Benchmarking: Control Your Health Plan

50 TOP CARDIOVASCULAR HOSPITALS, 2016

A NATIONAL BENCHMARKS REPORT

Performance Report Prepared For:Sample HospitalCity, STMEDICARE ID: 999999

50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample HospitalCity, ST

REPORT NOTESComparison GroupsSo that we can compare your hospital with others most like it, we assign each hospital to one of three comparison groups according to size, teaching status, and residency/fellowship program involvement:

• Teaching hospitals with cardiovascular residency programs (CARDIO TEACHING)

• Teaching hospitals without cardiovascular residency programs (TEACHING)

• Community hospitals (COMMUNITY)Benchmark and Peer GroupsIn the Truven Health Analytics 50 Top Cardiovascular Hospitals study, we select 50 Benchmark hospitals (winners) based on overall performance in the most recent year of data available:

CARDIO TEACHING 15TEACHING 20COMMUNITY 15

Peer group hospitals include all U.S. hospitals in our study database, excluding benchmark hospitals.In this custom report, we provide two types of comparisons:

• Profiled hospital versus comparison group Benchmark hospitals• Profiled hospital versus comparison group Peer hospitals

Measure Categories and Patient GroupsWe include data for acute myocardial infarction (AMI), heart failure (HF), coronary artery bypass graft (CABG) and primary percutaneous coronary intervention (PCI) patients in our analysis.

Measure Category Pt Groups Measure Category Pt GroupsMedical Mortality AMI, HF % CABG with IMA CABGSurgical Mortality CABG, PCI 30 Day Measures AMI, HFComplications CABG, PCI Avg Length of Stay AllCore Measures AMI, HF, SCIP, OUTPAT Cost per Case All

Public Data Sets UsedMeasures Public Data SourcesMortality, Complications MedPAR Federal Fiscal Yr 2013-2014ALOS, Cost per Case MedPAR FFY 2014

Core Measures CMS Hospital Compare (CMSHC) Oct 1, 2013 - Sep 30, 2014

30-Day Mortality CMSHC July 1, 2011 - June 30, 201430-Day Readmissions CMSHC July 1, 2011 - June 30, 2014Cost to Charge Ratio Medicare Cost Report 2014

Use of Median ValuesWhen individual core measures (CMs), 30-day mortality or 30-day readmission rates are missing or the reported value is insufficiently precise (patient count too low), we substitute class median values for the hospital value(s). We do this to allow overall ranking of the hospital.Note: Hospitals missing all CMs, all 30-day mortality or all 30-day readmission measures are excluded from the study.Missing Data or Incalculable Data Points

• No bar is displayed for the profiled hospital if values were not reported, are incalculable, or where the median was used.

• If a hospital was excluded from the study for missing or incalculable performance measures, we note the details at the end of the report.

Winner ExclusionsA hospital was not eligible to be a winner if one of the following applied:

• Statistically poor performance in mortality or complications (95% confidence).

• One or more outliers (interquartile range methodology) for wage- and severity-adjusted cost per case.

• Less than 11 cases in any of the patient groups (AMI, HF, CABG, PCI) for the current data year (2014).

FOR MORE INFORMATIONFor a Study Abstract, with full details on performance measures, methods used and winner list, visit www.100tophospitals.com.

©2015 Truven Health Analytics. All rights reserved. 2 of 15


HOSPITAL RANK PERCENTILES COMPARED WITH CARDIO TEACHING HOSPITALS (n=229)

0

20

40

60

80

100

AMI Mort

HF Mort

PCI Mort

CABG Mort

PCI Com

p

CABG Com

p

CABG IMA

AMI ALO

S

HF ALO

S

PCI ALO

S

CABG ALO

S

AMI Cos

t

HF Cos

t

PCI Cos

t

CABG Cos

t

CM Mea

n

AMI 30D

ay M

ort

HF 30Day

Mort

AMI 30D

ay R

eadm

HF 30Day

Rea

dm

52

77.7

90

77.7

94.3 94.8

66.4

30.6

17

72.1

29.3

94.3 95.2 92.6

80.876.4

90.8

70.1

97.8

82.1

PER

CEN

TILE



HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1 AND PEER2 HOSPITALS

AMI PATIENTS

RISK-ADJUSTED MORTALITY INDEX 30-DAY READMISSION RATE (%)

0.00

0.20

0.40

0.60

0.80

1.00

1.20

ProfiledHospital

BenchmarkMedian

PeerMedian

0.97

0.77

0.98

IND

EX

Profiled hospital is statistically AS expected. (95% confidence)

▼ DESIREDDIRECTION

0.0 2.0 4.0 6.0 8.0

10.0 12.0 14.0 16.0 18.0

ProfiledHospital

BenchmarkMedian

PeerMedian

14.9%16.4%

17.4%

PER

CEN

T


30-DAY MORTALITY RATE (%)

0.0 2.0

4.0 6.0

8.0 10.0

12.0 14.0 16.0

ProfiledHospital

BenchmarkMedian

PeerMedian

11.9%12.8%

13.7%

PER

CEN

T


1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214




AMI PATIENTS

SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY

0.0

1.0

2.0

3.0

4.0

5.0

ProfiledHospital

BenchmarkMedian

PeerMedian

4.70

3.70

4.40

DA

YS


jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj


WAGE- AND SEVERITY-ADJUSTED COST PER CASE

0

2,000

4,000

6,000

8,000

10,000

12,000

ProfiledHospital

BenchmarkMedian

PeerMedian

$7,071$7,820

$9,992

DO

LLA

RS







HF PATIENTS

RISK-ADJUSTED MORTALITY INDEX 30-DAY READMISSION RATE (%)

0.00

0.20

0.40

0.60

0.80

1.00

1.20

ProfiledHospital

BenchmarkMedian

PeerMedian

0.870.77

1.02

IND

EX



0.0

4.0

8.0

12.0

16.0

20.0

24.0

ProfiledHospital

BenchmarkMedian

PeerMedian

20.7% 21.1%22.3%

PER

CEN

T



0.0

2.0

4.0

6.0

8.0

10.0

12.0

ProfiledHospital

BenchmarkMedian

PeerMedian

9.9% 9.9%10.7%

PER

CEN

T






HF PATIENTS

SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY

0.0

1.0

2.0

3.0

4.0

5.0

6.0

ProfiledHospital

BenchmarkMedian

PeerMedian

5.50

4.10

4.90

DA

YS



WAGE- AND SEVERITY-ADJUSTED COST PER CASE WAGE- AND SEVERITY-ADJUSTED COST PER CASE

0

2,000

4,000

6,000

8,000

10,000

ProfiledHospital

BenchmarkMedian

PeerMedian

$6,224$7,090

$8,619

DO

LLA

RS







CABG PATIENTS

RISK-ADJUSTED MORTALITY INDEX CABG w INTERNAL MAMMARY ARTERY USE (%)

0.00

0.20

0.40

0.60

0.80

1.00

ProfiledHospital

BenchmarkMedian

PeerMedian

0.75 0.72

0.91

IND

EX



0.0

20.0

40.0

60.0

80.0

100.0

ProfiledHospital

BenchmarkMedian

PeerMedian

97.0% 97.8% 95.7%

PER

CEN

T

▲ DESIREDDIRECTION

RISK-ADJUSTED COMPLICATIONS INDEX

0.00

0.20

0.40

0.60

0.80

1.00

ProfiledHospital

BenchmarkMedian

PeerMedian

0.84 0.850.96

IND

EX







CABG PATIENTS

SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY

0.0

2.0

4.0

6.0

8.0

10.0

12.0

ProfiledHospital

BenchmarkMedian

PeerMedian

9.90

8.109.00

DA

YS


WAGE- AND SEVERITY-ADJUSTED COST PER CASE

05,000

10,00015,000

20,00025,000

30,00035,00040,000

ProfiledHospital

BenchmarkMedian

PeerMedian

$32,015 $32,015

$38,980

DO

LLA

RS






PCI PATIENTS

RISK-ADJUSTED MORTALITY INDEX SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY

0.00

0.20

0.40

0.60

0.80

1.00

ProfiledHospital

BenchmarkMedian

PeerMedian

0.65

0.820.94

IND

EX



0.00.5

1.01.5

2.02.5

3.03.54.0

ProfiledHospital

BenchmarkMedian

PeerMedian

3.30 3.203.60

DA

YS


RISK-ADJUSTED COMPLICATIONS INDEX WAGE- AND SEVERITY-ADJUSTED COST PER CASE

0.00

0.20

0.40

0.60

0.80

1.00

1.20

ProfiledHospital

BenchmarkMedian

PeerMedian

0.770.85

0.98

IND

EX



0

4,000

8,000

12,000

16,000

20,000

ProfiledHospital

BenchmarkMedian

PeerMedian

$12,499$13,808

$18,372

DO

LLA

RS






CORE MEASURES

0

20

40

60

80

100

Overall CMMean

PCI 90Min

LVSFAssess

Peri-OpBeta B

StressTests*

98 98 100 99

4

98 100 100 99

5

98 98 100 99

5

PER

CEN

T

CORE MEASURE ABBREVIATION KEY:Overall CM Mean

Overall Core Measures Mean Percent

PCI 90 Min Heart Attack Patients Given PCI Within 90 Minutes Of Arrival

LVSF Assess Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

Peri-Op Beta B Surgery Patients Who Were Taking Heart Drugs Called Beta Blockers Before Coming to the Hospital, Who Were Kept on the Beta Blockers During the Period Just Before and After their Surgery

Stress Tests Outpatients Who Got Cardiac Imaging Stress Tests Before Low-Risk Outpatient Surgery *NOTE: lower percentages are better with this measure

Profiled Hospital

Benchmark Median

Peer Median

▲ DESIRED DIRECTION




NEW METRICS UNDER CONSIDERATION

This section of your report contains measures that we are currently considering for future inclusion in the study.

• Valve Patient Group - Clinical Outcome, Efficiency and Cost Measures • Risk-adjusted mortality index • Risk-adjusted complications index • Severity-adjusted length of stay • Wage- and severity-adjusted cost per case

• Extended Outcome Measures • 30-day mortality rate for CABG patients • 30-day readmission rate for CABG patients

• Episode of Care Payment Measures • 30-day episode payment for AMI patients • 30-day episode payment for HF patients

We welcome your comments and feedback on the usefulness and relevance of these measures in assessing leadership's ability to drive high level balanced performance.




VALVE PATIENTS

RISK-ADJUSTED MORTALITY INDEX SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY

0.00

0.20

0.40

0.60

0.80

1.00

1.20

ProfiledHospital

BenchmarkMedian

PeerMedian

0.73

0.97 0.98

IND

EX



0.0

2.0

4.0

6.0

8.0

10.0

12.0

ProfiledHospital

BenchmarkMedian

PeerMedian

8.60 8.509.80

DA

YS


RISK-ADJUSTED COMPLICATIONS INDEX WAGE- AND SEVERITY-ADJUSTED COST PER CASE

0.00

0.20

0.40

0.60

0.80

1.00

1.20

ProfiledHospital

BenchmarkMedian

PeerMedian

0.93 0.910.99

IND

EX



0

10,000

20,000

30,000

40,000

50,000

60,000

ProfiledHospital

BenchmarkMedian

PeerMedian

$39,540$43,019

$52,089

DO

LLA

RS






CABG PATIENTS


0.0 0.4

0.8 1.2

1.6 2.0

2.4 2.8 3.2

ProfiledHospital

BenchmarkMedian

PeerMedian

2.2%

2.7%2.9%

PER

CEN

T




30-DAY READMISSION RATE (%)

0.0 2.0

4.0 6.0

8.0 10.0

12.0 14.0 16.0

ProfiledHospital

BenchmarkMedian

PeerMedian

12.5%

15.4% 14.8%

PER

CEN

T







AMI AND HF PATIENTS

AMI 30-DAY EPISODE PAYMENT

0

4,000

8,000

12,000

16,000

20,000

24,000

ProfiledHospital

BenchmarkMedian

PeerMedian

$20,425$22,236 $22,886

DO

LLA

RS




HF 30-DAY EPISODE PAYMENT

02,0004,0006,0008,000

10,00012,00014,00016,00018,000

ProfiledHospital

BenchmarkMedian

PeerMedian

$15,444$16,634 $16,489

DO

LLA

RS





Benchmarking: Control Your Health Plan

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