Cardiac Care

Cardiac Care by Service Lines and Gender

2016 Mortality

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 25,796 1.41% 1.50% 50.86% 2
Male 24,919 1.78% 1.68% 49.14% 2
Statewide Totals 50,715 1.59% 1.59% 100%
Invasive Cardiology
Female 9,089 1.18% 1.08% 39.47% 2
Male 13,939 0.95% 1.02% 60.53% 2
Statewide Totals 23,028 1.04% 1.04% 100%
Open Heart Surgery
Female 1,576 3.17% 2.23% 29.27% 1
Male 3,809 1.29% 1.68% 70.73% 2
Statewide Totals 5,385 1.84% 1.84% 100%
Totals
Female 36,461 1.43% 1.42% 46.08% 2
Male 42,667 1.46% 1.47% 53.92% 2
Statewide Totals 79,128 1.45% 1.45% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Mortality to Expected Mortality for a given service line(s) or demographic segment of a given service line(s) is determined using statistical significance which is calculated using volume, expected mortality and variance of mortality.
  • Statewide Actual Mortality Rate is the number of patients who died divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Mortality Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2016 Readmission

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 26,583 12.30% 12.48% 51.15% 2
Male 25,388 12.62% 12.44% 48.85% 2
Statewide Totals 51,971 12.46% 12.46% 100%
Invasive Cardiology
Female 9,046 8.95% 8.82% 39.42% 2
Male 13,904 8.27% 8.36% 60.58% 2
Statewide Totals 22,950 8.54% 8.54% 100%
Open Heart Surgery
Female 1,526 8.72% 7.04% 28.87% 1
Male 3,760 6.01% 6.69% 71.13% 2
Statewide Totals 5,286 6.79% 6.79% 100%
Totals
Female 37,155 11.34% 11.36% 46.32% 2
Male 43,052 10.64% 10.62% 53.68% 2
Statewide Totals 80,207 10.96% 10.96% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Readmission to Expected Readmission for a given service line(s) or demographic segment of a given service line(s) is determined using Rating which is calculated using volume, expected Readmission and variance of Readmission.
  • Statewide Actual Readmission Rate is the number of all patients who were admitted to a hospital for a cardiac service line and subsequently readmitted within 30 days to a Virginia hospital for a service related to their prior discharge divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Readmission Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2017 Mortality

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 26,679 1.33% 1.52% 50.79% 3
Male 25,850 1.85% 1.65% 49.21% 1
Statewide Totals 52,529 1.58% 1.58% 100%
Invasive Cardiology
Female 9,284 1.29% 1.19% 39.43% 2
Male 14,259 1.11% 1.17% 60.57% 2
Statewide Totals 23,543 1.18% 1.18% 100%
Open Heart Surgery
Female 1,487 2.49% 1.92% 28.50% 2
Male 3,730 1.31% 1.54% 71.50% 2
Statewide Totals 5,217 1.65% 1.65% 100%
Totals
Female 37,450 1.37% 1.45% 46.07% 2
Male 43,839 1.56% 1.49% 53.93% 2
Statewide Totals 81,289 1.47% 1.47% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Mortality to Expected Mortality for a given service line(s) or demographic segment of a given service line(s) is determined using statistical significance which is calculated using volume, expected mortality and variance of mortality.
  • Statewide Actual Mortality Rate is the number of patients who died divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Mortality Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2017 Readmission

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 27,648 12.00% 12.04% 51.05% 2
Male 26,509 12.07% 12.03% 48.95% 2
Statewide Totals 54,157 12.03% 12.03% 100%
Invasive Cardiology
Female 9,252 9.48% 8.78% 39.35% 1
Male 14,258 7.96% 8.42% 60.65% 2
Statewide Totals 23,510 8.56% 8.56% 100%
Open Heart Surgery
Female 1,450 9.66% 7.46% 28.26% 1
Male 3,681 5.98% 6.84% 71.74% 3
Statewide Totals 5,131 7.02% 7.02% 100%
Totals
Female 38,350 11.30% 11.08% 46.32% 2
Male 44,448 10.25% 10.44% 53.68% 2
Statewide Totals 82,798 10.74% 10.74% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Readmission to Expected Readmission for a given service line(s) or demographic segment of a given service line(s) is determined using Rating which is calculated using volume, expected Readmission and variance of Readmission.
  • Statewide Actual Readmission Rate is the number of all patients who were admitted to a hospital for a cardiac service line and subsequently readmitted within 30 days to a Virginia hospital for a service related to their prior discharge divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Readmission Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2018 Mortality

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 27,575 1.23% 1.37% 50.95% 3
Male 26,546 1.63% 1.48% 49.05% 1
Statewide Totals 54,121 1.42% 1.42% 100%
Invasive Cardiology
Female 9,592 1.18% 1.02% 39.05% 2
Male 14,971 1.01% 1.11% 60.95% 2
Statewide Totals 24,563 1.07% 1.07% 100%
Open Heart Surgery
Female 1,499 2.47% 1.92% 28.66% 2
Male 3,731 1.26% 1.48% 71.34% 2
Statewide Totals 5,230 1.61% 1.61% 100%
Totals
Female 38,666 1.26% 1.30% 46.08% 2
Male 45,248 1.39% 1.36% 53.92% 2
Statewide Totals 83,914 1.33% 1.33% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Mortality to Expected Mortality for a given service line(s) or demographic segment of a given service line(s) is determined using statistical significance which is calculated using volume, expected mortality and variance of mortality.
  • Statewide Actual Mortality Rate is the number of patients who died divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Mortality Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2018 Readmission

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 28,630 11.71% 11.79% 51.31% 2
Male 27,171 11.83% 11.75% 48.69% 2
Statewide Totals 55,801 11.77% 11.77% 100%
Invasive Cardiology
Female 9,572 8.83% 8.59% 39.00% 2
Male 14,972 8.12% 8.27% 61.00% 2
Statewide Totals 24,544 8.39% 8.39% 100%
Open Heart Surgery
Female 1,462 9.23% 6.81% 28.41% 1
Male 3,684 5.46% 6.42% 71.59% 3
Statewide Totals 5,146 6.53% 6.53% 100%
Totals
Female 39,664 10.92% 10.83% 46.40% 2
Male 45,827 10.10% 10.18% 53.60% 2
Statewide Totals 85,491 10.48% 10.48% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Readmission to Expected Readmission for a given service line(s) or demographic segment of a given service line(s) is determined using Rating which is calculated using volume, expected Readmission and variance of Readmission.
  • Statewide Actual Readmission Rate is the number of all patients who were admitted to a hospital for a cardiac service line and subsequently readmitted within 30 days to a Virginia hospital for a service related to their prior discharge divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Readmission Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2019 Mortality

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 28,727 1.29% 1.37% 50.61% 2
Male 28,030 1.57% 1.50% 49.39% 2
Statewide Totals 56,757 1.43% 1.43% 100%
Invasive Cardiology
Female 9,618 1.20% 1.05% 38.89% 2
Male 15,112 0.97% 1.06% 61.11% 2
Statewide Totals 24,730 1.06% 1.06% 100%
Open Heart Surgery
Female 1,709 2.87% 2.33% 29.38% 2
Male 4,107 1.36% 1.59% 70.62% 2
Statewide Totals 5,816 1.81% 1.81% 100%
Totals
Female 40,054 1.34% 1.33% 45.88% 2
Male 47,249 1.36% 1.37% 54.12% 2
Statewide Totals 87,303 1.35% 1.35% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Mortality to Expected Mortality for a given service line(s) or demographic segment of a given service line(s) is determined using statistical significance which is calculated using volume, expected mortality and variance of mortality.
  • Statewide Actual Mortality Rate is the number of patients who died divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Mortality Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2019 Readmission

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 29,955 11.55% 11.70% 50.85% 2
Male 28,948 11.82% 11.67% 49.15% 2
Statewide Totals 58,903 11.69% 11.69% 100%
Invasive Cardiology
Female 9,648 8.60% 7.93% 38.94% 1
Male 15,130 7.16% 7.59% 61.06% 3
Statewide Totals 24,778 7.72% 7.72% 100%
Open Heart Surgery
Female 1,660 8.37% 6.54% 29.07% 1
Male 4,051 5.26% 6.01% 70.93% 3
Statewide Totals 5,711 6.16% 6.16% 100%
Totals
Female 41,263 10.74% 10.61% 46.16% 2
Male 48,129 9.80% 9.91% 53.84% 2
Statewide Totals 89,392 10.23% 10.23% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Readmission to Expected Readmission for a given service line(s) or demographic segment of a given service line(s) is determined using Rating which is calculated using volume, expected Readmission and variance of Readmission.
  • Statewide Actual Readmission Rate is the number of all patients who were admitted to a hospital for a cardiac service line and subsequently readmitted within 30 days to a Virginia hospital for a service related to their prior discharge divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Readmission Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2020 Mortality

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 23,039 1.62% 1.76% 49.52% 2
Male 23,484 1.97% 1.83% 50.48% 2
Statewide Totals 46,523 1.80% 1.80% 100%
Invasive Cardiology
Female 8,652 1.09% 1.10% 37.99% 2
Male 14,121 1.18% 1.17% 62.01% 2
Statewide Totals 22,773 1.14% 1.14% 100%
Open Heart Surgery
Female 1,320 2.95% 2.37% 27.79% 2
Male 3,430 1.60% 1.83% 72.21% 2
Statewide Totals 4,750 1.98% 1.98% 100%
Totals
Female 33,011 1.53% 1.61% 44.58% 2
Male 41,035 1.67% 1.60% 55.42% 2
Statewide Totals 74,046 1.61% 1.61% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Mortality to Expected Mortality for a given service line(s) or demographic segment of a given service line(s) is determined using statistical significance which is calculated using volume, expected mortality and variance of mortality.
  • Statewide Actual Mortality Rate is the number of patients who died divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Mortality Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2020 Readmission

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 23,982 10.79% 11.08% 49.80% 2
Male 24,171 11.40% 11.11% 50.20% 2
Statewide Totals 48,153 11.09% 11.09% 100%
Invasive Cardiology
Female 8,685 6.92% 6.79% 38.08% 2
Male 14,121 6.51% 6.59% 61.92% 2
Statewide Totals 22,806 6.66% 6.66% 100%
Open Heart Surgery
Female 1,281 7.03% 5.35% 27.51% 1
Male 3,375 4.68% 5.32% 72.49% 2
Statewide Totals 4,656 5.33% 5.33% 100%
Totals
Female 33,948 9.66% 9.77% 44.90% 2
Male 41,667 9.20% 9.11% 55.10% 2
Statewide Totals 75,615 9.40% 9.40% 100%
  • Total Patient Volume After Exclusions is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s) used in this comparison of actual to expected mortality in Virginia. This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Volume Used is the number of total patients in Virginia for a given service line(s) or demographic segment of a given service line(s). This total does not include certain transferred or hospice care patients. The rationale and methodology for exclusions are explained in detail in the section titled "Methodology."
  • Comparison of Statewide Actual Readmission to Expected Readmission for a given service line(s) or demographic segment of a given service line(s) is determined using Rating which is calculated using volume, expected Readmission and variance of Readmission.
  • Statewide Actual Readmission Rate is the number of all patients who were admitted to a hospital for a cardiac service line and subsequently readmitted within 30 days to a Virginia hospital for a service related to their prior discharge divided by the number of total patients for a given service line(s) or demographic segment of a given service line(s) in the state of Virginia.
  • Statewide Expected Readmission Rate for a given service line(s) or demographic segment of a given service line(s) is calculated based on the mix of patients within a hospital compared to similar patients treated in hospitals across Virginia.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)