.K. Rosen, S. Loveland, M. Shin, and et al. Examining the impact of the AHRQ patient safety indicators (PSIs) on the Veterans Health Administration: the case of readmissions Med Care 51 2013 37 44
13. W.E. Encinosa, and F.J. Hellinger The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients Health Serv Res 43 2008 2067 2085
14. J.R. Downey, T. Hernandez-Boussard, G. Banka, and J.M. Morton Is patient safety improving? National trends in patient safety indicators: 1998-2007 Health Serv Res 47 2012 414 430
15. R. Ramanathan, P. Leavell, G. Stockslager, C. Mays, D. Harvey, and T.M. Duane Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center Am Surg 79 2013 578 582
16. D.W. Nelson, V.V. Simianu, A.L. Bastawrous, and et al. Thromboembolic complications and prophylaxis patterns in colorectal surgery JAMA Surg 150 2015 712 720
17. J.H. Burack, P. Impellizzeri, P. Homel, and J.N. Cunningham Public reporting of surgical mortality: a survey of New York State cardiothoracic surgeons Ann Thorac Surg 68 1999 1195 1202
18. E.L. Hannan, K. Cozzens, S.B. King, and et al. The New York State cardiac registries: history, contributions, limitations and lessons for future efforts to assess and publically report healthcare outcomes J Am Coll Cardiol 59 2012 2309 2316
19. G.J. Dehmer, J.P. Drozda, R.G. Brindis, and et al. Public reporting of clinical quality data J Am Coll Cardiol 63 2014 1239 1245
20. S. Westaby Publishing individual surgeons' death rates prompts risk averse behavior BMJ 349 2014 g5026
21. N. Kandasamy, B. Hardy, L. Page, and et al. Cortisol shifts financial risk preferences Proc Natl Acad Sci 111 2014 3608
22. S. Westaby, K. Baig, and J. Pepper Publishing surgeon specific mortality data: the risks outweigh the benefits Bull R Coll Surg Engl 97 2015 155 160
23. Francis R. Report of the mid Staffordshire NHS Foundation Trust public enquiry 2013. Available at www.midstaffspublicenquiry.com/report. Accessed January 13, 2016.
24. National Advisory Group on the Safety of Patients in England. A promise to learn - a commitment to act: improving the safety of patients in England 2013. Available at www.england.nhs.uk/tag./berwick-report. Accessed January 13, 2016.
25. S. Westaby, K. Baig, R. De Silva, and et al. Recruitment to UK cardiothoracic surgery in the era of public outcome reporting Eur J Cardiothoracic Surg 47 2015 679 683
26. D.M. Berwick A primer on leading the improvement of systems BMJ 275 1996 877 878
27. J.P. Jacobs, and M.L. Jacobs Transparency and public reporting of pediatric and congenital heart surgery outcomes in North America World J Pediatr Congenit Heart Surg 7 2016 49 53
28. V. Badhwar, J.S. Rankin, X. He, and et al. The Society of Thoracic Surgeons mitral repair/replacement composite score: a report of The Society of Thoracic Surgeons Quality Measurement Task Force Ann Thorac Surg 2015 Dec 28 [E-Pub ahead of print]
29. B.D. Kozower, S.M. O'Brien, A.S. Kosinski, and et al. The Society of Thoracic Surgeons composite score for rating program performance for lobectomy for lung cancer Ann Thorac Surg 2016 Jan 16 [E-Pub ahead of print]
30. A.L. Winkley Shroyer, F. Bakaeen, D.M. Shahian, and et al. The Society of Thoracic Surgeons adult cardiac surgery database: the driving force for improvement in cardiac surgery Semin Thorac Cardiovasc Surg 27 2015 144 151
31. D.M. Shahian, F.L. Grover, R.L. Prager, and et al. The Society of Thoracic Surgeons voluntary public reporting initiative: the first 4 years Ann Surg 262 2015 526 535