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CARDIAC CARE: 2005 VA AGGREGATE REPORTS
Totals by Race

Mortality | Readmission
Cardiology Medical
Race Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
White 45,698 3.55% 3.28% 70.88%
Black 15,907 2.33% 3.10% 24.67%
Other 1,676 2.51% 3.20% 2.60%
Unknown 1,195 3.85% 3.20% 1.85%
Statewide Totals 64,476 3.23% 3.23% 100.00%


Open Heart Surgery
Race Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
White 6,100 2.48% 2.43% 78.32%
Black 1,041 3.07% 3.23% 13.37%
Other 293 2.05% 2.39% 3.76%
Unknown 355 2.25% 2.21% 4.56%
Statewide Totals 7,789 2.53% 2.53% 100.00%


Invasive Cardiology
Race Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
White 23,571 0.93% 0.90% 75.07%
Black 5,839 0.75% 0.90% 18.60%
Other 821 0.97% 1.10% 2.61%
Unknown 1,169 1.11% 1.06% 3.72%
Statewide Totals 31,400 0.91% 0.91% 100.00%


Race Totals
Race Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
White 75,369 2.65% 2.47% 72.71%
Black 22,787 1.96% 2.54% 21.98%
Other 2,790 2.01% 2.50% 2.69%
Unknown 2,719 2.46% 2.15% 2.62%
Statewide Totals 103,665 2.47% 2.47% 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 Medical
Race Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
White 44,561 11.87% 11.68% 70.71%
Black 15,662 12.35% 12.41% 24.85%
Other 1,646 7.41% 10.00% 2.61%
Unknown 1,154 7.54% 10.27% 1.83%
Statewide Totals 63,023 11.79% 11.79% 100.00%


Open Heart Surgery
Race Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
White 5,949 10.88% 10.83% 78.36%
Black 1,009 11.89% 11.22% 13.29%
Other 287 8.01% 10.27% 3.78%
Unknown 347 9.51% 10.46% 4.57%
Statewide Totals 7,592 10.84% 10.84% 100.00%


Invasive Cardiology
Race Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
White 23,378 8.89% 8.74% 75.06%
Black 5,798 9.56% 9.68% 18.62%
Other 813 8.73% 8.63% 2.61%
Unknown 1,157 6.14% 8.61% 3.71%
Statewide Totals 31,146 8.91% 8.91% 100.00%


Race Totals
Race Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
White 73,888 10.85% 10.68% 72.61%
Black 22,469 11.61% 11.65% 22.08%
Other 2,746 7.87% 9.62% 2.70%
Unknown 2,658 7.19% 9.57% 2.61%
Statewide Totals 101,761 10.84% 10.84% 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


          


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