Evidence map›Paper›PMID 35798679›Full record

ArticleHealth services research2022

The development and implementation of a new hospital performance measure to assess hospital contributions to community health and equity.

Caroline F Plott, Rachel L J Thornton, Ekta Punwani, Irene Dankwa-Mullan, Hema Karunakaram, Kelly Jean Thomas Craig, Kyu Rhee, Joshua M Sharfstein

Abstract read
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Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Caroline F PlottDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-5713-6062
Rachel L J ThorntonOffice of Health Equity and Inclusion, Nemours Children's Health, Wilmington, DE, USA.
Ekta PunwaniIBM Watson Health, Cambridge, Massachusetts, USA.
Irene Dankwa-MullanCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.
Hema KarunakaramCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.
Kelly Jean Thomas CraigCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.
Kyu RheeCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, Massachusetts, USA.
Joshua M SharfsteinDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and implement a measure of how US hospitals contribute to community health with a focus on equity. DATA SOURCES: Primary data from public comments and hospital surveys and secondary data from the IBM Watson Top 100 Hospitals program collected in the United States in 2020 and 2021. STUDY

designA thematic analysis of public comments on the proposed measure was conducted using an iterative grounded approach for theme identification. A cross-sectional survey of 207 hospitals was conducted to assess self-attestation to 28 community health best practice standards in the revised measure. An analysis of hospital rankings before and after inclusion of the new measure was performed. DATA COLLECTION/EXTRACTION

methodsPublic comment on the proposed measure was collected via an online survey, email, and virtual meetings in 2020. The survey of hospitals was conducted online by IBM in 2021. The analysis of hospital ranking compared the 2020 and 2021 IBM Watson Top 100 Hospitals program results. PRINCIPAL

findingsMore than 650 discrete comments from 83 stakeholders were received and analyzed during measure development. Key themes identified in thematic analysis included equity, fairness, and community priorities. Hospitals that responded to a cross-sectional survey reported meeting on average 76% of applicable best practice standards. Least met standards included providing emergent buprenorphine treatment for opioid use disorder (53%), supporting an evidence-based home visiting program (53%), and establishing a returning citizens employment program (27%). Thirty-seven hospitals shifted position in the 100 Top Hospital rankings after the inclusion of the new measure.

conclusionsThere is broad interest in measuring hospital contributions to community health with a focus on equity. Many highly ranked hospitals report meeting best practice standards, but significant gaps remain. Improving measurement to incentivize greater hospital contributions to community health and equity is an important priority.

Indexed as

HospitalsPublic HealthCross-Sectional StudiesHumansSurveys and QuestionnairesUnited Statescommunity healthhealth care reportinghealth equityhospital qualitymeasuresmethods

Identifiers

PMID35798679
PMCPMC9660406

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.