The Impact of Hospital Quality-Related Practices on Health Outcomes

Syracuse University Center for Policy Research Working Paper No. 18

24 Pages Posted: 13 Apr 2011

See all articles by Deborah Freund

Deborah Freund

Claremont Colleges - Claremont Graduate University

Frank R. Lichtenberg

Columbia Business School - Finance and Economics; National Bureau of Economic Research (NBER); CESifo (Center for Economic Studies and Ifo Institute for Economic Research)

Date Written: March 1, 2000

Abstract

In this paper we analyze the cross-sectional relationship between hospital quality scores calculated by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) and risk-adjusted indicators of outcomes and quality-mortality, rates of surgical/medical misadventures, adverse drug reactions, and length of stay-calculated from Nationwide Inpatient Sample discharge records. The results suggest that greater adherence to JCAHO accreditation standards is not associated with reduced mortality or lower probability of avoidable hospital or physician-caused adverse outcomes. Other hospital characteristics, such as teaching/non-teaching and urban/rural status, also exhibit little or no correlation with risk-adjusted survival and adverse-event probabilities.

JEL Classification: I12, I18

Suggested Citation

Freund, Deborah and Lichtenberg, Frank R., The Impact of Hospital Quality-Related Practices on Health Outcomes (March 1, 2000). Syracuse University Center for Policy Research Working Paper No. 18. Available at SSRN: https://ssrn.com/abstract=1808036 or http://dx.doi.org/10.2139/ssrn.1808036

Deborah Freund (Contact Author)

Claremont Colleges - Claremont Graduate University ( email )

150 E. Tenth Street
Claremont, CA 91711
United States

Frank R. Lichtenberg

Columbia Business School - Finance and Economics ( email )

3022 Broadway
504 Uris Hall, Dept. of Finance & Economics
New York, NY 10027
United States
212-854-4408 (Phone)
212-316-9219 (Fax)

HOME PAGE: http://https://www8.gsb.columbia.edu/cbs-directory/detail/frl1

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

CESifo (Center for Economic Studies and Ifo Institute for Economic Research)

Poschinger Str. 5
Munich, DE-81679
Germany

Register to save articles to
your library

Register

Paper statistics

Downloads
50
Abstract Views
448
PlumX Metrics