Employers' efforts to measure and improve hospital quality: Determinants of success

Ateev Mehrotra, Thomas Bodenheimer, R. Adams Dudley

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


We examined eleven communities in which an employer coalition created a report card to compare the performance of the community's hospitals. After interviewing employer coalition and hospital representatives from each community, we found great variability in report cards' capacity to prompt quality improvement. Although some were successful, others had less impact because of conflicts between employer coalitions and hospitals. Areas of disagreement included selection of appropriate goals, methodology of quality measurement, whether report cards should be publicly released, and the use of economic incentives to improve quality. We describe these conflicts and offer recommendations for future hospital report cards.

Original languageEnglish (US)
Pages (from-to)60-71
Number of pages12
JournalHealth Affairs
Issue number2
StatePublished - 2003
Externally publishedYes


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