The Centers for Medicare and Medicaid Services Hospital Compare Program added to its list of clinical process measures with mortality outcomes for three index conditions – pneumonia, heart attack, and heart failure. Across 3,970 hospitals (of sufficient size to participate) there was no improvement in mortality for the three index conditions when compared to non-index conditions. Mortality for both index and non-index conditions was declining gradually before they were added to the publically reported measures in 2008. Far from an acceleration in the rate of decline post-2008, it actually slowed down. Our article on incentives suggested why public reporting is effete.
— Richard Lilford, CLAHRC WM Director
- Joynt KE, Orav J, Zheng J, Jha AK. Public Reporting of Mortality Rates for Hospitalized Medicare Patients and Trends in Mortality for Reported Conditions. Ann Intern Med. 2016; 165: 153-60.
- Lilford RJ. Financial Incentives for Providers of Health Care: The Baggage Handler and the Intensive Care Physician. NIHR CLAHRC West Midlands News Blog. 25 July 2014.