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Hospital quality scores offer a meaningful and accessible path to understanding how effectively providers are treating patients – particularly those with preventable illnesses like heart attack, stroke, and hospital-acquired conditions. The Centers for Medicare and Medicaid Services (CMS) first introduced the Hospital Inpatient Quality Reporting Program in 2003, which offered financial incentives for hospitals reporting the selected quality measures. By encouraging inpatient hospitals to collect, report, and analyze quality performance, CMS aims to improve patient care outcomes and lower costs.
Some of the most indicative quality performance metrics include HCAHPS patient survey ratings, 30-day readmission rates, incidence of hospital-acquired conditions, and more. In this new article series, we are highlighting the hospitals with the poorest quality score performance by state according to Definitive Healthcare data. First stop: California.
|Rank||Hospital Name||Readmission Rate||Net Patient Revenue||Discharges|
|2.||Providence Saint Joseph Medical Center||17.4%||$427,323,706||16,309|
|4.||Olympia Medical Center||17.1%||$81,914,998||5,086|
|5.||Regional Medical Center of San Jose||17.1%||$402,530,165||15,495|
|6.||West Hills Hospital & Medical Center||17.0%||$229,843,638||9,007|
|7.||Riverside Community Hospital||16.9%||$510,163,505||22,938|
|8.||Sherman Oaks Hospital||16.8%||$96,883,059||5,139|
|9.||CHA Hollywood Presbyterian Medical Center||16.8%||$255,835,417||12,391|
|10.||Emanuel Medical Center||16.8%||$236,824,453||9,151|
Fig 1 Data from Definitive Healthcare’s comprehensive platform, including intelligence on over 8,800 hospitals and IDNs in the U.S. Quality metrics from reporting period ending June 30, 2017, the most recent available.
Hospital all-cause readmission rate refers to unplanned acute readmission to any care facility within 30 days of a patient’s initial discharge. Reducing preventable readmissions indicates that providers are proactive and comprehensive in addressing patient health needs and are appropriately staffed in relation to patient volume. High rates of 30-day readmissions highlight areas where hospitals can improve quality performance, such as instituting a holistic care approach that treats the whole patient rather than their symptoms.
In the table above, we’ve compiled the 10 California hospitals reporting the highest 30-day readmission rates. There doesn’t appear to be a strong correlation between either net patient revenue and discharges or net patient revenue and high readmission rates. Riverside Community Hospital reported the greatest number of discharges and highest net patient revenue of those listed and ranked 7th, while Olympia Medical Center reported the fewest discharges and lowest net patient revenue and ranked 5th for readmissions.
|Rank||Hospital Name||Mortality Rate||Net Patient Revenue||Discharges|
|1.||Mercy Medical Center Redding||17.7%||$507,099,086||13,455|
|2.||Sierra View Medical Center||16.9%||$138,327,667||5,581|
|4.||St Bernardine Medical Center||15.5%||$396,095,420||14,741|
|5.||Clovis Community Medical Center||15.3%||$353,099,616||15,196|
|6.||Marshall Medical Center||15.2%||$235,569,663||5,152|
|7.||Desert Regional Medical Center||15.2%||$562,218,555||18,643|
|8.||Twin Cities Community Hospital||15.1%||$110,792,627||4,365|
|9.||Hemet Valley Medical Center||15.0%||$185,034,732||10,768|
|10.||UC Irvine Medical Center||14.9%||$1,181,610,419||20,394|
Fig 2 Data from Definitive Healthcare’s comprehensive platform, including intelligence on over 8,800 hospitals and IDNs in the U.S. Quality metrics from reporting period ending June 30, 2017, the most recent available.
Currently, CMS tracks hospital mortality rates for COPD, heart attack, heart failure, pneumonia, and stroke. According to a study from JAMA, hospital performance on mortality from pneumonia, heart attack, and heart failure are linked to the facility’s overall mortality rates. The study found that the top 25 percent of hospitals with the lowest mortality rates in these areas reported an overall mortality rate 3.6 percent lower than hospitals in the bottom quartile.
UC Irvine Medical Center, ranked 10th by heart attack mortality rate, reported the highest net patient revenue by far, but only marginally greater discharges than Desert Regional Medical Center (ranked 7th) and Memorial Hospital (ranked 3rd). High-revenue facilities like UC Irvine may report lower mortality rates due to an abundance of resources enabling consistent monitoring and comprehensive preventative care. However, Mercy Medical Center, ranked 1st on the list, reported the highest readmission rate with the 3rd highest net patient revenue, so there are likely other factors at play.
None of the hospitals reporting the highest heart attack mortality rates appear on the list of highest all-cause readmission rates, indicating there may be more to improving both metrics than common factors like staffing and efficient data sharing.
|Rank||Hospital Name||Infection Score||Total Revenues||Discharges|
|1.||Olympia Medical Center||2.99||$86,392,796||5,086|
|2.||Emanate Health Foothill Presbyterian Hospital||2.95||$115,267,735||5,913|
|3.||Centinela Hospital Medical Center||2.74||$268,893,364||14,715|
|4.||West Anaheim Medical Center||2.67||$125,062,707||5,888|
|5.||Shasta Regional Medical Center||2.51||$155,029,389||7,423|
|6.||Riverside Community Hospital||2.36||$512,081,074||22,938|
|7.||Methodist Hospital of Sacramento||2.20||$316,833,946||9,618|
|8.||Contra Costa Regional Medical Center||2.16||$617,677,503||6,574|
|9.||Miller Childrens & Womens Hospital Long Beach||2.10||$429,672,558||15,233|
|10.||Kaweah Delta Medical Center||2.09||$681,481,578||22,900|
Fig 3 Data from Definitive Healthcare’s comprehensive platform, including intelligence on over 8,800 hospitals and IDNs in the U.S. Quality metrics from reporting period ending December 31, 2017, the most recent available.
Methicillin-resistant Staphylococcus aureus (MRSA) is a bacteria that is resistant to many commonly used antibiotics and causes serious conditions, including bloodstream infections, surgical site infections, pneumonia, and sepsis, and can lead to death if left untreated. MRSA is spread through direct contact, which further incentivizes care providers to maintain sanitation standards when moving between patients. CMS scores hospitals based on MRSA prevalence on a scale of 0 to 3, with 0 being the best possible score.
Olympia Medical Center, with the worst MRSA infection score on the list, reported the fewest discharges and lowest total revenues of all included hospitals – not even breaking $100 million in 2017. None of the hospitals with the highest MRSA infection scores reported more than $700 million in total revenues, suggesting lower-revenue hospitals may not be performing as well as higher-revenue hospitals due to lack of resources. Additionally, the lower-revenue hospitals may serve more patients who are uninsured, underinsured, or insured through Medicare, which could impact care outcomes and reimbursement.
Why are quality scores important to suppliers? Learn more about how to leverage quality data when targeting care facilities in our webinar: Selling to Hospitals in the 2019 Landscape.
This webinar will cover how to: