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CARDIAC CARE: 2012 VA AGGREGATE REPORTS

Totals by Payer



2015201420132012
2012

MortalityReadmission
 
Cardiology MedicalCardiology - Medical
Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.
Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Commercial 8,899 1.24% 1.18% 16.86%
Medicaid 2,751 1.38% 1.58% 5.21%
Medicare 36,551 2.28% 2.30% 69.26%
Other 884 1.81% 1.30% 1.68%
Self Pay/Charity 3,439 1.05% 0.99% 6.52%
Unknown 252 1.98% 1.26% 0.48%
Statewide Totals 52,776 1.97% 1.97% 100.00%


Invasive CardiologyCardiology - Invasive
Includes patients with medical conditions generally described in the medical cardiology service line that also had surgery. Surgeries include cardiac catheterization, cardiac pacemaker insertion, balloon angioplasty and placement of cardiac stents.
Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Commercial 6,626 0.68% 0.76% 28.77%
Medicaid 965 0.52% 1.01% 4.19%
Medicare 12,744 1.15% 1.14% 55.34%
Other 577 2.25% 0.98% 2.51%
Self Pay/Charity 1,982 1.06% 0.89% 8.61%
Unknown 135 0.00% 0.69% 0.59%
Statewide Totals 23,029 1.00% 1.00% 100.00%


Open Heart SurgeryCardiology - Open Heart Surgery
Includes procedures such as coronary artery bypass surgery (CABG) and cardiac valve procedures.
Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Commercial 2,255 1.11% 1.21% 35.39%
Medicaid 301 2.66% 1.82% 4.72%
Medicare 3,168 2.68% 2.55% 49.72%
Other 124 2.42% 2.26% 1.95%
Self Pay/Charity 449 0.89% 1.76% 7.05%
Unknown 75 0.00% 1.00% 1.18%
Statewide Totals 6,372 1.96% 1.96% 100.00%


Totals
Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Commercial 17,780 1.01% 1.03% 21.64%
Medicaid 4,017 1.27% 1.46% 4.89%
Medicare 52,463 2.03% 2.04% 63.84%
Other 1,585 2.02% 1.26% 1.93%
Self Pay/Charity 5,870 1.04% 1.02% 7.14%
Unknown 462 1.08% 1.05% 0.56%
Statewide Totals 82,177 1.70% 1.70% 100.00%


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.


Cardiology MedicalCardiology - Medical
Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.
Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Commercial 8,790 8.74% 10.56% 16.64%
Medicaid 2,664 17.57% 12.40% 5.04%
Medicare 36,998 13.61% 13.37% 70.02%
Other 867 7.61% 10.11% 1.64%
Self Pay/Charity 3,281 8.29% 9.66% 6.21%
Unknown 237 10.13% 10.41% 0.45%
Statewide Totals 52,837 12.56% 12.56% 100.00%


Invasive CardiologyCardiology - Invasive
Includes patients with medical conditions generally described in the medical cardiology service line that also had surgery. Surgeries include cardiac catheterization, cardiac pacemaker insertion, balloon angioplasty and placement of cardiac stents.
Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Commercial 6,420 6.37% 8.13% 28.49%
Medicaid 936 12.71% 9.98% 4.15%
Medicare 12,622 10.58% 9.45% 56.02%
Other 555 5.59% 7.98% 2.46%
Self Pay/Charity 1,870 6.26% 8.32% 8.30%
Unknown 130 6.15% 8.84% 0.58%
Statewide Totals 22,533 8.96% 8.96% 100.00%


Open Heart SurgeryCardiology - Open Heart Surgery
Includes procedures such as coronary artery bypass surgery (CABG) and cardiac valve procedures.
Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Commercial 2,095 5.73% 7.84% 35.00%
Medicaid 230 11.74% 8.65% 3.84%
Medicare 3,061 9.80% 8.72% 51.14%
Other 115 4.35% 8.54% 1.92%
Self Pay/Charity 413 11.38% 8.79% 6.90%
Unknown 71 5.63% 8.27% 1.19%
Statewide Totals 5,985 8.40% 8.40% 100.00%


Totals
Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Commercial 17,305 7.49% 9.33% 21.27%
Medicaid 3,830 16.03% 11.58% 4.71%
Medicare 52,681 12.66% 12.16% 64.75%
Other 1,537 6.64% 9.22% 1.89%
Self Pay/Charity 5,564 7.84% 9.15% 6.84%
Unknown 438 8.22% 9.60% 0.54%
Statewide Totals 81,355 11.25% 11.25% 100.00%


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.



Key to Symbols
- More than Expected
- As Expected
- Less than Expected
- Too Few to Calculate