Compared to patients at state-based reviewed hospitals, patients admitted to accredited hospitals had
Lower 30 day mortality rates than those at hospitals that were reviewed by a state survey agency (did not meet the prespecified P level)
10.2% vs 10.6%, difference 0.4% (95% CI, 0.1% to 0.8%), P=0.03)
Identical rates of mortality for the six surgical conditions
2.4% vs 2.4%, difference 0.0% (95% CI, −0.3% to 0.3%; P=0.99)
Lower readmission rates for 15 medical conditionals
22.4% vs 23.2%, difference 0.8% (95% CI, 0.4% to 1.3%), P<0.001)
No difference was seen for surgical conditions
15.9% vs 15.6%, difference 0.3% (95% CI, −1.2% to 1.6%; P=0.75)
There were no statistically significant differences in 30 day mortality or readmission rates (for both the medical or surgical conditions) between hospitals accredited by The Joint Commission and those accredited by other independent organizations
Patient experience scores were modestly better at state survey hospitals than at accredited hospitals
Summary star rating 3.4 vs 3.2, difference 0.2 (95% CI, 0.1 to 0.3; P<0.001)
US hospital accreditation done by independent organizations rather than Joint Commission is not associated with lower mortality
The authors conclude
In the present study, we found that hospitals accredited by private organizations did not have better patient outcomes than hospitals reviewed by a state survey agency. Furthermore, we found that accreditation by The Joint Commission, which is the most common form of hospital accreditation, was not associated with better patient outcomes than other lesser known, independent accrediting agencies.
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Jointly provided by
NOT ENOUGH CME HOURS
It appears you don't have enough CME Hours to take this Post-Test. Feel free to buy additional CME hours or upgrade your current CME subscription plan