Becker's Clinical Quality & Infection Control

Becker's Infection Control & Clinical Quality November / December 2015

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16 PATIENT EXPERIENCE Hospitals in close proximity to one another can have complication rates two to three times as high as others in their vicinity. For instance, in Denver, com- plication rates for hip replacement surgery varied across hospitals from 3.9 percent to 13.6 percent. Few hospitals claim superior performance across all 33 conditions and procedures analyzed. For example, of the 14 Chicago hospitals that picked up a five-star rating for heart attack treatment, eight of them received one star for total knee replacement. One might assume that cities with the most hospitals would contain the most five-star facilities, but Healthgrades negated this correlation. A greater amount of choice does not guarantee better out- comes. In several cities, while 30-plus hospitals treat certain conditions, only a handful earned five-star ratings. Take Houston for example: Of the area's 38 hospitals that treat chronic obstructive pulmonary disease, only one has a five-star rating for the condition. When presented with objective information about the physician experience, patient satisfaction and hospital outcomes, 85 percent of patients would choose a different physician than the one the selected prior to "doing their homework." Healthgrades analyzed roughly 45 million Medi- care patient records for approximately 4,500 short- term hospitals nationwide to create the 2016 report. e firm assessed hospital performance for the Medicare population from 2012 through 2014 and one condition (appendectomy) based on all-payer data from 2011 through 2013. Healthgrades analyzed mortality and complication rates for 33 condition or procedure cohorts, including heart failure, stroke, sepsis, diabetic emergencies, hip replacement, spinal fusion and pneumonia. (A complete listing is found on page 9 of the report.) Healthgrades adjusts for risk factors that in- fluence patient outcomes, such as age, gender and co-morbidities. n two six three four five 208 Hospital & Health System Executive Speakers BECKER'S 7 th ANNUAL MEETING April 27-30, 2016 Chicago KEYNOTES BY FORMER PRESIDENT GEORGE W. BUSH, DR. JOHN H. NOSEWORTHY, CEO OF MAYO CLINIC & DR. DAVID FEINBERG, CEO OF GEISINGER HEALTH REGISTER NOW www.beckershospitalreview.com/conference/

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