MN Community Measurement (MNCM) today announced the availability of new results for five hospital-based health care quality measures. This information can be used to compare hospitals within Minnesota with state and national averages. The results are available at MNCM’s public reporting website MNHealthScores.org.
“These measures are relevant for patients seeking health care and also have value for hospitals as they strive to improve their quality of care,” said Jim Chase, MNCM President. “Hospitals have been submitting outcome data for years, and it’s important to draw attention to what they are reporting and to put it into context for patients.”
Three of the measures are based on mortality or death rates that occur within 30 days following hospitalizations for heart attack (acute myocardial infarction), heart failure and pneumonia. For these measures, lower rates of death are better. On all three measures, the statewide average was the same or lower than the national average. These results show that Minnesota hospitals had average or better than average performance compared to hospitals in other parts of the nation.
National Average/Minnesota Average
Heart attack 14.1%/13.5%
Heart failure 12.1%/12.1%
For the heart attack measure, Mayo Clinic Hospital in Rochester performed significantly better (lower), at 11.6 percent, than the national average of 14.1 percent. Mayo Clinic Hospital was the only Minnesota hospital different than the national average. All other Minnesota hospitals were similar to the national average for the heart attack measure.
For the heart failure measure, Mayo Clinic Hospital in Rochester performed significantly better (lower), at 9.4 percent, than the national average of 12.1 percent. Mayo Clinic Hospital was the only Minnesota hospital different than the national average. All other Minnesota hospitals were similar to the national average for the heart failure measure.
For the pneumonia measure, Park Nicollet Methodist Hospital (13 percent) and Mayo Clinic Hospital (12.3 percent) performed significantly better (lower) than the national average of 16.3 percent. Park Nicollet Methodist Hospital and Mayo Clinic Hospital were the only two Minnesota hospitals different than the national average. All other Minnesota hospitals were similar to the national average for the pneumonia measure.
The remaining two measures are composites, meaning they combine two or more components of care and wrap them into one comparable result. This is a common way health care is analyzed nationally and in Minnesota.
Readmission Reduction Program (RRP) results
The RRP measure is a hospital’s readmission ratio. The goal is to avoid readmissions for the same condition within 30 days of discharge from the hospital. Two examples include pneumonia and Chronic Obstructive Pulmonary Disease. A ratio of less than 1.0 means there were fewer readmissions across conditions than the national average. A ratio greater than 1.0 means there were more readmissions than the national average. For this measure, lower readmission ratios are better.
The statewide readmission average is .97 or 3 percent below the national average. Four hospitals performed significantly better than the statewide average in readmissions: Mayo Clinic Hospital in Rochester, Lakeview Memorial Hospital in Stillwater, Mayo Clinic Health System in Mankato and HealthEast Woodwinds Hospital in Woodbury.
Emergency Department Transfer Communication (EDTC) results
One element of hospital quality can be seen in how hospitals communicate when transferring patients. The EDTC measure was developed to track communications and facilitate care coordination. It measures the percentage of patients with complete medical record documentation communicated to another healthcare facility prior to the patient being transferred. For this measure, higher results are better.
One hospital, Essentia Health in Fosston, scored 100 percent on this measure. The statewide EDTC average was 62 percent. This means that 62 percent of patients transferred from hospital emergency departments to another health care facility had the required documentation forwarded within 60 minutes of leaving the hospital.
Thirteen Minnesota hospitals performed significantly better than the statewide EDTC average, including: Bigfork Valley Hospital in Bigfork, CentraCare Health in Sauk Centre, CHI St Gabriel’s Health in Little Falls, CHI St Joseph’s Health in Park Rapids, Cuyuna Regional Medical Center in Crosby, Essentia Health in Fosston, Mayo Clinic Health System in Cannon Falls, Pipestone County Medical Center in Pipestone, Redwood Area Hospital in Redwood Falls, Riverwood Healthcare Center in Aitkin, Sanford Jackson Medical Center, Sanford Tracy Medical Center and Windom Area Hospital in Windom.
Hospital-based health care quality measures are available at MNCM’s public reporting website MNHealthScores.org.