Vol. 27 No. 6 November/ December 2005
33
Hospital-Level Correlation Between
Clinical and Service Quality Performance
for Heart Failure Treatment
Sabina B. Gesell, Paul Alexander Clark, Deirdre E. Mylod, Robert J. Wolosin,
Maxwell Drain, Peter Lanser, Melvin F. Hall
How does a hospital’s clinical quality relate to
its service quality? Do both measures indicate
the global health of the organization? Is it pos-
sible for a hospital to have both high clinical
quality and high service quality, or do resourc-
es devoted to clinical improvement detract
from service excellence? Should a hospital
devote resources to improvements in clinical
quality (e.g., investment in new equipment),
or to service excellence (e.g., a new train-
ing program)? As the hospital industry faces
markedly increased public scrutiny, answers
to such questions take on greater urgency.
As with all quality initiatives, quality
improvement (QI) begins with quality mea-
surement (Berwick, James, & Coye, 2003).
Evidence of pervasive overuse, underuse, vari-
ation, and deadly errors within the healthcare
industry (Committee on Quality of Health Care
in America, Institute of Medicine [IOM], 2000;
Schuster, McGlynn, & Brook, 1998) has pro-
voked a swift revolution in national healthcare
quality measurement policy and practice. Many
of the quality measurement initiatives in health-
care have focused solely on clinical quality. The
national healthcare quality agenda now entails
(a) the measurement and public reporting of an
array of risk-adjusted outcomes (e.g., mortality,
readmission) and non-risk-adjusted processes
(e.g., whether an acute myocardial infarction
[AMI] patient received aspirin and beta-block-
ers within a certain amount of time), (b) the
dissemination of clinical practice guidelines,
and (c) the establishment of national improve-
ment goals, all determined through evidence-
based investigation (Leatherman, Hibbard, &
McGlynn, 2003; McGlynn, 2003a, 2003b, 2003c;
McGlynn, Cassel, Leatherman, DeCristofaro,
& Smits, 2003; National Committee for Quality
Assurance, 2003). For instance, the Centers
for Medicare & Medicaid Services (CMS) is
implementing a Hospital Quality Information
Initiative (HQII) to publicly report hospital per-
formance in 17 (soon to be 22) process-based
measures of clinical quality (Clancy & Scully,
2003; CMS, 2003b; Stryer & Clancy, 2003). HQII
measures were derived from research in which
CMS developed and tested measures of out-
comes (Cooper, Kohlmann, Michael, Haffer, &
Stevic, 2001) and processes (Jencks et al., 2000;
Jencks, Huff, & Cuerdon, 2003) to assess clini-
cal quality among Medicare beneficiaries with-
out the need for risk adjustment. For example,
the clinical process measures used by CMS
have been shown to have a direct relationship
to clinical outcomes such as mortality.
HQII and the supporting studies alone do not
provide a complete profile of healthcare qual-
ity. Improvements in the structure, processes,
and outcomes of care require the integration
of clinical and service quality measurements.
The Institute of Medicine’s Crossing the Quality
Chasm: A New Health System for the 21st Century
patient-centered care requirement remains nota-
bly absent from most reports of quality in health-
care (Committee on Quality of Health Care
in America, IOM, 2001). Integrating patients’
evaluations of their care with clinical measures
Journal for Healthcare Quality
Vol. 27, No. 6, pp. 33–44
© 2005 National Association
for Healthcare Quality
Abstract: A national cross-sectional study correlates the sat-
isfaction ratings of heart failure patients (diagnosis related
group 127) and the Centers for Medicare & Medicaid Services’
process-based quality measures for heart failure treatment for
32 hospitals during the first and second quarters of 2004. Two
of the four measures of clinical quality showed statistically
significant, moderately strong, positive correlations with a
global measure of satisfaction and with, respectively, 5 and 7
subscales of the 10 subscales of satisfaction under examination
(Pearson’s r ranged between .40 and .67, 2-tailed; p < .05).
Findings demonstrate that quality need not be a zero-sum
issue, with clinical quality and service quality competing for
resources and attention.
Key Words
clinical and service
excellence
heart failure
hospitals
inpatients
patient satisfaction
quality of healthcare