Achieving And Sustaining Improved Quality: Lessons From New York State And Cardiac Surgery
- 1 July 2002
- journal article
- research article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 21 (4) , 40-51
- https://doi.org/10.1377/hlthaff.21.4.40
Abstract
Since 1989 the New York State Department of Health has published annual data on risk-adjusted mortality following coronary artery bypass graft surgery by hospital and surgeon. It was the first such program in the nation and is now the most long-lived. Many hospitals were prompted by the data to improve their cardiac surgery programs, and statewide mortality fell substantially as a result. This paper examines what physicians and hospitals did in response to the data, how the market reacted, and whether this approach to quality measurement and improvement could be used more widely.Keywords
This publication has 13 references indexed in Scilit:
- Editorial: Why Do Multi-Organizational Quality Initiatives Usually Fail?American Journal of Medical Quality, 2002
- Improving The Quality Of Health Care: Who Will Lead?Health Affairs, 2001
- Public release of cardiac surgery outcomes data in New York: What do New York state cardiologists think of it?American Heart Journal, 1997
- Assessing Strategics For Quality ImprovementHealth Affairs, 1997
- A Regional Intervention to Improve the Hospital Mortality Associated With Coronary Artery Bypass Graft SurgeryJAMA, 1996
- Benefits and Hazards of Reporting Medical Outcomes PubliclyNew England Journal of Medicine, 1996
- Outmigration For Coronary Bypass Surgery in an Era of Public Dissemination of Clinical OutcomesCirculation, 1996
- Regionalization of Cardiac Surgery in the United States and CanadaJAMA, 1995
- The Decline in Coronary Artery Bypass Graft Surgery Mortality in New York StatePublished by American Medical Association (AMA) ,1995
- How a New York cardiac surgery program uses outcomes dataThe Annals of Thoracic Surgery, 1994