Sampling
All acute care hospitals that had at least 20 HealthStream Jane ® assessment completions during the timeframe of November 1 , 2019 , through October 31 , 2020 , and also had a valid CMS star rating between 1-5 were included in the study . This provided a total of 22 acute care hospitals that met the inclusion criteria . For instances where a user completed the same assessment more than once during the study timeframe , only the most recent assessment score was used in the calculation of the overall average score .
Data Measurement
Hospitals with access to HealthStream Jane ® had the ability to assign knowledge assessments to staff based on clinical role . For example , a registered nurse ( RN ) that worked in the emergency department ( ED ) would complete three knowledge assessments – RN : Emergency Assessment , RN : Pharmacology Assessment , and a Cardiac Rhythm Identification Assessment . These knowledge assessments were graded automatically upon submission with a score between 0-100 , and the results were stored to a database . CMS overall star ratings were acquired directly from CMS .
Data Collection
The knowledge assessment scores for the hospitals that met the inclusion criteria were queried from the HealthStream database . The
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