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Lower Mortality Rates in Hospitals With Good Quality Care

results showed that, when compared with hospitals in the lowest quartile, hospitals in the top quartile of performance had nearly 1 percent lower mortality among patients with AMI, 0.4 percent among patients with CHF and 0.8 among patients with pneumonia.

The researchers calculated that 2,200 potential deaths could have been avoided if the hospitals in the bottom quartile had the same mortality rates as those in the highest quartile.

We found that the associations were strong and consistent across a spectrum of performance for all three conditions, said Jha. This study really provides an important validation of the HQA efforts and suggests that paying attention to the quality measures matters.

Because care varies from hospital to hospital, Jha says consumers should use publicly available data such as the HQAs when choosing a hospital, since getting treated at higher-performing hospitals can increase their odds of surviving the hospitalization.

These data are not just for consumers, said Arnold Epstein, John H Foster Professor of Health Policy and Management at HSPH and the studys senior author. This program should also motivate hospitals to improve the care they provide to their patients.

For more information, contact: Todd Datz tdatz@hsph.harvard.edu 617-432-3952


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