Effects of the CMS' Public Reporting Program for Inpatient Psychiatric Facilities on Targeted and Nontargeted Safety: Differences Between For-Profits and Nonprofits

Overview

Journal Med Care Res Rev

Specialty Health Services

Date 2021 Mar 12

PMID 33709840

Citations 7

Authors

Morgan C Shields

Affiliations

Soon will be listed here.

Abstract

The Centers for Medicare and Medicaid Services implemented the Inpatient Psychiatric Facility Quality Reporting Program in 2012, which publicly reports facilities' performance on restraint and seclusion (R-S) measures. Using data from Massachusetts, we examined whether nonprofits and for-profits responded differently to the program on targeted indicators, and if the program had a differential spillover effect on nontargeted indicators of quality by ownership. Episodes of R-S (targeted), complaints (nontargeted), and discharges were obtained for 2008-2017 through public records requests to the Commonwealth of Massachusetts. Using difference-in-differences estimators, we found no differential changes in R-S between for-profits and nonprofits. However, for-profits had larger increases in overall complaints, safety-related complaints, abuse-related complaints, and R-S-related complaints compared with nonprofits. This is the first study to examine the effects of a national public reporting program among psychiatric facilities on nontargeted measures. Researchers and policymakers should further scrutinize intended and unintended consequences of performance-reporting programs.

Citing Articles

Patient-centered inpatient psychiatry is associated with outcomes, ownership, and national quality measures.

Shields M, Hollander M, Busch A, Kantawala Z, Rosenthal M Health Aff Sch. 2024; 1(1):qxad017.

PMID: 38756837 PMC: 10986256. DOI: 10.1093/haschl/qxad017.

Complaints, Restraint, and Seclusion in Massachusetts Inpatient Psychiatric Facilities, 2008-2018.

Shields M, Hollander M J Patient Exp. 2023; 10:23743735231179072.

PMID: 37323757 PMC: 10265359. DOI: 10.1177/23743735231179072.

What Explains Changes in Availability of Specialty Mental Health Services in Organized Settings?.

Newton H, Humensky J, Goldman H, Busch S Milbank Q. 2022; 100(4):1166-1191.

PMID: 36575952 PMC: 9836237. DOI: 10.1111/1468-0009.12592.

The impact of hospital price and quality transparency tools on healthcare spending: a systematic review.

Chen J, Miraldo M Health Econ Rev. 2022; 12(1):62.

PMID: 36515792 PMC: 9749158. DOI: 10.1186/s13561-022-00409-4.

The Need to Prioritize Patient-Centered Care in Inpatient Psychiatry as a Matter of Social Justice.

Shields M, Beidas R JAMA Health Forum. 2022; 3(2):e214461.

PMID: 36218823 PMC: 10105342. DOI: 10.1001/jamahealthforum.2021.4461.

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