The Role of Safe Practices on Hospitals’ Total Factor Productivity.
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Eric W. Ford, Professor (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
Abstract: The dual aims of improving safety and productivity are a major part of the health
care reform movement hospital leaders must manage. Studies exploring the two phenomena
conjointly and over time are critical to understanding how change in one dimension influences
the other over time. A Malmquist approach is used to assess hospitals’ relative productivity levels
over time. Analysis of variance (ANOVA) algorithms were executed to assess whether or not
the Malmquist Indices (MIs) correlate with the safe practices measure. The American Hospital
Association’s annual survey and the Centers for Medicare and Medicaid Services’ Case Mix
Index for fiscal years 2002–2006, along with Leapfrog Group’s annual survey for 2006 were used
for this study. Leapfrog Group respondents have significantly higher technological change (TC)
and total factor productivity (TFP) than nonrespondents without sacrificing technical efficiency
changes. Of the three MIs, TC (P , 0.10) and TFP (P , 0.05) had significant relationships
with the National Quality Forum’s Safe Practices score. The ANOVA also indicates that the
mean differences of TFP measures progressed in a monotonic fashion up the Safe Practices
scale. Adherence to the National Quality Forum’s Safe Practices recommendations had a major
impact on hospitals’ operating processes and productivity. Specifically, there is evidence that
hospitals reporting higher Safe Practices scores had above average levels of TC and TFP gains
over the period assessed. Leaders should strive for increased transparency to promote both
quality improvement and increased productivity.
The Role of Safe Practices on Hospitals’ Total Factor Productivity.
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Created on 2/12/2013
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Additional Information
- Publication
- Language: English
- Date: 2011
- Keywords
- safety, productivity, quality, safe practice, cost, operations, hospital management