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Association of Magnet Nursing Status With Hospital Performance on Nationwide Quality Metrics.
J Healthc Qual 2019 Jul/Aug; 41(4):189-194JH

Abstract

INTRODUCTION

Magnet Recognition is the highest distinction a healthcare organization can receive for excellence in nursing. Although Magnet status is generally associated with superior clinical outcomes and patient satisfaction, its association with performance on nationwide quality metrics is currently unknown.

METHODS

Within a propensity score-matched cohort, we compared performance on the Hospital-Acquired Condition Reduction Program (HACRP), Hospital Value-Based Purchasing (VBP), and Hospital Readmissions Reduction Program (RRP) initiatives.

RESULTS

The mean HACRP total performance score was inferior at Magnet versus non-Magnet hospitals (p < .001), and HACRP penalties were more likely to be levied against Magnet hospitals (p = .003). There was no significant difference according to Magnet status for VBP penalties after correcting for multiple comparisons (p = .049). There were no significant difference in RRP penalties according to Magnet status (p = .999).

CONCLUSIONS

Magnet hospitals performed worse on a number of hospitalwide quality metrics tied to reimbursement by the Centers for Medicare and Medicaid Service. Although Magnet hospitals are known for superior nursing care and organizational support for safety and quality improvement, this is not captured within these composite measures of quality, which can be influenced at many levels of care. These data underscore the need for comprehensive quality improvement across multiple domains of care outside of nursing.

LEVEL OF EVIDENCE

Level III, retrospective study.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31283702

Citation

Boylan, Matthew R., et al. "Association of Magnet Nursing Status With Hospital Performance On Nationwide Quality Metrics." Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality, vol. 41, no. 4, 2019, pp. 189-194.
Boylan MR, Suchman KI, Korolikova H, et al. Association of Magnet Nursing Status With Hospital Performance on Nationwide Quality Metrics. J Healthc Qual. 2019;41(4):189-194.
Boylan, M. R., Suchman, K. I., Korolikova, H., Slover, J. D., & Bosco, J. A. (2019). Association of Magnet Nursing Status With Hospital Performance on Nationwide Quality Metrics. Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality, 41(4), pp. 189-194. doi:10.1097/JHQ.0000000000000202.
Boylan MR, et al. Association of Magnet Nursing Status With Hospital Performance On Nationwide Quality Metrics. J Healthc Qual. 2019;41(4):189-194. PubMed PMID: 31283702.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of Magnet Nursing Status With Hospital Performance on Nationwide Quality Metrics. AU - Boylan,Matthew R, AU - Suchman,Kelly I, AU - Korolikova,Helen, AU - Slover,James D, AU - Bosco,Joseph A,3rd PY - 2019/7/9/entrez SP - 189 EP - 194 JF - Journal for healthcare quality : official publication of the National Association for Healthcare Quality JO - J Healthc Qual VL - 41 IS - 4 N2 - INTRODUCTION: Magnet Recognition is the highest distinction a healthcare organization can receive for excellence in nursing. Although Magnet status is generally associated with superior clinical outcomes and patient satisfaction, its association with performance on nationwide quality metrics is currently unknown. METHODS: Within a propensity score-matched cohort, we compared performance on the Hospital-Acquired Condition Reduction Program (HACRP), Hospital Value-Based Purchasing (VBP), and Hospital Readmissions Reduction Program (RRP) initiatives. RESULTS: The mean HACRP total performance score was inferior at Magnet versus non-Magnet hospitals (p < .001), and HACRP penalties were more likely to be levied against Magnet hospitals (p = .003). There was no significant difference according to Magnet status for VBP penalties after correcting for multiple comparisons (p = .049). There were no significant difference in RRP penalties according to Magnet status (p = .999). CONCLUSIONS: Magnet hospitals performed worse on a number of hospitalwide quality metrics tied to reimbursement by the Centers for Medicare and Medicaid Service. Although Magnet hospitals are known for superior nursing care and organizational support for safety and quality improvement, this is not captured within these composite measures of quality, which can be influenced at many levels of care. These data underscore the need for comprehensive quality improvement across multiple domains of care outside of nursing. LEVEL OF EVIDENCE: Level III, retrospective study. SN - 1945-1474 UR - https://www.unboundmedicine.com/medline/citation/31283702/Association_of_Magnet_Nursing_Status_With_Hospital_Performance_on_Nationwide_Quality_Metrics L2 - https://doi.org/10.1097/JHQ.0000000000000202 DB - PRIME DP - Unbound Medicine ER -