Comparison of performance on Hospital Compare process measures and patient outcomes between hospitals that do and do not participate in Acute Coronary Treatment and Intervention Outcomes Network Registry-Get with the Guidelines

Robin Mathews, Gregg C. Fonarow, Shuang Li, Eric D. Peterson, John S. Rumsfeld, Paul A. Heidenreich, Matthew T. Roe, William J. Oetgen, James G. Jollis, Christopher P. Cannon, James A de Lemos, Tracy Y. Wang

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Abstract

Background: Acute Coronary Treatment and Intervention Outcomes Network Registry-Get With The Guidelines (ACTION Registry-GWTG) was designed to measure and improve the treatment and outcomes of patients with acute myocardial infarction (AMI), yet it is unknown whether performance of Medicare Hospital Compare metrics and outcomes differ between hospitals participating versus those not participating in the registry. Methods: Using 2007 to 2010 Hospital Compare data, we matched participating to nonparticipating hospitals based on teaching status, size, percutaneous coronary intervention capability, and baseline (2007) Hospital Compare AMI process measure performance. We used linear mixed modeling to compare 2010 Hospital Compare process measure adherence, 30-day risk-adjusted mortality, and readmission rates. We repeated these analyses after stratification according to baseline performance level. Results: Compared with nonparticipating hospitals, those participating were larger (median 288 vs 139 beds, P

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalAmerican Heart Journal
Volume175
DOIs
StatePublished - May 1 2016

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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