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CARDIAC CARE: 2013 VA AGGREGATE REPORTS

Totals by Payer



2015201420132012
2013

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 8,166 0.94% 1.07% 16.37%
Medicaid 2,523 1.47% 1.47% 5.06%
Medicare 34,745 2.16% 2.15% 69.64%
Other 807 2.35% 1.80% 1.62%
Self Pay/Charity 3,437 1.08% 1.03% 6.89%
Unknown 216 0.93% 1.69% 0.43%
Statewide Totals 49,894 1.85% 1.85% 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 6,099 0.80% 0.80% 27.17%
Medicaid 906 1.43% 1.11% 4.04%
Medicare 12,855 1.29% 1.32% 57.27%
Other 517 1.16% 0.91% 2.30%
Self Pay/Charity 1,974 0.81% 0.83% 8.79%
Unknown 94 1.06% 0.98% 0.42%
Statewide Totals 22,445 1.12% 1.12% 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 2,152 0.88% 1.03% 34.68%
Medicaid 276 1.09% 1.65% 4.45%
Medicare 3,169 2.30% 2.15% 51.06%
Other 198 1.01% 1.77% 3.19%
Self Pay/Charity 379 1.85% 1.49% 6.11%
Unknown 32 0.00% 0.54% 0.52%
Statewide Totals 6,206 1.68% 1.68% 100.00%


Totals
Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Commercial 16,417 0.88% 0.96% 20.90%
Medicaid 3,705 1.43% 1.39% 4.72%
Medicare 50,769 1.95% 1.94% 64.64%
Other 1,522 1.77% 1.49% 1.94%
Self Pay/Charity 5,790 1.04% 0.99% 7.37%
Unknown 342 0.88% 1.39% 0.44%
Statewide Totals 78,545 1.63% 1.63% 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 8,090 6.71% 7.86% 16.12%
Medicaid 2,459 11.67% 9.29% 4.90%
Medicare 35,380 10.12% 9.80% 70.49%
Other 784 7.02% 7.96% 1.56%
Self Pay/Charity 3,266 5.24% 7.57% 6.51%
Unknown 213 12.21% 8.84% 0.42%
Statewide Totals 50,192 9.29% 9.29% 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 5,904 4.93% 6.22% 26.88%
Medicaid 869 10.82% 7.21% 3.96%
Medicare 12,735 7.81% 7.18% 57.97%
Other 500 4.00% 6.40% 2.28%
Self Pay/Charity 1,868 5.14% 6.37% 8.50%
Unknown 92 5.43% 5.84% 0.42%
Statewide Totals 21,968 6.83% 6.83% 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 2,027 4.19% 5.45% 34.37%
Medicaid 229 8.30% 6.01% 3.88%
Medicare 3,078 7.08% 6.07% 52.20%
Other 186 3.76% 6.03% 3.15%
Self Pay/Charity 347 3.75% 6.05% 5.88%
Unknown 30 10.00% 5.67% 0.51%
Statewide Totals 5,897 5.85% 5.85% 100.00%


Totals
Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Commercial 16,021 5.74% 6.95% 20.52%
Medicaid 3,557 11.25% 8.57% 4.56%
Medicare 51,193 9.36% 8.93% 65.58%
Other 1,470 5.58% 7.18% 1.88%
Self Pay/Charity 5,481 5.11% 7.07% 7.02%
Unknown 335 10.15% 7.73% 0.43%
Statewide Totals 78,057 8.34% 8.34% 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