The development and implementation of a new hospital performance measure to assess hospital contributions to community health and equity.

Objective: To develop and implement a measure of how US hospitals contribute to community health with a focus on equity.

Data Sources: Primary data from public comments and hospital surveys and secondary data from the IBM Watson Top 100 Hospitals program collected in the United States in 2020 and 2021.

Study Design: A thematic analysis of public comments on the proposed measure was conducted using an iterative grounded approach for theme identification.

U.S. hospital performance methodologies: a scoping review to identify opportunities for crossing the quality chasm.

Background: Hospital performance quality assessments inform patients, providers, payers, and purchasers in making healthcare decisions. These assessments have been developed by government, private and non-profit organizations, and academic institutions. Given the number and variability in available assessments, a knowledge gap exists regarding what assessments are available and how each assessment measures quality to identify top performing hospitals.