Factors that influence line managers' perceptions of hospital performance data.
OBJECTIVE
To design and test a model of the factors that influence frontline and midlevel managers' perceptions of usefulness of comparative reports of hospital performance.


METHODS
A total of 344 frontline and midlevel managers with responsibility for stroke and medical cardiac patients in 89 acute care hospitals in the Canadian province of Ontario.


METHODS
Fifty-nine percent of managers responded to a mail survey regarding managers' familiarity with a comparative report of hospital performance, ratings of the report's data quality, relevance and complexity, improvement culture of the organization, and perceptions of usefulness of the report.


METHODS
Exploratory factor analysis was performed to assess the dimensionality of performance data characteristics and improvement culture. Antecedents of perceived usefulness and the role of improvement culture as a moderator were tested using hierarchical regression analyses.


RESULTS
Both data characteristics variables including data quality, relevance, and report complexity, as well as organizational factors including dissemination intensity and improvement culture, explain significant amounts of variance in perceptions of usefulness of comparative reports of hospital performance. The total R2 for the full hierarchical regression model = .691. Improvement culture moderates the relationship between data relevance and perceived usefulness.


CONCLUSIONS
Organizations and those who fund and design performance reports need to recognize that both report characteristics and organizational context play an important role in determining line managers' response to and ability to use these types of data.
Ginsburg
Liane Soberman
LS
Department of Health Policy, Management & Evaluation, University of Toronto, ON, Canada.
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D019985:Benchmarking; D016507:Cardiology Service, Hospital / Q000592:standards*; D004650:Employee Performance Appraisal; D005260:Female; D019538:Health Care Surveys; D006331:Heart Diseases / Q000628:therapy; D006740:Hospital Administrators / Q000523:psychology*; D006801:Humans; D033181:Information Dissemination; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009864:Ontario; D015279:Organizational Culture; D019984:Quality Indicators, Health Care; D020521:Stroke / Q000628:therapy; D011795:Surveys and Questionnaires