Table 1.
General characteristics of hospitals in 2018.
Fig 1.
Adjusted difference in operating and total margin across quality quintiles.
Hospitals within the lowest 30-day hospital-wide readmission rate quintile and hospitals within the lowest PSI-90 score quintile experienced higher (a) operating margins and (b) total margins compared to their respective highest quality quintiles. Abbreviations: Q = quintile Vertical bars are the 95% confidence intervals. Q5 (worst) is the reference quintile. 30-day Readmission Rates (median): Q1 = 14.6, Q2 = 15.1, Q3 = 15.3, Q4 = 15.6, Q5 = 16.3 Patient Safety Indicator-90 (median): Q1 = 0.75, Q2 = 0.85, Q3 = 0.91, Q4 = 0.96, Q5 = 1.08 For readmission rates and PSI-90 scores, higher values represent lower quality.
Fig 2.
Adjusted difference in operating and total margin across quality quintiles: One year lag.
Hospitals within the lowest previous year’s 30-day hospital-wide readmission rate quintile and hospitals within the lowest previous year’s PSI-90 score quintile experienced higher (a) operating margins and (b) total margins compared to their respective highest quality quintiles. Abbreviations: Q = quintile Vertical bars are the 95% confidence intervals. Q5 (worst) is the reference quintile. 30-day Readmission Rates (median): Q1 = 14.6, Q2 = 15.1, Q3 = 15.3, Q4 = 15.6, Q5 = 16.3 Patient Safety Indicator-90 (median): Q1 = 0.75, Q2 = 0.85, Q3 = 0.91, Q4 = 0.96, Q5 = 1.08 For readmission rates and PSI-90 scores, higher values represent lower quality.
Fig 3.
Forest plot of the odds ratios for the association between same year’s measured quality and financial distress.
Hospitals within the lowest 30-day hospital-wide readmission rate quintile and hospitals within the lowest PSI-90 score quintile experienced lower odds of financial distress compared to their respective highest quality quintiles. Notes: Forest plot showing the adjusted odds ratios with financial distress as the dependent variable with quality indicators as independent variables and adjusted for the hospital characteristics. Higher rates and scores represent worse quality. * p ≤ .05 **p ≤ .01.
Fig 4.
Forest plot of the odds ratios for the association between previous year’s measured quality and financial distress.
Hospitals within the lowest previous year’s 30-day hospital-wide readmission rate quintile and hospitals within the lowest previous year’s PSI-90 score quintile experienced lower odds of financial distress compared to their respective highest quality quintiles. Notes: Forest plot showing the adjusted odds ratios with financial distress as the dependent variable with quality indicators as independent variables and adjusted for the hospital characteristics. Higher rates and scores represent worse quality. **p ≤ .01.