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Quality of care not necessarily better in hospitals that participate in quality improvement program

"At baseline, there were statistically significant differences between participating and nonparticipating hospitals on 5 of 15 quality indicators, with participating hospitals performing better on 3 of 5," the authors found. "There was no statistically significant difference in change from baseline to follow-up between participating and nonparticipating hospitals on 14 of 15 quality indicators. The one exception was that participating hospitals improved more on the pneumonia immunization indicator than nonparticipating hospitals," the authors note.

"The IOM (Institute of Medicine) is currently evaluating the QIO program, including operations, program evaluations, and whether other entities could perform the QIOs' functions. The findings from this study do not support the hypothesis that the QIO program improves the quality of care for Medicare beneficiaries in the inpatient setting," the authors write. "Additional efforts to assess and improve the QIOs effectiveness may be needed. The current IOM assessment of the QIO program provides an opportunity to evaluate the program further and recommend program modifications as needed," the authors conclude.


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Contact: Tim Parsons
410-955-6878
JAMA and Archives Journals
14-Jun-2005


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