Hospital-level Mortality Data for MI, CHF Available on Federal Website. June 25, 2007
You don't need to be Editor-In-Chief to add or edit content to WikiDoc. You can begin to add to or edit text on this WikiDoc page by clicking on the edit button at the top of this page. Next enter or edit the information that you would like to appear here. Once you are done editing, scroll down and click the Save page button at the bottom of the page.
Feds Post Nationwide Hospital-level Mortality Data for MI, CHF
June 25, 2007 By Sabina A. Murphy, M.P.H. [1]
In a sign of the times with more focus on quality performance measures, the Department of Health and Human Services (HHS) recently posted nationwide comparative results of hospital-level 30-day mortality data for Medicare patients treated for [[ST Elevation Myocardial Infarction|MI] and [Congestive Heart Failure|heart failure]. Actual rates are not reported, but the public can now see how mortality in individual hospitals compares to the national average (better, worse or no different from the national average).
According to the "Hospital Compare" website, 17 out of 4477 hospitals nationwide had better than average mortality rates for MI patients and 7 had worse mortality rates than the average. For heart failure patients, mortality at 38 hospitals was better than the national average and worse at 35 hospitals. The mortality estimates are risk-adjusted to take into account the fact that some hospitals treated sicker patients who are more likely die due to higher baseline risks.
Dr Harlan M Krumholz (Yale University, New Haven, CT), leader of the team that developed the statistical methods used for the risk-adjusted mortality rates, noted "These measures are a start toward an emphasis on results in health care. They are not perfect, but do provide valid information about the results we are achieving. Our measures will improve over time -- but taking the patient's perspective in our assessment of our performance is here to stay."
Also available on the website, the public can review actual rates of process of care measures at individual hospitals. For MI patients, measures include the percentage of patients treated with aspirin and beta-blockers at arrival and discharge and the percentage who received smoking cessation counseling. For heart failure patients, measures include the percentage of patients treated with ACE-inhibitors or ARB for left ventricular systolic dysfunction, percentage evaluated for LV systolic function, and the percentage given discharge instructions, as well as the percentage receiving smoking cessation counseling.
The website, established to promote reporting on hospital quality of care, is a collaborative effort between the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services, and the Hospital Quality Alliance (HQA).
Hospital Performance/Rating Information
Provider # Hospital Name State Lower Limit 95% IntEst Upper Limit 95% IntEst RSMR Worse/Better AMI/HF
HARTFORD HOSPITAL CT 0.099 0.150 0.122 Better AMI
ST VINCENT'S MEDICAL CENTER CT 0.090 0.153 0.121 Better AMI
ADVOCATE LUTHERAN GENERAL HOSPITAL IL 0.101 0.161 0.128 Better AMI
ST VINCENT HEART CENTER OF INDIANA, LLC IN 0.099 0.161 0.127 Better AMI
CAPE COD HOSPITAL MA 0.096 0.151 0.121 Better AMI
SUBURBAN HOSPITAL ASSOCIATION MD 0.085 0.151 0.116 Better AMI
MAINE MEDICAL CENTER ME 0.105 0.161 0.131 Better AMI
ABBOTT - NORTHWESTERN HOSPITAL INC MN 0.096 0.161 0.126 Better AMI
BARNES JEWISH HOSPITAL MO 0.092 0.151 0.119 Better AMI
REX HOSPITAL NC 0.099 0.162 0.124 Better AMI
NEW YORK-PRESBYTERIAN HOSPITAL NY 0.102 0.149 0.123 Better AMI
MAIMONIDES MEDICAL CENTER NY 0.086 0.131 0.108 Better AMI
TRUMBULL MEMORIAL HOSPITAL OH 0.084 0.155 0.115 Better AMI
HILLCREST HOSPITAL OH 0.089 0.143 0.114 Better AMI
AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC SD 0.095 0.160 0.124 Better AMI
EVERGREEN HOSPITAL MEDICAL CENTER WA 0.087 0.159 0.121 Better AMI
AURORA ST LUKES MED CTR WI 0.107 0.152 0.128 Better AMI
SPARKS REGIONAL MEDICAL CENTER AR 0.173 0.286 0.221 Worse AMI
YUMA REGIONAL MEDICAL CENTER AZ 0.165 0.248 0.203 Worse AMI
KINGMAN REGIONAL MEDICAL CENTER AZ 0.166 0.288 0.222 Worse AMI
SVCMC- CATHOLIC MEDICAL CENTER OF BROOKLYN QUEENS NY 0.175 0.251 0.213 Worse AMI
SOUTHERN OHIO MEDICAL CENTER OH 0.175 0.271 0.221 Worse AMI
CHRISTUS ST MICHAEL HEALTH SYSTEM TX 0.166 0.253 0.204 Worse AMI
DANVILLE REGIONAL MEDICAL CENTER VA 0.199 0.293 0.240 Worse AMI
GLENDALE MEM HOSPITAL & HLTH CENTER CA 0.057 0.105 0.078 Better HF
OLYMPIA MEDICAL CENTER CA 0.062 0.110 0.084 Better HF
CHRISTIANA HOSPITAL DE 0.073 0.108 0.088 Better HF
BAY MEDICAL CENTER FL 0.060 0.100 0.077 Better HF
MOUNT SINAI MEDICAL CENTER FL 0.065 0.106 0.084 Better HF
MERCY HOSPITAL INC FL 0.060 0.107 0.081 Better HF
AVENTURA HOSPITAL & MEDICAL CENTER FL 0.065 0.109 0.084 Better HF
LOYOLA UNIVERSITY MEDICAL CENTER IL 0.061 0.110 0.083 Better HF
NORTHWESTERN MEMORIAL HOSPITAL IL 0.057 0.104 0.076 Better HF
METHODIST HOSPITAL, INC, THE IN 0.067 0.108 0.085 Better HF
ST CATHERINE HOSPITAL IN 0.055 0.103 0.077 Better HF
COMMUNITY HOSPITAL, THE IN 0.054 0.086 0.069 Better HF
WILLIS KNIGHTON MEDICAL CENTER LA 0.052 0.085 0.067 Better HF
SOUTHCOAST HOSPITAL GROUP, INC MA 0.067 0.101 0.084 Better HF
BETH ISRAEL DEACONESS MEDICAL CENTER MA 0.064 0.110 0.085 Better HF
BRIGHAM AND WOMEN'S HOSPTIAL MA 0.064 0.110 0.084 Better HF
SAINT AGNES HOSPITAL MD 0.058 0.102 0.078 Better HF
GOOD SAMARITAN HOSPITAL MD 0.062 0.105 0.081 Better HF
PROVIDENCE HOSPITAL MI 0.072 0.109 0.089 Better HF
SINAI-GRACE HOSPITAL MI 0.066 0.107 0.084 Better HF
HARPER UNIVERSITY HOSPITAL MI 0.056 0.102 0.076 Better HF
WILLIAM BEAUMONT HOSPITAL MI 0.077 0.106 0.091 Better HF
MCLAREN REGIONAL MEDICAL CENTER MI 0.059 0.095 0.076 Better HF
GENESYS REGIONAL MEDICAL CENTER MI 0.056 0.098 0.074 Better HF
HEALTHEAST ST JOHN'S HOSPITAL MN 0.059 0.110 0.081 Better HF
LIBERTY HOSPITAL MO 0.060 0.110 0.081 Better HF
HACKENSACK UNIVERSITY MEDICAL CENTER NJ 0.071 0.110 0.089 Better HF
BAYONNE MEDICAL CENTER NJ 0.058 0.100 0.076 Better HF
NEW YORK-PRESBYTERIAN HOSPITAL NY 0.067 0.104 0.084 Better HF
BETH ISRAEL MEDICAL CENTER NY 0.069 0.110 0.089 Better HF
MAIMONIDES MEDICAL CENTER NY 0.069 0.105 0.085 Better HF
WHITE PLAINS HOSPITAL CENTER NY 0.056 0.103 0.077 Better HF
MIAMI VALLEY HOSPITAL OH 0.063 0.110 0.084 Better HF
MARYMOUNT HOSPITAL OH 0.059 0.100 0.078 Better HF
SOUTHWEST GENERAL HEALTH CENTER OH 0.060 0.101 0.078 Better HF
HILLCREST HOSPITAL OH 0.065 0.102 0.082 Better HF
WEST PENN HOSP FORBES CAMPUS PA 0.053 0.100 0.074 Better HF
MEMORIAL HERMANN HEALTHCARE SYSTEM TX 0.074 0.109 0.090 Better HF
JACKSON HOSPITAL & CLINIC INC AL 0.124 0.200 0.159 Worse HF
PROVIDENCE HOSPITAL AL 0.115 0.189 0.146 Worse HF
CONWAY REGIONAL MEDICAL CENTER AR 0.127 0.215 0.165 Worse HF
BANNER THUNDERBIRD MEDICAL CENTER AZ 0.113 0.192 0.148 Worse HF
ST JOSEPHS MED CENTER OF STOCKTON CA 0.114 0.179 0.143 Worse HF
SUTTER GENERAL HOSPITAL CA 0.112 0.173 0.139 Worse HF
TRI-CITY MEDICAL CENTER CA 0.134 0.223 0.173 Worse HF
MERCY MEDICAL CENTER CA 0.116 0.197 0.152 Worse HF
CORONA REGIONAL MEDICAL CENTER CA 0.116 0.203 0.153 Worse HF
LODI MEMORIAL HOSPITAL CA 0.114 0.194 0.150 Worse HF
MANATEE MEMORIAL HOSPITAL FL 0.115 0.177 0.144 Worse HF
MEDICAL CENTER OF CENTRAL GEORGIA GA 0.112 0.175 0.143 Worse HF
BROMENN HEALTHCARE IL 0.116 0.200 0.154 Worse HF
ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER IL 0.117 0.166 0.140 Worse HF
CHRISTUS ST FRANCIS CABRINI HOSPITAL LA 0.121 0.194 0.153 Worse HF
PORT HURON HOSPITAL MI 0.114 0.189 0.147 Worse HF
FORREST GENERAL HOSPITAL MS 0.122 0.198 0.157 Worse HF
FAITH REGIONAL HEALTH SERVICES NE 0.120 0.214 0.161 Worse HF
KENMORE MERCY HOSPITAL NY 0.122 0.205 0.159 Worse HF
SAMARITAN HOSPITAL NY 0.113 0.188 0.148 Worse HF
MASSENA MEMORIAL HOSPITAL NY 0.123 0.218 0.163 Worse HF
PLAINVIEW HOSPITAL NY 0.117 0.179 0.146 Worse HF
CLAREMORE REGIONAL HOSPITAL OK 0.113 0.212 0.156 Worse HF
PROVIDENCE ST VINCENT MEDICAL CENTER OR 0.126 0.205 0.161 Worse HF
SACRED HEART MEDICAL CENTER OR 0.125 0.201 0.160 Worse HF
GNADEN HUETTEN MEMORIAL HOSPITAL PA 0.114 0.201 0.151 Worse HF
BAPTIST MEMORIAL HOSPITAL TN 0.117 0.168 0.140 Worse HF
ATHENS REGIONAL MEDICAL CENTER TN 0.123 0.230 0.171 Worse HF
HARDIN MEDICAL CENTER TN 0.120 0.228 0.168 Worse HF
BAYLOR ALL SAINTS MEDICAL CENTER AT FW TX 0.112 0.191 0.146 Worse HF
HENDRICK MEDICAL CENTER TX 0.119 0.188 0.150 Worse HF
HUGULEY HEALTH SYSTEM TX 0.117 0.191 0.149 Worse HF
DANVILLE REGIONAL MEDICAL CENTER VA 0.116 0.184 0.146 Worse HF
OLYMPIC MEDICAL CENTER WA 0.114 0.192 0.148 Worse HF
ST MARYS HSPTL MED CTR WI 0.118 0.218 0.161 Worse HF
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
