Build a PowerBI dashboard comparing healthcare quality measures between hospitals and accross states in the US.
1. Mortality Rates
Mortality rates within 30 days of hospital admission have been critical for measuring hospital quality. The trend for this metric has generally been on the decline over the past few years. In the case of conditions like heart attack (AMI), heart failure (HF), and pneumonia, 30-day mortality rates have declined significantly (Krumholz et al., 2019).
2. Readmission Rates
Hospital readmission rates within 30 days of discharge have also been a primary quality indicator. As a result of the Hospital Readmission Reduction Program (HRRP) by CMS, the readmission rates have declined in general, especially for conditions like AMI, HF, and pneumonia (Wasfy et al., 2017)
3. Patient Experience
Hospitals are increasingly emphasizing patient experience as a measure of care quality. Hospitals with better patient-reported experience scores generally demonstrate better safety and clinical outcomes (Anhang Price et al., 2014). The focus on this metric is expected to grow.
4. Care Process Measures
Care process measures like timeliness and effectiveness of care have been another crucial part of hospital quality metrics. According to CMS reports, hospitals have been making steady progress in these areas, but there's room for improvement (CMS, 2020).
5. Safety of Care
Despite various patient safety initiatives, hospital adverse events remain a serious concern. Still, hospitals have improved, particularly in reducing healthcare-associated infections (HAI). The overall trend indicates gradual improvement but significant variation among hospitals (CMS, 2020).
6. Efficiency and Cost of Care
While traditionally not a part of quality metrics, the efficiency and cost of care are increasingly recognized as essential quality elements. It's observed that higher-cost hospitals sometimes provide better quality care (Romley et al., 2015).
# Download this repo
git clone https://github.com/LNshuti/healthcare-quality.git
# Move into directory
cd healthcare-quality
# Activate environment
conda activate environment.yaml
# Install Requirements
pip install -r requirements.txt
# Run application
streamlit run app.py
1: Krumholz, H. M., Normand, S. L., & Wang, Y. (2019). Trends in Hospitalizations and Outcomes for Acute Cardiovascular Disease and Stroke, 1999-2011. Circulation, 130(12), 966–975.
2: Wasfy, J. H., Zigler, C. M., & Choirat, C. (2017). Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post Analysis. Annals of Internal Medicine, 166(5), 324-331.
3: Anhang Price, R., Elliott, M. N., Zaslavsky, A. M., et al. (2014). Examining the Role of Patient Experience Surveys in Measuring Health Care Quality. Medical Care Research and Review, 71(5), 522–554.
4: Centers for Medicare & Medicaid Services (CMS). (2020). Hospital Compare. Retrieved from https://www.medicare.gov/care-compare/
5: Romley, John A., Anupam B. Jena, and Dana P. Goldman. "Hospital spending and inpatient mortality: evidence from California: an observational study." Annals of internal medicine 154.3 (2011)
6: AHRQ Healthcare Quality Measures. ahrq.gov/talkingquality/measures/six-domains.html