Study: For-Profit Hospitals Had Highest Scores on ED-Related VBP Measures

Public hospitals and hospitals without The Joint Commission accreditation had lower performance scores on four emergency department-related measures under the Hospital Inpatient Value-Based Purchasing Program compared with other hospitals, according to a study in Annals of Emergency Medicine.

Researchers studied performance data from Hospital Compare for 2008 to 2010 and data from the 2009 American Hospital Association Annual Survey to determine hospitals' performance on certain ED measures.


Of nearly 3,000 hospitals in the analysis, for-profit hospitals had the highest scores and public hospitals and hospitals without The Joint Commission accreditation had the lowest scores. In addition, 39.8 percent of public hospitals' scores were awarded for improvement — the largest rate of hospitals studied — while 27.8 percent of for-profit hospitals' scores were awarded for improvement — the lowest rate.

The authors concluded that while public hospitals did not perform as well as for-profit hospitals, they showed improvement, which may decrease the gap in performance in the future.

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