1. Hospital Rating Systems
Ralitza Dekova, M.Sc.
Hospital Rating Systems
A Framework Analysis
Methods
What is a hospital rating system (HRS)?
- Gather all HRSs from around the world that include a scientific methodology
Create typology to group
similar kinds of HRSs
- Resultant groups analysed
using a framework
Method of evaluating hospitals’ performance in a given timeframe
based on chosen parameters such as patient population, indicators and specified location of the hospitals.
Objectives
- Focus the attention of HRS consumers, notably healthcare seekers,
devised by the author
on important details of rankings
- To create an analytical framework for HRSs
Fig 1. Analytical Framework for Hospital Rating Systems
Background
- Hospital rating systems exist in several high- and middle-income countries
- They will be emerging in other places in the near future, including in low- income settings
- Information from different HRSs can be conflicting, even when analysing the same hospitals
Results
Conclusions
- 24 HRSs analysed
- 6 Types of HRSs identified
- Differences explored between & within each type
- Relying on one HRS is not advisable in selecting a hospital
- Exploring methodology is essential in understanding the true meaning of an HRS
- Consumers should take care to avoid non-scientific HRSs that are in circulation
References sample:
[1.] Werner, R. M. & Bradlow, E. T. Relationship Between Medicare’s Hospital Compare Performance Measures and Mortality Rates. JAMA 296, 2694–2702 (2006). [2. ]Austin, J. M. et al. National Hospital Ratings Systems Share Few Common Scores And May Generate Confusion Instead Of Clarity. Health Aff. (Millwood) 34, 423–430 (2015). [3.] Howell, M. D. A 37-Year-Old Man Trying to Choose a High-Quality Hospital: Review of Hospital Quality Indicators. JAMA 302, 2353–2360 (2009). [4.] Anderson, J., Hackman, M., Burnich, J. & Gurgiolo, T. R. Determining hospital performance based on rank ordering: is it appropriate? Am. J. Med. Qual. 22, 177 (2007).