Ben Yandell PhD CQE System Associate Vice President Clinical Information Analysis CIA Norton Healthcare KHC Reporting Workgroup Use existing externallydefined indicators Hospital Compare website by CMS ID: 779971
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Slide1
Reporting hospital quality
Ben Yandell,
PhD, CQE
System Associate Vice President
Clinical Information Analysis (
CIA
)
Norton Healthcare
Slide2KHC Reporting Workgroup
Use existing, externally-defined indicators
Hospital Compare website by CMS*
Select indicators used invalue-based purchasing readmission reduction programUpdate quarterly
* CMS is the
Centers for Medicare & Medicaid
Services; a federal agency
Slide35 scores
Outcomes
Ratings by patients
Clinical processEfficiency
Readmissions
With component details available
Slide4Outcomes
30-day
survival after hospitalization
- heart attack
- heart failure
-
pneumonia
Hospital-acquired infections
- bloodstream
- urinary
tract
infection
- surgical-site
Complications
- Pressure Ulcer (“bed sore”)
- Blood clot
- Bloodstream infections
- Pneumothorax (“collapsed lung”)
- Sepsis (a severe reaction caused by infection)
- Surgical
incision
problems
-
Unintended
puncture or cut during surgery
- Postoperative Hip Fracture (usually due to a fall)
Slide5Death rate for heart attack
patients
(CMS Hospital
Compare. Medicare patients; risk-adjusted 30-day)
Outcomes
Slide6Ratings by patients
Overall
rating of hospital
Communication with nursesCommunication with doctorsResponsiveness of hospital staff Pain management Communication about medications
Cleanliness and quietness
Discharge information
“Consistency” – based on the lowest-scoring item
Slide7Overall hospital rating
(
CMS Hospital
Compare. All inpatients; % rating 9 or 10 out of 10)
Ratings by patients
Slide8Efficiency
Medicare expenses from 3 days before through 30 days after hospitalization.
Average
annual spending per Medicare beneficiary for all Medicare-reimbursed care: hospital, physician, rehabilitation, durable medical equipment, etc.
Slide9Efficiency
3% more efficient
– Kentucky
average2% more efficient – U.S. average; BaptistAs predicted – Jewish & St. Mary’s1% less efficient – Norton Hospitals, Floyd Memorial, Clark Memorial, Indiana average
2% less efficient – U of L
Hospital Compare 1/11/14; calendar year 2012 data
Slide10Clinical process
Heart attack patients
receiving medication
to dissolve blood clots received it within 30 minutes of arrivalPneumonia patients received recommended initial antibiotic
Surgical patients received recommended antibiotic
Antibiotic discontinued as recommended after surgery
Urinary catheter removed on postop day 1 or 2
Beta-blocker continued postop
Surgical patients received recommended blood-clot prevention
Hospitalized patients received influenza immunization
Slide11Urinary catheter removed after surgery
(
CMS Hospital
Compare. All inpatients; urinary catheter removed within day or two.)
Clinical process
Footnote 2. Data based on sample.
Slide12Readmissions
Heart Attack
Heart Failure
PneumoniaChronic Obstructive Pulmonary DiseaseTotal Hip and Total Knee Replacement
Slide13Readmission after hip or knee replacement
(
CMS Hospital
Compare. Medicare patients ; risk-adjusted 30-day)
Readmissions
Slide145 scores
Outcomes
Ratings by patients
Clinical processEfficiency
Readmissions
With component details available