Monday, October 31, 2011

C-Section Rate Variability at MA Hospitals: A Tale of Culture & Performance Improvement Systems

This story in the Boston Globe Magazine is ostensibly about c-sections:

However, the underlying factors leading to high rates at some MA hospitals are all related to culture and/or implementation of performance improvement systems:

(1) Hospital Culture
(2) Physician Culture
(3) Monitoring of Outcomes
(4) Sharing of Outcomes
(5) Use of Report Cards
(6) Design of Systems to Facilitate Outcomes

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