Hospital-level Mortality Data for MI, CHF Available on Federal Website. June 25, 2007

Feds Post Nationwide Hospital-level Mortality Data for MI, CHF
June 25, 2007 By Sabina A. Murphy, M.P.H. [mailto:smurphy@perfuse.org]

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 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