Navigation Links
Web Site for Hospital Comparisons Is Faulty: Study

TUESDAY, Oct. 19 (HealthDay News) -- Although designed to highlight high-quality hospitals, the U.S. Medicare Hospital Compare Web site doesn't help patients select the best facility in which to have high-risk surgery, a new study contends.

Hospitals submit data quarterly from the Surgical Care Improvement Project on efforts to prevent blood clots and infection, in order to receive annual Medicare payment updates. This reporting -- available to the public at -- is supposed to help patients choose superior care and encourage hospitals to improve their performance.

In this new study, researchers analyzed Medicare patients claims data for 325,052 patients who had one of six high-risk surgical procedures at 2,189 hospitals in 2005-06. The procedures were: abdominal aortic aneurysm repair; aortic valve repair; coronary artery bypass graft; esophageal resection; mitral valve repair; and pancreatic resection.

The study looked at how often hospitals complied with recommended measures, and the results ranged from 53.7 percent to 91.4 percent. But compliance scores accounted for only 3.3 percent of the variance in death rates between the hospitals. The researchers also found that hospitals that didn't report any data had similar rates of death to the one-fifth of hospitals with the highest compliance scores.

There may be several reasons for these findings, the study authors said.

"The Surgical Care Improvement Project measures are low-leverage because they relate to secondary and relatively less important outcomes," the researchers at the University of Michigan and Michigan Surgical Collaborative for Outcomes Research and Evaluation wrote in a university news release.

"Even when processes are tied to an important outcome such as pulmonary embolism [a blood clot that has traveled to the lungs], these events are rare and offer insufficient variation to differentiate between high- and low-quality hospitals," they said.

"Despite the intentions of the CMS (Centers for Medicare and Medicaid Services) to provide patients with information that will facilitate patient choice of high-quality hospitals, currently available information on the Hospital Compare Web site will not help patients identify hospitals with better outcomes for high-risk surgery," the study authors concluded.

"The CMS needs to identify higher leverage process measures and devote greater attention to profiling hospitals based on outcomes for improved public reporting and pay-for-performance programs. Future research should ascertain whether process measures become more useful as indicators of surgical quality as public reporting programs mature."

The study appears in the October issue of the journal Archives of Surgery.

More information

The U.S. Agency for Healthcare Research and Quality has more about surgery.

-- Robert Preidt

SOURCE: JAMA/Archives journals, news release, Oct. 18, 2010

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Hospital Collaboration May Boost Surgical Patient Safety
2. Hospitalizations Way Up for Young Adults With Diabetes
3. Anti-vomiting drug could prevent thousands of hospitalizations, save millions of dollars
4. National Institutes of Health awards $1.2 million to GSU for collaborative study on discharge decisions at hospitals
5. Childrens Hospital coordinates new network for developmental disabilities
6. Hospital readmission studies: Influencing factors identified
7. IMNG relaunches Internal Medicine News Digital Network and Hospitalist News Digital Network
8. University Hospitals Case Medical Centers neuroscience intensive care unit earns Beacon Award
9. Pediatric field hospital in Haiti provides lessons in disaster planning and response
10. Researcher at Childrens Hospital LA discovers way to overcome radiation resistance in leukemia
11. New Tool Helps Predict Stroke Patients Risk of Death in Hospital: Study
Post Your Comments:
Related Image:
Web Site for Hospital Comparisons Is Faulty: Study
(Date:6/24/2016)... ... ... was in a crisis. Her son James, eight, was out of control. Prone to extreme ... “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was ... other children and say he was going to kill them. If we were driving ...
(Date:6/24/2016)... Francisco, CA (PRWEB) , ... June 24, 2016 ... ... CitiDent, is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive ... self-ligating Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation ...
(Date:6/24/2016)... Plano, TX (PRWEB) , ... June 24, 2016 , ... ... taking part in Genome magazine’s Code Talker Award, an essay contest in which patients ... for an award to be presented at the 2016 National Society of Genetic Counselors ...
(Date:6/24/2016)... Vegas, Nevada (PRWEB) , ... June 24, 2016 ... ... Las Vegas client, The Grove Investment Group (TGIG), has initiated cultivation and processing ... Grove, in Las Vegas and Pahrump, Nevada. , Puradigm is the manufacturer of ...
(Date:6/24/2016)... ... 2016 , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... at the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The ... members that have been wounded in battle and their families. Venture Construction Group is ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 23, 2016  MedSource announced today that it ... software solution of choice.  This latest decision demonstrates ... to their clients by offering a state-of-the-art electronic ... establishes nowEDC as the EDC platform of choice ... clients.  "nowEDC has long been a preferred EDC ...
(Date:6/23/2016)... Any dentist who has made an implant supported ... Many of them do not even offer this as a ... laboratory costs involved. And those who ARE able to offer ... high cost that the majority of today,s patients would not ... Zadeh , founder of Dental Evolutions Inc. and inventor of ...
(Date:6/23/2016)... , June 23, 2016  In a startling report released today, ... their residents by lacking a comprehensive, proven plan to eliminate prescription ... definitive ranking of how states are tackling the worst drug crisis ... four states – Kentucky , New ... Vermont . Of the 28 failing states, three – ...
Breaking Medicine Technology: