ANN ARBOR, Mich., Nov. 7, 2016 /PRNewswire/ -- Truven Health Analytics™, an IBM company, today released its 2017 study identifying the top U.S. hospitals for inpatient cardiovascular services. New to this year's study is a five-year trend analysis of cardiovascular care. The analysis found significant improvement over the five-year period in a number of key quality measures, such as 30-day readmission rates and 30-day mortality rates for acute myocardial infarction (AMI). However, many other performance metrics showed flat to modest improvement.
Now in its 18th year, the Truven Health 50 Top Cardiovascular Hospitals study uses a balanced national scorecard of hospital performance metrics to identify the fifty highest-performing cardiovascular services lines in the nation.
Nationwide Cardiac Hospital Benchmarks
For the first time, this year's study includes trended performance change data over the 2011 - 2015 period across a range of key quality metrics. This directional performance data provides a granular look at where cardiovascular hospitals are showing the most significant improvement, and where performance has plateaued or declined. Some of the most noteworthy trends in cardiovascular hospital performance include:
Significantly Improved 30-Day Readmission Rates for AMI & Heart Failure: Thirty-day readmission rates for AMI showed significant improvement in 51 percent of hospitals nationwide between 2011 and 2015. For heart failure readmissions over the same period, 31 percent of U.S. cardiac hospitals showed significant improvement.
Mixed Results on 30-Day Mortality Rates for AMI & Heart Failure: While 29 percent of U.S. cardiac hospitals saw significant improvements in 30-day mortality rates for AMI over the five-year period, just six percent saw significant improvements in 30-day mortality rates for heart failure.
Flat Performance on Length-of-Stay, Complications: Average patient length-of-stay figures were largely flat for AMI, heart failure, coronary artery bypass graft (CABG), and percutaneous coronary intervention (PCI) across a majority of U.S. cardiac hospitals. Likewise, CABG and PCI complication rates were flat at 92 percent and 93 percent of hospitals, respectively.
"Because more than 600,000 people die of heart disease in the U.S. every year, hospitals and health systems need to understand whether or not we are making progress. The addition of the five-year trends provides statistically valid information to demonstrate the progress of the industry as a whole as well as each hospital," said Jean Chenoweth, senior vice president for performance improvement and the 100 Top Hospitals program at Truven Health Analytics. "The good news is that significant positive progress is being made nationally and in some hospitals. The next step is to assure that all hospitals perform at national benchmark levels."
50 Top Cardiac Hospital Performance
When compared with the nationwide data set of hospital performance metrics, the Truven Health 50 Top Cardiovascular Hospitals, showed significant outperformance versus peer group hospitals. The 50 Top Cardiovascular Hospitals spent an average of $6,100 less per bypass surgery than non-winning hospitals and more than $1,200 less per heart failure patient admitted. Winning hospitals also saw fewer complications, had shorter average patient lengths of stay, and significantly higher inpatient survival rates than non-winning hospitals.
Highlighted are some of the key performance benchmarks set by this year's 50 Top Cardiovascular Hospitals:
Lower Readmissions Rates: Readmission rates for acute myocardial infarction and heart failure were .05-to-1.2 percentage points lower than non-winning hospitals.
Higher Inpatient Survival Rates: Winning hospitals experienced inpatient survival rates that were 25 to 55 percent higher than non-winning hospitals.
Fewer Complications: The 50 Top Cardiovascular Hospitals achieved 20 to 22 percent fewer patients with complications.
Shorter Length of Stay: Patients at winning hospitals spent an average of one-third to one-half day fewer in the hospital than patients at non-winning hospitals.
If all cardiovascular providers in the U.S. performed at the level of this year's winners (based on Medicare patients only), results industry-wide could amount to: 9,000 additional lives saved, $1.4 billion saved, and 6,000 additional complication-free bypass and angioplasty patients.
To determine the 50 top U.S. hospitals for heart care, Truven Health researchers analyzed 2014 and 2015 Medicare Provider Analysis and Review (MedPAR) data, 2015 Medicare cost reports and second-quarter 2016 Centers for Medicare & 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 winning Truven Health 50 Top Cardiovascular Hospitals were classified into three comparison groups. (The order of hospitals in the following list does not reflect performance ranking.)
Top Teaching Hospitals With Cardiovascular Residency Programs
Aultman Hospital – Canton, OH Baystate Medical Center – Springfield, MA Carilion Roanoke Memorial Hospital – Roanoke, VA Deborah Heart and Lung Center – Browns Mills, NJ Duke University Hospital – Durham, NC Henry Ford Hospital – Detroit, MI Lankenau Medical Center – Wynnewood, PA Mayo Clinic Hospital – Jacksonville, FL Park Nicollet Methodist Hospital – St. Louis Park, MN Riverside Medical Center – Kankakee, IL Steward St. Elizabeth's Medical Center – Brighton, MA The Christ Hospital Health Network – Cincinnati, OH The Mount Sinai Hospital – New York, NY UMass Memorial Medical Center – Worcester, MA University of Wisconsin Hospital and Clinics – Madison, WI
Top Teaching Hospitals Without Cardiovascular Residency Programs
Aspirus Wausau Hospital – Wausau, WI Banner Boswell Medical Center – Sun City, AZ Billings Clinic Hospital – Billings, MT Bon Secours St. Mary's Hospital – Richmond, VA Eisenhower Medical Center Rancho – Mirage, CA Henry Ford Macomb Hospital – Clinton Township, MI Kootenai Health – Coeur d'Alene, ID Memorial Hermann Hospital – System Houston, TX Memorial Regional Hospital – Hollywood, FL Mercy Hospital St. Louis – St. Louis, MO MidMichigan Medical Center-Midland – Midland, MI Mission Hospital – Asheville, NC Morton Plant Hospital – Clearwater, FL North Shore Medical Center – Salem, MA OSF Saint Anthony Medical Center – Rockford, IL ProMedica Toledo Hospital – Toledo, OH Saint Thomas West Hospital – Nashville, TN St. Luke's Boise Medical Center – Boise, ID Sutter Medical Center, Sacramento – Sacramento, CA Utah Valley Hospital – Provo, UT
Top Community Hospitals
Banner Heart Hospital – Mesa, AZ Bellin Hospital – Green Bay, WI Cookeville Regional Medical Center – Cookeville, TN Hoag Hospital Newport Beach – Newport Beach, CA Longview Regional Medical Center – Longview, TX Mercy Hospital Jefferson – Festus, MO NCH Healthcare System – Naples, FL Nebraska Heart Institute & Heart Hospital – Lincoln, NE Ochsner Medical Center - Baton Rouge – Baton Rouge, LA Oklahoma Heart Hospital – Oklahoma City, OK Providence St. Patrick Hospital – Missoula, MT Sarasota Memorial Hospital – Sarasota, FL St. David's Medical Center – Austin, TX St. Vincent Heart Center of Indiana – Indianapolis, IN University Hospitals Parma Medical Center – Parma, OH
About the 50 Top Cardiovascular Hospitals Report and the 100 Top Hospitals Program
The 50 Top Cardiovascular Hospitals study is available at 100tophospitals.com. It is published once a year in November. Hospitals may also request customized benchmark reports and comparative analysis on the 50 Top Cardiovascular Hospitals by contacting (616) 248-4645 or visiting 100tophospitals.com.
The 100 Top Hospitals program was initiated in 1993. It uses independent and objective research to guide hospital and health system performance. Organizations do not apply or pay for this honor, or pay to promote their award. Award-winning hospitals and health systems prove that better care is possible and provide an example for other organizations to follow across the industry. The 100 Top Hospitals award winners demonstrate top performance on both how patients are cared for through clinical measures and how the hospital performs as an efficient business. The 100 Top Hospitals report is published annually in March and is available at 100tophospitals.com. The 100 Top Hospitals report can be acquired in combination with the 50 Top Cardiovascular Hospitals report and may also be customized to reflect a hospital's specific, criteria-by-criteria measurement as compared to 100 Top Hospitals annual winners.
About Truven Health Analytics, an IBM Company
Truven Health Analytics an IBM Company, delivers the answers that clients need to help them improve healthcare quality and access while reducing costs. We provide market-leading performance improvement solutions built on data integrity, advanced analytics, and domain expertise. For more than 40 years, our insights and solutions have been providing hospitals and clinicians, employers and health plans, state and federal government agencies, life sciences companies, and policymakers the facts they need to help them make confident decisions that directly affect the health and well-being of people and organizations in the U.S. and around the world.
Truven Health Analytics owns some of the most trusted brands in healthcare, such as MarketScan®, 100 Top Hospitals®, Advantage Suite®, Micromedex®, Simpler®, and ActionOI®. Truven Health has its principal offices in Ann Arbor, Mich.; Chicago; and Denver. For more information, visit http://truvenhealth.com.