Hospital Performance Ratings Summary Report 2017-2022
When compared to the state average rates, 69 hospitals (21.2 percent) were rated “Better,” and 102 hospitals (31.4 percent) were rated “Worse” on at least one risk-adjusted outcome measure in 2022.
Why Publish Hospital Ratings for CABG, Elective PCI, IMI, and PSI?
This visualization was created to help assess hospital performance and quality of care for multiple outcomes. Coronary Artery Bypass Graft (CABG), elective Percutaneous Coronary Intervention (PCI), Inpatient Mortality Indicator (IMI), and Patient Safety Indicator (PSI) – Postoperative Sepsis ratings are published in this visualization to provide users with a tool to explore and compare state-licensed hospitals across selected performance measures from 2017 to 2022. The Hospital Comparison feature allows users to compare two California hospitals across all performance measures for a single year or multiple years from 2017 to 2022.
Key Findings
Hospitals were rated “Better,” “Worse,” or “As Expected” by comparing their risk-adjusted outcome measures with the overall state rates for each measure. Risk-adjustment is a statistical methodology that takes into account a patient’s age, assigned sex at birth, and underlying health conditions for fair comparisons among hospitals.
- When compared to the state average rates, 69 hospitals (21.2 percent) were rated “Better,” and 102 hospitals (31.4 percent) were rated “Worse” on at least one risk-adjusted outcome measure in 2022.
- Of the 69 better-rated hospitals in 2022, 32 were rated “Better” on a single measure, 20 on two measures, 7 on three measures, 5 on four measures, 2 on five measures, 1 on six measures, 1 on seven measures, and 1 on eight measures.
- Of the 102 worse-rated hospitals in 2022, 60 were rated “Worse” on a single measure, 18 on two measures, 13 on three measures, 7 on four measures, and 4 on five measures.
- There were 175 hospitals (53.8 percent) in 2022 rated “As Expected,” or not significantly different from the state average, for all 19 outcome measures.
- In 2022, most hospitals showed fairly consistent performance across all 19 outcome measures. However, 21 hospitals (6.5 percent) had “mixed” results – rated “Better” on at least one measure and “Worse” on at least one measure.
CABG Outcomes
The CABG outcomes report provides information on four risk-adjusted performance measures for state-licensed hospitals that perform CABG surgery, including Isolated CABG Operative Mortality. Detailed information on other CABG performance measures is available on the HCAI – Hospital Performance Ratings for Coronary Artery Bypass Graft (CABG) Surgery webpage.
Elective PCI Outcomes
The elective PCI outcomes report provides information on three performance measures for state-licensed hospitals that are certified to perform elective PCIs without on-site cardiac surgery. There are two risk-adjusted outcome measures: Elective PCI Mortality, and Elective PCI Stroke, plus information on PCIs that resulted in emergency CABG surgery. More information on elective PCI performance measures is available on the HCAI – Elective Percutaneous Coronary Intervention (PCI) Program Report webpage.
IMI Outcomes
The IMIs are a subset of Inpatient Quality Indicators that are developed by the federal Agency for Healthcare Research and Quality. They include six medical conditions plus three sub-measures and five surgical procedures. More information on IMIs is available on the HCAI – Inpatient Mortality Indicators (IMI) webpage.
Medical Conditions:
- Acute Stroke (Hemorrhagic, Ischemic, Subarachnoid)
- Acute Myocardial Infarction (AMI)
- Gastrointestinal (GI) Hemorrhage
- Heart Failure
- Hip Fracture
- Pneumonia
Surgical Procedures:
- Abdominal Aortic Aneurysm (AAA) Repair Endo Unruptured*
- AAA Repair Open Unruptured*
- Carotid Endarterectomy
- Pancreatic Resection
- Percutaneous Coronary Intervention (PCI)
Postoperative Sepsis Outcomes
The postoperative sepsis rate is part of the Patient Safety Indicators (PSIs) developed by the federal Agency for Healthcare Research and Quality (AHRQ) as a measure of adult patients who developed sepsis in the hospital following elective surgeries. More information on postoperative sepsis performance measures is available on the Postoperative sepsis webpage.
Note: *AAA Repair Endo Unruptured and AAA Repair Open Unruptured are not available as IMI performance measures for 2016, 2017, and 2018. Blank spaces indicate no available data.
How HCAI Created This Product
The Hospital Performance Ratings Summary, 2017-2022 data visualization was built from the four reports merged on the hospital’s ID.
Additional Information
Topic: Healthcare Quality
Source Link: Healthcare Quality
Citation: HCAI – California Hospital Performance Ratings for Coronary Artery Bypass Graft (CABG) Surgery Data – California Hospital Performance Ratings, 2017-2022; Elective Percutaneous Coronary Intervention (PCI) Program Reports, 2017-2022; California Hospital Inpatient Mortality Rates and Quality Ratings, 2017-2022; California Postoperative Sepsis Outcomes for Inpatient Elective Surgeries, 2019-2022.
Temporal Coverage: 2017-2022
Spatial/Geographic Coverage: Statewide and County
Frequency: Annually