T HE J OINT C OMMISSION
200 APRIL 2001 J OURNAL
A
s the health care sector becomes more market
driven and consumer oriented, hospitals are
increasingly being called on to demonstrate
that high-quality care is provided in a cost-effective
way. T here is an increasing demand for information
that can help hospitals evaluate their performance and
make improvements. T his is particularly true for hos-
pitals in New York State. In July 1996 the New York
State Legislature enacted the New York Health Care
Reform Act, overturning the state’s prospective hospi-
tal reimbursement system, which had set hospital rates
for private patients since 1983. Starting in January
1997, hospitals began to negotiate rates directly with
private payers. At the same time, managed care pene-
tration continued to grow across the state, particularly
in urban and suburban areas. T he health care envi-
ronment in New York State changed from being
highly regulated to being market driven.
In response to market pressures, many initiatives
on performance measurement and reporting arose
This account of the experience of the Healthcare Association of New
York State in adapting the HCUP quality indicators to produce com-
parative reports for its member hospitals should be of interest to
health care executives, quality improvement professionals, and
researchers who have an interest in health services and public policy.
PERFORMANCE MEASURES AND MEASUREMENT
Adapting the HCUP QIs for
Hospital Use: T he Experience in
New York State
H. J OANNA J IANG, PHD
KATHLEEN CICCONE, RN, MBA
CHARLES J. URLAUB, MBA
D ONALD BOYD, MBA
GLENDA MEEKS, RN, BSN
LINDA HORTON, RN, MSN, CPHQ
H. Joanna Jiang, PhD, formerly Senior Researcher, Health-
care Association of New York State, Albany, New York, is
Social Scientist, Center for Organization and Delivery Stud-
ies, Agency for Healthcare Research and Quality, Rockville,
Maryland. Kathleen Ciccone, RN, MBA, is Vice President,
Division of Quality and Research Initiatives, Healthcare Asso-
ciation of New York State. Charles J. Urlaub, M BA, is Vice
President, Process Improvement; Donald Boyd, MBA, and
Glenda Meeks, RN, BSN, are Managers, Quality Improve-
ment; and Linda Horton, RN, MSN, CPHQ, is Director,
Quality Improvement, Kaleida Health, Buffalo, New York.
The views expressed herein are those of the authors and
do not represent the official position of all the affiliated orga-
nizations. Please address requests for reprints to Kathy Cic-
cone, Division of Quality and Research Initiatives, Healthcare
Association of New York State, One Empire Drive, Rensselaer,
NY 12144; phone 518/431-7658; fax 518/431-7915;
e-mail kciccone@hanys.org. Copyright © 2001 by the Joint Commission on Accreditation of Healthcare Organizations
Copyright 2001 Joint Commission on Accreditation of Healthcare Organizations