The association between hospital ownership and postoperative complications: Does it matter who owns the hospital?

Abstract

Postoperative complications place a major burden on the healthcare systems. The type of hospital’s ownership could be one factor associated with this adverse outcome. Using CMS’s publicly available “Complications and Deaths—Hospitals” and “Hospital General Information” datasets, we analyzed the association between four postoperative complications (venous thromboembolism, joint replacement complications, wound dehiscence, postoperative sepsis) and hospital ownership. These data were collected by Medicare between April 2013 and March 2016. We found a significant association ( p = 0.029) between ownership types and the postoperative complication score. A 6-percent drop in the share of not-for-profit ownership, accompanied by a 3-percent increase in each of the government and for-profit ownership, resulted in a 20-percent drop in postoperative complication scores (from 5.75 to 4.6). There is an association between hospital ownership type and postoperative complications. Creating this awareness in leadership should prompt for redesigning of hospitals’ operations and workflows to become more compatible with safe and effective care delivery.