To select top performers, an objective, independent, quantitative research analysis was performed using publicly available data measuring cardiac care in the United States.
50 Top Cardiovascular Hospitals™ program performance
This year, the 50 Top Cardiovascular Hospitals™ program winners delivered better outcomes while operating more efficiently and at a lower cost. Compared to a peer group of non-winning cardiovascular hospitals, this year’s honorees had:
• Significantly higher inpatient survival rates (19.0 to 40.6 percent higher).
• Fewer patients with complications (13.2 to 15.4 percent fewer complications).
• Higher 30-day survival rates for acute myocardial infarction (AMI), heart failure (HF) and coronary artery bypass grafting (CABG) patients (0.4 to 0.9 percentage points higher).
• Lower 30-day readmission rates for AMI, HF, and CABG patients (0.5 to 1.0 percentage points lower).
• Average lengths of stay (ALOS) varied between patient groups from 0.6 (AMI, HF, PCI) to 0.8 (CABG) shorter length of stay.
• $860 to $5,076 less in total costs per patient case (the smallest dollar-amount difference was for HF, and the largest was for CABG).
• Lower average 30-day episode of care payments for AMI and HF ($1,493 and $781 less per episode, respectively).
• Patients had a better experience at benchmark hospitals compared to peer hospitals, with a top-box HCAHPS score of 75 percent versus 70 percent.
“Heart disease remains the leading cause of death for all Americans, resulting in nearly 700,000 deaths and $229 billion in added costs each year,” says Leigh Anderson, Premier’s President of Performance Services and the leader of PINC AI™. “Given the life and death nature of this condition, patients and their loved ones need credible information to help them determine where to go for the best possible care. This objective, data-driven study proves that Eisenhower Health excels across a range of core performance indicators, which directly leads to significantly higher survival rates associated with cardiac care, with fewer readmissions and complications.”
About the Study
The PINC AI™ 50 Top Cardiovascular Hospitals™ program focuses on short-term, acute care, non-federal U.S. hospitals that treat a broad spectrum of cardiology patients. It includes patients requiring medical management, as well as those who receive invasive or surgical procedures. Eligible hospitals are ranked for performance across four measurement grouping areas.
| HOSPITAL MEASURE DOMAINS: | |
|---|---|
| Acute myocardial infarction (AMI) Performance | There are six AMI measures used in the scorecard. Measures include risk-adjusted inpatient mortality, 30-day mortality, 30-day readmissions, severity-adjusted length of stay, wage- and severity-adjusted average cost per case and 30-day episode payment. |
| Heart failure (HF) Performance | There are six HF measures used in the scorecard. Measures include risk-adjusted inpatient mortality, 30-day mortality, 30-day readmissions, severity-adjusted length of stay, wage- and severity-adjusted average cost per case and 30-day episode payment. |
| Coronary artery bypass graft (CABG) Performance | There are six CABG measures used in the scorecard. Measures include risk-adjusted inpatient mortality, risk-adjusted complications, 30-day mortality, 30-day readmissions, severity-adjusted length of stay, and wage- and severity-adjusted average cost per case. |
| Percutaneous coronary intervention (PCI) Performance | There are four PCI measures used in the scorecard. Measures include risk-adjusted inpatient mortality, risk-adjusted complications, severity-adjusted length of stay, and wage- and severity-adjusted average cost per case. |
Final rank is determined based on performance for all individual measures.
