The Care Quality Commission is the regulator of healthcare in England and responsible for the monitoring, inspection and rating of all healthcare providers. The seminar will present some recent findings from two quantitative studies forming part of the ongoing evaluation of the CQC.
(1) For the most recent round of hospital inspections the CQC used a performance monitoring system (called Intelligent Monitoring) to help prioritise the order in which hospitals should be inspected. Both the Intelligent Monitoring data and hospital ratings are freely available online. We combine these data to test if monitoring indicators can be used to predict subsequent ratings. We find it is not possible to accurately predict ratings using this set of monitoring indicators and offer some suggestions on how to improve the monitoring system.
(2) Appropriate prescribing, in terms of antibiotics and potential harmful drugs, is one area of general practice monitored by the CQC. We use data on prescribing behaviour from April 2013 to determine if behaviour differs by subsequent ratings and if this behaviour then changes post rating. Data on patient numbers also allows us to model if patient are sensitive to their practices’ rating. We find that some prescribing behaviours worsen in highly rated practices and patients seem to leave their practice if it is rated poorly.
Tea, coffee and sandwiches provided (please register if you want these, and to guarantee a seat!)
Thomas' current research project, “Provider ratings: the effects of the Care Quality Commission's new inspection and rating system on provider performance”, has been commissioned by the Department of Health Policy Research Programme. The project is led by Prof. Kieran Walshe in Manchester Business School (MBS) and involves a team of researchers from MBS, The King’s Fund, and the Manchester Centre for Health Economics.
This seminar is brought to you by the Health Services Research Centre and the Health Management Group