Navigation Links
Web Site for Hospital Comparisons Is Faulty: Study
Date:10/19/2010

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 http:www.hospitalcompare.hhs.gov -- 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:
*Name:
*Comment:
*Email:
Related Image:
Web Site for Hospital Comparisons Is Faulty: Study
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as ... City area —Johnson is one of the first doctors to perform the treatment. ...
(Date:6/24/2016)... ... 2016 , ... Those who have experienced traumatic events may suffer from a ... such as drug or alcohol abuse, as a coping mechanism. To avoid this pain ... following a traumatic event. , Trauma sufferers tend to feel a range of emotions, ...
(Date:6/24/2016)... Fla. (PRWEB) , ... June 24, 2016 , ... Global ... Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this recognition ... Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this year’s ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening ... Talker Award, an essay contest in which patients and their families pay tribute to ... at the 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this ...
(Date:6/24/2016)... ... 2016 , ... Strategic Capital Partners, LLC (SCP) in concert ... capital for emerging technology companies. SCP has delivered investment events and professional ... than a million dollars of capital investment for five companies. The ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 ... Market by Type (Standard Pen Needles, Safety Pen Needles), ... (Insulin, GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) ... MarketsandMarkets, This report studies the market for the forecast ... to reach USD 2.81 Billion by 2021 from USD ...
(Date:6/24/2016)... , Belgium , June 24, ... VNRX), today announced the appointment of Dr. ... Directors as a Non-Executive Director, effective June 23, ... Audit, Compensation and Nominations and Governance Committees.  As ... Futcher will provide independent expertise and strategic counsel ...
(Date:6/23/2016)...  MedSource announced today that it has selected ... of choice.  This latest decision demonstrates MedSource,s commitment ... clients by offering a state-of-the-art electronic data capture ... as the EDC platform of choice in exchange ... has long been a preferred EDC platform by ...
Breaking Medicine Technology: