“It’s more important than ever for rural hospitals to proactively understand and address performance in the areas of cost, quality, outcomes and patient perspective. Monitoring performance in these areas requires an industry-wide valid and reliable measurement model that can quantify and then monitor performance over time. iVantage’s INDEX was designed to serve as this industry model.
Chief Data Scientist, PhD, MPH
Chartis Center for Rural Health
The INDEX is based on a composite measure of eight pillars of hospital strength: Inpatient Share Ranking, Outpatient Share Ranking, Cost, Charge, Quality, Outcomes, Patient Perspectives, and Financial Stability. These pillars are made up of more than 50 individual indicator variables which comprise the “indicator level”. Indicators are also grouped into three categories (the “index level”, used for reporting purposes): Market, Value, and Finance.
Unless otherwise noted, data used to produce the INDEX are available from public sources, primarily the federal government. All available data are included. Statistical sampling and data projection methodologies are employed only when necessary. Each INDEX release is based on the most recently available data for each indicator source. All information included in this release represents the most recently available data as of December 2016.
The INDEX strives to include all eligible U.S. active, short-term, acute care, non-specialty and non-federal rural hospitals in the study group (e.g. Rural PPS and CAHs). Working from a list of rural hospitals supplied by the Federal Office of Rural Health Policy, iVantage then segmented this list based on hospital bed size. The threshold for inclusion in this study was 200 beds or less.
For more information on the INDEX methodology, including a retailed review of the data sources read the Methodology Overview.