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CARDIAC CARE: 2016 VA AGGREGATE REPORTS

Totals by Payer



2016201520142013
2016

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 8,309 1.10% 1.17% 16.44%
Medicaid 2,802 1.36% 1.28% 5.55%
Medicare 35,559 1.75% 1.76% 70.37%
Other 935 1.50% 1.32% 1.85%
Self Pay/Charity 2,866 1.29% 1.04% 5.67%
Unknown 57 3.51% 2.50% 0.11%
Statewide Totals 50,528 1.59% 1.59% 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 6,292 0.78% 0.81% 27.38%
Medicaid 1,071 1.12% 1.24% 4.66%
Medicare 13,282 1.22% 1.17% 57.80%
Other 649 0.77% 0.80% 2.82%
Self Pay/Charity 1,662 0.66% 0.84% 7.23%
Unknown 25 0.00% 1.05% 0.11%
Statewide Totals 22,981 1.04% 1.04% 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 1,858 0.97% 1.41% 34.52%
Medicaid 219 2.28% 2.19% 4.07%
Medicare 2,855 2.38% 2.09% 53.04%
Other 170 0.59% 1.49% 3.16%
Self Pay/Charity 279 2.51% 2.05% 5.18%
Unknown 2 0.00% 3.86% 0.04%
Statewide Totals 5,383 1.84% 1.84% 100.00%


Totals
Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Commercial 16,459 0.96% 1.06% 20.86%
Medicaid 4,092 1.34% 1.32% 5.19%
Medicare 51,696 1.65% 1.63% 65.53%
Other 1,754 1.14% 1.14% 2.22%
Self Pay/Charity 4,807 1.14% 1.03% 6.09%
Unknown 84 2.38% 2.10% 0.11%
Statewide Totals 78,892 1.45% 1.45% 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 8,442 9.10% 10.84% 16.30%
Medicaid 2,811 16.19% 12.55% 5.43%
Medicare 36,689 13.32% 13.00% 70.86%
Other 931 9.02% 11.22% 1.80%
Self Pay/Charity 2,850 8.32% 10.55% 5.50%
Unknown 55 12.73% 12.21% 0.11%
Statewide Totals 51,778 12.45% 12.45% 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 6,266 5.76% 7.70% 27.36%
Medicaid 1,067 10.03% 9.38% 4.66%
Medicare 13,243 10.16% 8.95% 57.82%
Other 648 4.94% 7.91% 2.83%
Self Pay/Charity 1,655 6.47% 8.11% 7.23%
Unknown 25 4.00% 9.32% 0.11%
Statewide Totals 22,904 8.54% 8.54% 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 1,840 5.71% 6.52% 34.82%
Medicaid 214 8.88% 6.89% 4.05%
Medicare 2,787 7.39% 6.95% 52.74%
Other 169 5.92% 6.73% 3.20%
Self Pay/Charity 272 6.99% 7.00% 5.15%
Unknown 2 0.00% 7.54% 0.04%
Statewide Totals 5,284 6.79% 6.79% 100.00%


Totals
Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Commercial 16,548 7.46% 9.17% 20.69%
Medicaid 4,092 14.20% 11.43% 5.12%
Medicare 52,719 12.21% 11.66% 65.93%
Other 1,748 7.21% 9.56% 2.19%
Self Pay/Charity 4,777 7.60% 9.50% 5.97%
Unknown 82 9.76% 11.21% 0.10%
Statewide Totals 79,966 10.96% 10.96% 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