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Prospective studies have demonstrated that the rate of revascularization for acute coronary syndromes in for-profit hospitals may be higher than in not-for-profit hospitals, but it is not clear whether this is explained by organizational features of the hospital or by other reasons. We studied whether for-profit hospitals are less likely to have cardiac catheterization, coronary arteriography, and cardiopulmonary resuscitation equipment available in the emergency department, and whether these facilities are more likely to have an “outreach” strategy for cardiopulmonary resuscitation. We used the quality of care and the acuity of admissions data from 764 hospitals for patients in the National Registry of Myocardial Infarction 2.0 (NRMI-2.0) between July 1995 and May 1999. Hospitals were categorized as for-profit, not-for-profit, or other (self-pay or non-hospital ownership). We used hierarchical logistic regression to analyze the relationship between hospital type and resuscitation equipment availability; model fit was improved by incorporating hospital characteristics other than ownership, such as metropolitan, teaching, and status. After adjusting for the effects of hospital characteristics, for-profit hospitals were no more likely than other hospitals to have cardiac catheterization and coronary arteriography available. For-profit hospitals were slightly more likely to have cardiopulmonary resuscitation equipment available (OR, 1.59; 95% CI, 1.08 to 2.34). They also were more likely to have an “outreach” strategy for cardiopulmonary resuscitation (OR, 2.12; 95% CI, 1.54 to 2.94). Although they were no more likely than non-for-profit hospitals to have available cardiac catheterization and coronary arteriography, for-profit hospitals were more likely than other hospitals to have cardiopulmonary resuscitation equipment and to have an “outreach” strategy for cardiopulmonary resuscitation.Two-Way Line of Business Reporting has seen a steep learning curve as we start on the road to understanding what it means to be more transparent in
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