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> Heart Failure Diagnosis
> Pneumonia Diagnosis
> Surgical Procedures
> Mortality Results
Measures of Mortality
The Health Alliance uses APR-DRG's to benchmark mortality results. All Patient Refined Diagnosis Related Group (APR-DRG) is a methodology to classify patients into clinically meaningful groups that allows data to be adjusted according to severity of illness or risk of mortality.
| University Hospital Mortality Measures |
Most Recent Four Quarters |
|
|
|
FY09 Q3 |
FY09 Q4 |
FY10 Q1 |
FY10 Q2 |
|
FY07
|
FY08 |
FY09 |
YTD
FY10 |
| |
Acute Care Inpatient Mortality |
2.7% |
2.9% |
2.5% |
2.7% |
|
2.7% |
2.5% |
2.7% |
2.6% |
| |
Acute Care Risk-Adjusted Expected Mortality Rate |
2.9% |
2.9% |
2.9% |
+++ |
|
2.8% |
2.9% |
2.9% |
2.9% |
| |
Ratio - Actual/Expected |
0.9 |
1.0 |
0.9 |
|
|
1.0 |
0.9 |
0.9 |
0.9 |
| |
Acute Myocardial Infarction Inpatient Mortality Rate |
5.4% |
3.2% |
1.6% |
6.8% |
|
5.1% |
3.5% |
4.0% |
4.4% |
| |
AMI Risk-Adjusted Expected Mortality Rate |
6.2% |
6.2% |
6.0% |
+++ |
|
3.7% |
6.1% |
7.2% |
6.0% |
| |
Ratio - Actual/Expected |
0.9 |
0.5 |
0.3 |
|
|
1.4 |
0.6 |
0.6 |
0.7 |
| |
Heart Failure Inpatient Mortality Rate |
1.2% |
1.5% |
1.8% |
1.8% |
|
2.6% |
1.2% |
0.7% |
1.8% |
| |
Heart Failure Risk-Adjusted Expected Mortality Rate |
3.4% |
2.6% |
2.4% |
+++ |
|
2.5% |
2.8% |
2.9% |
2.4% |
| |
Ratio - Actual/Expected |
0.4 |
0.6 |
0.8 |
|
|
1.0 |
0.4 |
0.2 |
0.8 |
| |
Pneumonia Inpatient Mortality Rate |
2.1% |
3.9% |
6.3% |
2.1% |
|
0.2% |
3.4% |
2.2% |
4.3% |
| |
Pneumonia Risk-Adjusted Expected Mortality Rate |
3.5% |
3.5% |
3.2% |
+++ |
|
3.4% |
3.2% |
3.2% |
3.2% |
| |
Ratio - Actual/Expected |
0.6 |
1.1 |
2.0 |
|
|
0.1 |
1.1 |
0.7 |
1.3 |
| |
Stroke Inpatient Mortality Rate |
4.5% |
12.0% |
6.1% |
2.5% |
|
10.6% |
5.4% |
5.5% |
4.3% |
| |
Stroke Risk-Adjusted Expected Mortality Rate |
6.4% |
6.3% |
7.2% |
+++ |
|
5.1% |
10.2% |
13.5% |
7.2% |
| |
Ratio - Actual/Expected |
0.7 |
1.9 |
0.8 |
|
|
2.1 |
0.5 |
0.4 |
0.6 |
| |
Septicemia Inpatient Mortality Rate |
18.8% |
12.9% |
18.8% |
15.6% |
|
30.0% |
18.6% |
19.1% |
17.6% |
| |
Septicemia Risk-Adjusted Expected Mortality Rate |
18.3% |
17.7% |
17.6% |
+++ |
|
25.8% |
23.9% |
20.8% |
17.6% |
| |
Ratio - Actual/Expected |
1.0 |
0.7 |
1.1 |
|
|
1.2 |
0.8 |
0.9 |
1.0 |
| |
CABG Inpatient Mortality Rate |
3.0% |
3.2% |
0.0% |
3.8% |
|
2.6% |
2.2% |
1.1% |
2.3% |
| |
CABG Risk-Adjusted Expected Mortality Rate |
1.6% |
1.8% |
1.5% |
+++ |
|
1.8% |
1.6% |
1.2% |
1.5% |
| |
Ratio - Actual/Expected |
1.9 |
1.8 |
0.0 |
|
|
1.4 |
1.4 |
0.9 |
0.0 |
| |
Major Bowel Procedures Inpatient Mortality Rate |
3.4% |
6.3% |
4.2% |
6.9% |
|
9.1% |
2.2% |
4.2% |
5.7% |
| |
Major Bowel Procedures Expected Mortality Rate |
2.4% |
2.7% |
3.2% |
+++ |
|
2.8% |
3.6% |
2.9% |
3.2% |
| |
Ratio - Actual/Expected |
1.4 |
2.3 |
1.3 |
|
|
3.3 |
0.6 |
1.5 |
1.8 |
| * Actual Mortality Rate |
The total number of deaths for a given diagnosis or procedure divided by the total number of cases in the diagnosis or procedure. |
| '+ Risk-Adjusted Expected Mortality Rate |
In calculating the expected number of deaths, our database - Midas+ CPMS (*+*+) calculates the percentage from the total number of cases and the actual number of deaths for the entire compartive pool for each diagnosis or procedure. This number is used to calculate what the individual hospital might expect in each diagnosis or procedure. |
| ** Ratio - Actual/Expected |
The mortality ratio is the actual mortality rate divided by the expected mortality ratio to compare how we are performing compared to the large compartive pool. Ratios less than 1.0 mean less mortality than expected. Ratios greater than 1.0 mean more mortality than expected. |
| '+++ Risk-Adjusted Expected Mortality Rates - Most Recent Quarter |
Comparative data for this period is not available until the next quarter from MIDAS+™ Comparative Performance Measurement System (CPMS). |
| *+*+ MIDAS+™ Comparative Performance Measurement System (CPMS) |
The MIDAS+™ Comparative Performance Measurement System (CPMS) provides our facility with outcome measures and process measures that are used to trend our hospitals' performance over time and benchmark performance to other hospitals nationwide. |
| *+ Acute care inpatients |
Uses only the discharged inpatients with a medical or surgical classification, excluding obstetrics, newborns, behavioral health and rehabilitation patients |
Using the tables as a guide for these five areas, you can see our progress
year to year and quarter to quarter.
If you have any questions about the information provided on this site,
please contact Health Alliance Quality Management Services at QualityManagementServices@healthall.com.
Blood / Cardiovascular
