California Health and Human Services has recognized 104 hospitals that have met or surpassed a federal goal aimed at reducing Cesarean births (C-sections) for first-time moms with low-risk pregnancies. California Health and Human Services Secretary Diana Dooley announced achievement awards to the hospitals on behalf of Smart Care California, a coalition of public and private health care purchasers that collectively cover more than 16 million people statewide —or 40 percent of all Californians.
MN Community Measurement (MNCM) released new results for five hospital-based health care quality measures on MNCM’s public reporting website MNHealthScores.org. This information can be used to compare hospitals within Minnesota with state and national averages. Three of the measures are based on mortality or death rates that occur within 30 days following hospitalizations for heart attack (acute myocardial infarction), heart failure and pneumonia. For these measures, lower rates of death are better. On all three measures, the statewide average was the same or lower than the national average. These results show that Minnesota hospitals had average or better than average performance compared to hospitals in other parts of the nation.
The Leapfrog Group will release updated hospital performance data in the Leapfrog Hospital Safety Grade on October 31, 2016. Each year, The Leapfrog Group asks every adult and free-standing pediatric general acute-care hospital in the U.S. to voluntarily complete the Leapfrog Hospital Survey. The Leapfrog Group’s standards are updated annually to reflect the latest science and are designed to drive better outcomes for patients. Results are publicly reported by individual bricks-and-mortar hospital. Leapfrog uses the survey data to track and share hospitals’ progress on key issues of safety and quality.
California’s Office of the Patient Advocate (OPA) released its updated ratings for health plans and medical groups in California for the 16th year. The report cards rate California’s 10 largest HMOs, five largest PPOs and over 200 commercial medical groups on quality and patient experience, and for the second year in a row, medical group cost ratings. Health plans and medical groups can be searched by county and their scores can be compared side by side.
View report card: 2016/17 California Health Care Quality Report Cards
On Friday, Nov. 4, U.S. News is bringing together the nation’s leading hospital quality experts from government, academia and the health care industry for a U.S. News Colloquium on Quality Measures as part of the Healthcare of Tomorrow conference. As part of a series to help frame that discussion, U.S. News opinion piece looks at the number of hospital quality report cards and rating systems and questions which measures and which report cards are best and why.
Healthgrades released its annual analysis of the nation’s hospitals, the 2017 Healthgrades Report to the Nation, which offers insight on variation in clinical quality and outcomes across the country. The Report also examines patients’ risk for complications and mortality with common surgeries along with relative driving distance to hospitals in general, and to hospitals demonstrating superior outcomes in a surgery or procedure.
Healthgrades also released a new, first-of-its-kind Risk IQ Tool today that helps consumers assess their personal risk as it relates to six common surgical procedures, and then provides guidance to select a high quality hospital and physician for their procedure.
The following is a summary of the latest quarterly quality data refresh on CMS Home Health Compare – updated October 19 2016:
Note: number of measures are contained in () for each measure group:
A) Quality of Care
Managing daily activities (3 measures) 15Q2_16Q1
Managing pain and treating symptoms (5 measures) 15Q2_16Q1
Treating wounds and preventing pressure sores (4 measures) 15Q2_16Q1
Preventing harm (8 measures) 15Q2_16Q1
Preventing unplanned hospital care (4 measures) – reporting to 15Q4
B) Patient survey results (5 measures) 15Q2_16Q1
The chance of hospital readmission within 30 days of discharge is roughly 8 percent less for heart failure patients who receive early, intensive nursing services combined with at least one outpatient physician visit during the week following discharge, an AHRQ study concluded. Neither treatment used alone, however, had a significant effect on hospital readmission. The researchers examined almost 99,000 hospital stay records for Medicare patients admitted with heart failure who were discharged to home health care. “Reducing Readmissions Among Heart Failure Patients Discharged to Home Health Care: Effectiveness of Early and Intensive Nursing Services and Early Physician Follow-Up” appeared online July 28 in Health Services Research. Access the abstract.
The average charge for a hospital stay among all payers was $39,500 in 2013. Charges varied according to insurance coverage, averaging $47,200 for Medicare, $30,900 for Medicaid and $35,900 for private insurance. (Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project Statistical Brief #209: Geographic Variation in Hospital Inpatient List Prices in the United States, 2013.)
The Centers for Medicare & Medicaid Services (CMS) recently announced the inclusion of Veterans Administration (VA) hospital performance data. The VA hospital performance data can be found via a link on Hospital Compare: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalCompare.html. Additional VA hospital data will be added in December with plans for future seamless integration of VA data onto the Hospital Compare website to allow comparison of performance between VA and civilian acute care hospitals. The VA tables include data for quarterly timely and effective care measures, VA satisfaction survey results, outcomes measures including mortality and readmission rates for selected conditions, behavioral health measures, and measures of patient safety.