Pennsylvania Health Care Cost Containment Council PHC4 Health Care Toolkit.

Pennsylvania Health Care Cost Containment CouncilPennsylvania Health Care Cost Containment Council

PHC4PHC4

Health Care Toolkit Health Care Toolkit

Pennsylvania Health Care Cost Containment Council (PHC4)Pennsylvania Health Care Cost Containment Council (PHC4)

PHC4 Web sitePHC4 Web site

www.phc4.orgwww.phc4.org

Interactive Interactive DatabasesDatabases

Public ReportsPublic Reports


PHC4 Public ReportsPHC4 Public Reports

Hospital-acquired InfectionsHospital-acquired Infections

Heart Surgery* Heart Surgery*

Hospital PerformanceHospital Performance

Medicare AdvantageMedicare Advantage

**includes surgeon-specific infoincludes surgeon-specific info

All reports are All reports are freefree to the public to the public


30,237 HAIs statewide in 2006 30,237 HAIs statewide in 2006

Death rate with HAI = 12%, Death rate with HAI = 12%, without HAI = 2% without HAI = 2%

Average stay with HAI = 14 days, Average stay with HAI = 14 days, without HAI = 3 days without HAI = 3 days


For each hospital, the report lists:For each hospital, the report lists:

Number and rate of HAIs Number and rate of HAIs

Death ratesDeath rates

Average lengths of stayAverage lengths of stay

Average chargesAverage charges


Printed reportPrinted report


2006 Data

Select a hospital

Select a type of infection or all infections

Select a peer group

2006 Data

Select a hospital


Select a peer group

PHC4 Web site - InteractivePHC4 Web site - Interactive



2005-2006 Comparison

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Select a peer group

2005-2006 Comparison

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Select a peer group




Examines the results of coronary Examines the results of coronary artery bypass graft (CABG) artery bypass graft (CABG) surgery and valve surgery surgery and valve surgery

Hospital and surgeon-specific Hospital and surgeon-specific performanceperformance

Cardiac SurgeryCardiac Surgery

For hospitals and surgeons, the report For hospitals and surgeons, the report lists:lists:

Number of surgeries performedNumber of surgeries performed

In-hospital and 30-day death ratesIn-hospital and 30-day death rates

7-day and 30-day readmission rates7-day and 30-day readmission rates

Post-surgical lengths of stayPost-surgical lengths of stay



What do the symbols mean?



2005 Data

Select a hospital or surgeon

Select year

2005 Data

Select a hospital or surgeon

Select year

Cardiac SurgeryCardiac Surgery


Compares quality outcomes Compares quality outcomes and charges for common and charges for common procedures and treatments. procedures and treatments.

Hospital-specific dataHospital-specific data


The report lists:The report lists:

Number of casesNumber of cases

Death ratesDeath rates

Readmission ratesReadmission rates

Average lengths of stayAverage lengths of stay

Average chargesAverage charges


Select a countySelect a county



Conditions Available Online – Diagnoses:Conditions Available Online – Diagnoses:


•Abnormal Heartbeat•Blood Clot in Extremities•Blood Clot in Lung•Chronic Obstructive Pulmonary Disease •Congestive Heart Failure•Diabetes with Amputation•Diabetes - Medical Management•Heart Attack - Medical Management•Intestinal Obstruction•Kidney Failure – Acute

•Kidney and Urinary Tract Infections•Pneumonia - Aspiration•Pneumonia - Infectious•Respiratory Failure with Mechanical Ventilation•Respiratory Failure without Mechanical Ventilation•Septicemia•Stomach and Intestinal Bleeding•Stroke - Hemorrhagic•Stroke - Non-Hemorrhagic


Conditions Available Online – Procedures:Conditions Available Online – Procedures:


•Abdominal Aortic Aneurysm Repair-Endovascular•Abdominal Aortic Aneurysm Repair-Open•Colorectal Procedures•Gallbladder Removal - Laparoscopic•Gallbladder Removal - Open•Heart Attack - Angioplasty/Stent•Hip Fracture - Surgical Repair•Hysterectomy - Abdominal•Hysterectomy - Vaginal•Prostatectomy - Radical•Prostatectomy - Transurethral •Removal of Blockage of Neck Vessels


Conditions Available Online – DRGs:Conditions Available Online – DRGs:Hospital PerformanceHospital Performance

001 - Brain Surgery, complicated075 - Major Lung Operations 076- Miscellaneous Lung Procedures, complicated096 - Bronchitis and Asthma, complicated097 - Bronchitis and Asthma, uncomplicated141 - Hypotension and Fainting, complicated143 - Chest Pain182 - Stomach and Intestinal Infections and Disorders, complicated183 - Stomach and Intestinal Infections and Disorders, uncomplicated188 - Stomach and Intestinal Complications and Disorders202 - Cirrhosis and Alcoholic Hepatitis203 - Liver, Gallbladder or Pancreatic Cancer204 - Noncancerous Pancreatic Disorders205 - Liver Disease Except Cancer, Cirrhosis, Alcoholic Hepatitis, complicated243 - Medical Back Problems418 - Infection after Surgery or Trauma553 - Vascular Operations Excluding Heart, complicated, with Major Cardiovascular Condition 554 - Vascular Operations Excluding Heart, complicated, with Major Cardiovascular Condition567, 568 - Stomach and Small Intestinal Operations, complicated578,579 - Surgery for Infectious or Parasitic Disease


Select your search criteria

Select a treatment group to compare all facilities within one treatment group

Select your search criteria

Select a treatment group to compare all facilities within one treatment group



Helps older Pennsylvanians Helps older Pennsylvanians choose a Medicare Advantage choose a Medicare Advantage PlanPlan

Compare plan options availableCompare plan options available

Medicare Advantage PlansMedicare Advantage Plans

The report provides:The report provides:

A list of plans by countyA list of plans by county

An overview of benefits, monthly An overview of benefits, monthly premiums and co-paymentspremiums and co-payments

Information about quality measures Information about quality measures and member satisfaction ratingsand member satisfaction ratings

County-specific information about the County-specific information about the “Part D” drug benefit“Part D” drug benefit



Sample Member Satisfaction MeasureSample Member Satisfaction Measure


Sample Quality MeasureSample Quality Measure



PHC4 Web site – Download County Inserts PHC4 Web site – Download County Inserts


For more information on For more information on PHC4:PHC4:

225 Market Street, Suite 400225 Market Street, Suite 400Harrisburg, PA 17101Harrisburg, PA 17101

(717) 232-6787(717) 232-6787www.phc4.orgwww.phc4.org

Email: Email: Mike Berney, Manager, Purchaser Mike Berney, Manager, Purchaser & Community Relations at& Community Relations at

[email protected]@phc4.org

Pennsylvania Health Care Cost Containment Council PHC4 Health Care Toolkit.

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Transcript of Pennsylvania Health Care Cost Containment Council PHC4 Health Care Toolkit.