Navigation Links
Lower Mortality Rates in Hospitals With Good Quality Care

A new study from the Harvard School of Public Health (HSPH) shows that patients who go to hospitals ranked higher according to specific quality measures have a lower chance of dying than patients treated at lower-ranked hospitals.

The researchers calculate that if the lowest performing hospitals had similar patient mortality rates to those of top-performing hospitals, 2,200 fewer elderly Americans would die each year in the surveyed hospitals from acute myocardial infarction (AMI), congestive heart failure (CHF) and pneumonia, three common medical conditions.

These findings show that these quality indicators, which are widely available on the web, are very helpful in identifying low mortality hospitals, said Ashish Jha, Assistant Professor of Health Policy and Management at HSPH and lead author of the study.

The Hospital Quality Alliance (HQA), a public-private collaboration that includes the Centers for Medicare & Medicaid Services and the American Hospital Association, aims to improve the quality of care at the nations hospitals by reporting how hospitals perform on detailed quality measures.

However, little was known about whether hospitals that perform well on those measures had better patient outcomes.

The researchers set out to determine whether performing well on HQA measures was associated with lower risk-adjusted mortality rates for AMI, CHF and pneumonia. (By adjusting for risk, the researchers made sure that hospitals that took care of sicker patients werent penalized.)

The researchers looked at HQA performance scores from 3,720 hospitals in 2004-2005. For each hospital, a score was calculated for how it performed treating patients with AMI, CHF and pneumonia.

Examples of performance indicators included whether hospitals gave aspirin and beta-blockers at arrival and discharge for AMI and, for pneumonia, how quickly antibiotics were administered.

The results showed that, when compared with hospitals in the lowest quartile, hospitals in the top quartile of performance had nearly 1 percent lower mortality among patients with AMI, 0.4 percent among patients with CHF and 0.8 among patients with pneumonia.

The researchers calculated that 2,200 potential deaths could have been avoided if the hospitals in the bottom quartile had the same mortality rates as those in the highest quartile.

We found that the associations were strong and consistent across a spectrum of performance for all three conditions, said Jha. This study really provides an important validation of the HQA efforts and suggests that paying attention to the quality measures matters.

Because care varies from hospital to hospital, Jha says consumers should use publicly available data such as the HQAs when choosing a hospital, since getting treated at higher-performing hospitals can increase their odds of surviving the hospitalization.

These data are not just for consumers, said Arnold Epstein, John H Foster Professor of Health Policy and Management at HSPH and the studys senior author. This program should also motivate hospitals to improve the care they provide to their patients.

For more information, contact: Todd Datz tdatz@hsph.harvard.edu 617-432-3952


'"/>




Related medicine news :

1. Simvastatin Plus Niacin May Lower Heart Risks
2. Ritalin May Lower Cocaine Abuse
3. Eating More Often May Help Lower Cholesterol
4. Lower surgical volume linked to higher death rate
5. Lowering blood pressure beneficial for PAD patients
6. Lower chance of bone fracture with Vitamin D supplementation
7. Tea Pill Lowers Cholesterol
8. Aspirin Lowers Leukemia Risk
9. Almonds Help Lower Cholesterol
10. Lowering Risk of Breast Cancer Recurrence
11. Drug to Lower Cholesterol Underused
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. ... The attorneys chosen by their peers for this recognition are considered among the top ... Shareholders received special honors as members of this year’s Legal Elite Hall of Fame: ...
(Date:6/24/2016)... Diego, CA (PRWEB) , ... June 24, 2016 , ... ... with the American Cancer Society and the Road To Recovery® program to drive cancer ... to seniors and other adults to ensure the highest quality of life and ongoing ...
(Date:6/24/2016)... ... 24, 2016 , ... People across the U.S. are sharpening their pencils and ... essay contest in which patients and their families pay tribute to a genetic counselor ... National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... is proud to recognize Dr. Barry M. Weintraub as a prominent plastic surgeon ... beautiful women in the world, and the most handsome men, look naturally attractive. ...
(Date:6/24/2016)... Maryland (PRWEB) , ... June 24, 2016 , ... ... Angels is actively feeding the Frederick area economy by obtaining investment capital for ... over the past 2½ years that have already resulted in more than a ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)...   Pulmatrix, Inc ., (NASDAQ: PULM ... announced today that it was added to the Russell ... comprehensive set of U.S. and global equity indexes on ... milestone for Pulmatrix," said Chief Executive Officer Robert ... progress in developing drugs for crucial unmet medical needs, ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... report to their offering. ... kidney failure, it replaces the function of kidneys by removing ... thus the treatment helps to keep the patient body,s electrolytes ... Increasing number of ESRD patients & substantial healthcare expenditure ...
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
Breaking Medicine Technology: