Reported Clinical and Financial Performance of Hospitals With Physician CEOs Compared to Those With Nonphysician CEOs

Moores, Leon E.; Landry, Amy Yarbrough; Hernandez, S. Robert; Szychowski, Jeff M.; Borkowski, Nancy

doi:10.1097/jhm-d-20-00157

Cited by 4 publications

(10 citation statements)

References 32 publications

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“…Tasi and colleagues found that physician-led hospital systems had higher quality ratings compared with nonphysician-led hospital systems. Yet, a recent publication by Moores and colleagues found a significantly higher 30-day cardiovascular mortality rate in physician-led hospitals (80 deaths) when compared with nonphysician led hospitals (72 deaths), but the association was nullified in the multivariate linear regression analysis. The authors suggested that this trend may influence clinical outcomes, yet temporality could not be established because of the study design .…”

Section: Discussionmentioning

confidence: 99%

“…Yet, a recent publication by Moores and colleagues found a significantly higher 30-day cardiovascular mortality rate in physician-led hospitals (80 deaths) when compared with nonphysician led hospitals (72 deaths), but the association was nullified in the multivariate linear regression analysis. The authors suggested that this trend may influence clinical outcomes, yet temporality could not be established because of the study design . Additionally, the authors noted that future research should include CEOs with 3 years of tenure, which was unaccounted for in our cross-sectional design …”

Section: Discussionmentioning

confidence: 99%

“…The authors suggested that this trend may influence clinical outcomes, yet temporality could not be established because of the study design . Additionally, the authors noted that future research should include CEOs with 3 years of tenure, which was unaccounted for in our cross-sectional design …”

Section: Discussionmentioning

confidence: 99%

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Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers

et al. 2022

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ImportancePatient experience and patient safety are 2 major domains of health care quality; however empirical data on the association of physician vs nonphysician chief executive officers (CEOs) with public and private quality measures are rare but critical to evaluate as hospitals increasingly seek out physician CEOs.ObjectivesTo evaluate whether there is an association of CEO background with hospital quality and to investigate differences in hospital characteristics between hospitals with a physician CEO vs those with a nonphysician CEO.Design, Setting, and ParticipantsThis cross-sectional study used 2019 data from 3 sources (ie, the American Hospital Association [AHA] Annual Survey, the Hospital Consumer Assessment of Healthcare Providers and Systems [HCAHPS], and the Leapfrog Hospital Safety Grades) to identify statistical differences in hospital characteristics and outcomes. Data were analyzed from April to December 2021 .Main Outcomes and MeasuresMultivariable ordinal logistic regression was used to examine the association of physician CEOs with hospital quality assessment outcomes while controlling for other confounding factors. Characteristics from the AHA Annual Survey database were assessed as potential confounders, including hospital control, bed size, region, teaching status, and patient volume.ResultsThe AHA database contained 6162 hospitals; 1759 (29%) had HCAHPS ratings, 1824 (30%) had Leapfrog grades, and 383 (6%) had physician CEOs. A positive Spearman correlation coefficient was found between physician CEOs and HCAHPS patient willingness to recommend the hospital (ρ = 0.0756; P = .002), but the association between CEO medical background and Leapfrog safety grades or HCAHPS ratings did not reach a level of significance in the multivariable ordinal logistic regression models.Conclusions and RelevanceIn this study, a positive correlation was found between physician CEOs and HCAHPS patient willingness to recommend the hospital, but the multivariable analysis did not find an association between hospital physician CEOs and the examined quality and safety outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers

et al. 2022

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“…Surprisingly however, only a few studies have compared the performance of hospitals with physician Chief Executive Officers (CEOs) to that of hospitals with non-physician CEOs (Moores et al, 2021;Sarto and Veronesi, 2016;Satiani and Prakash, 2016;Tasi et al, 2019). Studying the relationship between physician leadership and hospital performance could lead to a more focused approach to leadership training and development and improve hospital succession planning.…”

Section: Introductionmentioning

confidence: 99%

The physician CEO advantage and hospital performance during the COVID-19 pandemic: capacity utilization and patient satisfaction

Belasen

Feng

2023

JHOM

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PurposePrior studies have shown that physician-led hospitals have several advantages over non-physician-led hospitals. This study seeks to test whether these advantages also extend to periods of extreme disruptions such as the COVID-19 pandemic, which affect bed availability and hospital utilization.Design/methodology/approachThe authors utilize a bounded Tobit estimation to identify differences in patient satisfaction rates and in-hospital utilization rates of top-rated hospitals in the United States.FindingsAmong top-rated US hospitals, those that are physician-led achieve higher patient satisfaction ratings and are more likely to have higher utilization rates.Research limitations/implicationsWhile the COVID-19 pandemic generated greater demand for inpatient beds, physician-led hospitals improved their hospitals’ capacity utilization as compared with those led by non-physician leaders. A longitudinal study to show the change over the years and whether physician Chief Executive Officers (CEOs) are more likely to improve their hospitals’ ratings than non-physician CEOs is highly recommended.Practical implicationsRecruiting and retaining physicians to lead hospitals, especially during disruptions, improve hospital’s operating efficiency and enhance patient satisfaction.Originality/valueThe paper reviews prior research on physician leadership and adds further insights into the crisis leadership literature. The authors provide evidence based on quantitative data analysis that during the COVID-19 pandemic, physician-led top-rated US hospitals experienced an improvement in operating efficiency.

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“…In this regard, scholars and practitioners have questioned whether the hospital's chief executive officer and board of directors should be clinically trained top executives (Kakemam and Goodall, 2019;Davlyatov et al, 2021;Moores et al, 2021). The empirical evidence suggests that clinicians' involvement in leadership positions varies significantly across countries.…”

Section: Introductionmentioning

confidence: 99%

Leadership Style and Hospital Performance: Empirical Evidence From Indonesia

2022

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The COVID-19 pandemic created new conditions for the functioning of all organizations. Suddenly, there was a problem with the lack of appropriate leadership styles models in health care organizations (hospitals), which are particularly vulnerable to disruptions in a pandemic. Hospitals, in particular, have become exposed to organizational and managerial problems. The article aims to propose an appropriate leadership style model that will guarantee a high level of hospital efficiency, taking into account a pandemic situation in the example of private hospitals in Indonesia. Organizational identification is promoted as a mediating variable due to the high level of this variable in explaining hospital performance in Indonesia based on preliminary studies. During research used a structural equation model using 394 samples at the unit leadership level in private hospitals in Indonesia. The results of this study explain that there is an impact between innovative leadership and strategic leadership styles on hospital performance. Private hospitals in Indonesia need to improve themselves to use the most appropriate leadership style model based on the needs of the hospital itself.

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Reported Clinical and Financial Performance of Hospitals With Physician CEOs Compared to Those With Nonphysician CEOs

Cited by 4 publications

References 32 publications

Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers

Comparison of Quality Measures From US Hospitals With Physician vs Nonphysician Chief Executive Officers

The physician CEO advantage and hospital performance during the COVID-19 pandemic: capacity utilization and patient satisfaction

Leadership Style and Hospital Performance: Empirical Evidence From Indonesia

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