HAC Reduction Program: How valid is the evaluation construct?
Perhaps not so much.
An increasing number of private organizations attempt to measure the quality and safety of hospital care. I have already expressed my growing concern about the validity and utility of such ratings which seem to have lives of their own. Hospitals are spending a fortune to collect and report on a variety of ever-changing indicators and to improve their ratings. When the scores are good, hospitals use them to market their services. When scores are not-so-good, hospitals either make no public comment, criticize the system, or offer putative explanations why their hospitals face greater challenges than others. This selective use of quality scores in advertising has always seemed a little hypocritical to me. Is it immaterial that a hospital can be ranked as both worst and the best of something at the same time? Things are not that compartmentalized within hospitals. Continue reading “Behind the Acquired Hospital Condition Data Curtain.”