Hospital CEO pay, patient outcomes not in sync

CHICAGO — CEOs at nonprofit hospitals earned an average of $600,000 a year — and in some cases, more than $3 million — but there was no correlation between high pay and good outcomes for patients, according to a new study.

CEOs were paid more at hospitals that had high patient satisfaction scores; used more high-tech equipment including advanced imaging machines; had more beds and were located in large urban areas. But pay wasn’t reflected in 30-day outcomes for patients with heart attacks, heart failure or pneumonia in 2008, including deaths and readmissions. Those are among publicly reported outcome measures used by the federal Centers for Medicare &Medicaid Services and others.

While these hospitals get big tax exemptions for providing charity care and other community benefits, the researchers said the top executives’ annual pay wasn’t tied to those measures, either.

CEO compensation varied widely, from less than $100,000 to more than $3 million but averaged almost $600,000 in 2009, the study found.

The results were “a little disappointing,” said study author Dr. Ashish Jha, a health policy professor at Harvard’s School of Public Health. To not hold CEOs accountable for whether patients live or die within 30 days of treatment “doesn’t quite make sense,” he said.

Jha said the study results are a message for hospital boards that decide CEO compensation: ‘“If you really care about patient outcomes here’s a place to look.”

The study was published Monday in JAMA Internal Medicine.

The study is based on an analysis of public records including federal tax returns for 1,877 CEOs overseeing 2,681 private nonprofit hospitals. Most U.S. hospitals are nonprofit and those studied comprise 98 percent of private nonprofit hospitals, the study authors said.

In an editorial in the same journal, a hospital CEO in San Francisco disputes the conclusion and said CEOs may be compensated based on many other quality measures the authors didn’t consider. Dr. Warren Browner, CEO at California Pacific Medical Center, said using death rates and readmissions as a comparison can be misleading because both may be higher at hospitals that treat a higher proportion of very sick patients.

The American Hospital Association also took issue with the study.

Compensation for nonprofit hospital leaders “is set by an impartial board of community representatives,” said association spokeswoman Elizabeth Lietz. “It appears that the study fails to fully capture the full range of responsibilities of today’s health care leaders.”

Browner, the editorial author, said hospital CEOs’ compensation typically includes a base salary plus incentive pay if the hospital meets certain targets, which may include financial performance, patient satisfaction and several other quality measures. Browner noted that patient satisfaction is subjective but easier to measure than some other measures.

———

Online:

JAMA Internal Medicine: http://jamainternalmedicine.com

———

Follow AP Medical Writer Lindsey Tanner on Twitter at http://www.twitter.com

More in Local News

Young woman missing from Mukilteo found safe

She called her parents and told them she was at a museum in Seattle.

Mom and brother turn in suspect in Stanwood robberies

The man is suspected of robbing the same gas station twice, and apologizing to the clerk afterward.

Derrick “Wiz” Crawford, 22, is a suspect in the homicide of his roommate. (Edmonds Police Department)
Roommate suspected in Edmonds killing found hiding in closet

Police had been searching for him for 10 days before locating him at a house in Everett.

Video shows man suspected of attacking a woman in Edmonds

The man allegedly threw her on the ground, then ran away after the she began kicking and screaming.

Navy to put filter in Coupeville’s contaminated water system

Chemicals from firefighting foam was found in the town’s drinking water.

Officials to test sanity of suspect in Everett crime spree

He allegedly tried to rob and clobber a transit worker, then fled and struggled with police.

Katharine Graham, then CEO and chairwoman of the board of The Washington Post Co., looks over a copy of The Daily Herald with Larry Hanson, then The Herald’s publisher, during her visit to Everett on Sept. 20, 1984. The Washington Post Co. owned The Herald from 1978 until 2013. (Herald archives)
Everett’s brush with Katharine Graham, leader of ‘The Post’

Retired Herald publisher Larry Hanson recalls The Washington Post publisher’s visits.

Former Monroe cop loses appeal on sex crimes conviction

Once a highly respected officer, he was found guilty of secretly videotaping his kids’ babysitter.

Families seek to change wrongful death law

A bill would allow or parents or siblings who wish to pursue a suit for an unmarried, childless adult.

Most Read