Top Hospitals Achieve Lower Mortality Rates, Better Long-Term Outcomes
Ann Arbor, MI – OCTOBER 1, 2012 — Truven Health Analytics, formerly the Healthcare business of Thomson Reuters, today released its annual study identifying the top U.S. hospitals for inpatient cardiovascular services.
The study, now in its fourteenth year, singled out 50 hospitals that achieved superior clinical outcomes.
"This year’s 50 Top Cardiovascular Hospitals have proven that a commitment to deliver excellent care is still attainable in times of economic uncertainty," said Jean Chenoweth, senior vice president for performance improvement and the 100 Top Hospitals® program at Truven Health Analytics. “The hospitals in this study have achieved higher levels of care and efficiency than their peers, demonstrating incredibly strong focus by cardiologists, cardiovascular surgeons, and cardiovascular service administrators and staff on basic care and outcomes."
The study shows that cardiovascular outcomes are improving nationwide. Across all U.S. hospitals, 96 percent of cardiovascular inpatients survive and remain complication-free. Among the 50 Top Hospitals, performance surpasses these high-water marks as indicated by:
- Better risk-adjusted survival rates (41 percent fewer deaths than expected, compared with 9 percent fewer than expected at peer hospitals, for bypass surgery patients).
- Lower complications indices (35 percent lower rate of heart failure complications than peers).
- Fewer patients readmitted to the hospital within 30 days of admission.
- Shorter hospital stays. The typical winning hospital released their bypass patients a full day sooner, and their heart attack and heart failure patients about three-quarters of a day sooner than their peers.
- Lower costs. Top hospitals spend $3,500 less per bypass case and $1,000 less per angioplasty than non-winners.
The study evaluated general and applicable specialty, short-term, acute care, non-federal U.S. hospitals treating a broad spectrum of cardiology patients.
Truven Health Analytics researchers analyzed 2010 and 2011 Medicare Provider Analysis and Review (MedPAR) data, 2010 Medicare cost reports, and 2012 Centers for Medicare and Medicaid Services (CMS) Hospital Compare data. They scored hospitals in key performance areas: risk-adjusted mortality, risk-adjusted complications, core measures (a group of measures that assess process of care), percentage of coronary bypass patients with internal mammary artery use, 30-day mortality rates, 30-day readmission rates, severity-adjusted average length of stay, and wage- and severity-adjusted average cost.
The Truven Health 50 Top Cardiovascular Hospitals were classified into three comparison groups. (The order of hospitals in the list does not reflect performance ranking.)
Teaching Hospitals With Cardiovascular Residency Programs
Mayo Clinic Hospital – Phoenix, AZ
Scripps Green Hospital – La Jolla, CA
UC San Diego Medical Center – San Diego, CA
Steward Saint Elizabeth’s Medical Center – Boston, MA
Baystate Medical Center – Springfield, MA
Saint Vincent Hospital – Worcester, MA
St. Joseph Mercy Oakland –Pontiac, MI
Providence Hospital and Medical Center – Southfield, MI
Mayo Clinic – Saint Mary’s Hospital – Rochester, MN
The Christ Hospital – Cincinnati, OH
Doctors Hospital – Columbus, OH
Kettering Medical Center – Kettering, OH
The University of Toledo Medical Center – Toledo, OH
Penn Presbyterian Medical Center – Philadelphia, PA
Lankenau Medical Center – Wynnewood, PA
Teaching Hospitals Without Cardiovascular Residency Programs
Sutter General Hospital – Sacramento, CA
St. Luke’s Hospital – Cedar Rapids, IA
Mercy Medical Center – Des Moines – Des Moines, IA
Allen Hospital – Waterloo, IA
St. Luke's Boise Medical Center – Boise, ID
St. Elizabeth’s Hospital – Belleville, IL
Decatur Memorial Hospital – Decatur, IL
St. John’s Hospital – Springfield, IL
St. Joseph Mercy Hospital – Ann Arbor, MI
North Memorial Medical Center – Robbinsdale, MN
St. Joseph’s Hospital – St. Paul, MN
Bryan Medical Center – Lincoln, NE
Mercy Medical Center – Canton, OH
Bethesda North Hospital – Cincinnati, OH
The Jewish Hospital – Cincinnati, OH
St. John Medical Center – Westlake, OH
UPMC Hamot – Erie, PA
St. Joseph Medical Center – Reading, PA
Riverside Regional Medical Center – Newport News, VA
Bon Secours St. Mary’s Hospital – Richmond, VA
Banner Heart Hospital – Mesa, AZ
Shasta Regional Medical Center – Redding, CA
Mercy General Hospital – Sacramento, CA
French Hospital Medical Center – San Luis Obispo, CA
Advocate Good Shepherd Hospital – Barrington, IL
Providence St. Patrick Hospital – Missoula, MT
Nebraska Heart Institute & Heart Hospital – Lincoln, NE
Trinity Hospital – Minot, ND
Blanchard Valley Hospital – Findlay, OH
Marion General Hospital – Marion, OH
Avera Heart Hospital – Sioux Falls, SD
St. David’s Medical Center – Austin, TX
Dixie Regional Medical Center – St. George, UT
Aurora BayCare Medical Center – Green Bay, WI
Bellin Hospital – Green Bay, WI
About Truven Health AnalyticsSM
Truven Health Analytics, formerly the Healthcare business of Thomson Reuters, delivers unbiased information, analytic tools, benchmarks, and services to the healthcare industry. Hospitals, government agencies, employers, health plans, clinicians, and pharmaceutical and medical device companies have relied on us for more than 30 years. We combine our deep clinical, financial, and healthcare management expertise with innovative technology platforms and information assets to make healthcare better by collaborating with our customers to uncover and realize opportunities for improving quality, efficiency, and outcomes. With more than 2,000 employees globally, we have major offices in Ann Arbor, Mich.; Chicago; and Denver. Advantage Suite, Micromedex, ActionOI, MarketScan, and 100 Top Hospitals are registered trademarks or trademarks of Truven Health Analytics. For more information, please visit truvenhealth.com.