There is a growing focus on avoiding hospital readmissions to decrease costs and improve health outcomes and patient satisfaction. Approximately one in five elderly patients discharged from the hospital are readmitted within 30 days and many of these readmissions are avoidable (Boutwell, 2009). There is a growing emphasis on providing patients with discharge instructions to improve health outcomes. In fact, the US government started penalizing hospitals in 2012 for avoidable readmissions (Centers for Medicare & Medicaid Services, n.d.). Disparities between and among hospitals continue around this quality measure.
The purpose of this analysis is to compare the rates of patients who reported that they were given information about what to do during their recovery at home given the rates of readmissions and mortality for acute myocardial infarction, coronary artery bypass grafting, chronic obstructive pulmonary disease, stroke, heart failure, pneumonia and hip/knee replacement at multiple levels, including state, county and hospital type.
Tutorial: Using the Data
Hospital Compare - Patient Surveys - HCAHPS (data released October 19, 2016)
Hospital Compare - Readmissions and Death Measures (data released October 19, 2016)
Hospital Compare - Hospital General Information (data released October 19, 2016)
Defining the Columns
A blank entry indicates unreported data. A value of zero is a defined value and does not represent unreported data.
State: The abbreviated name of the state where the hospital is located
County: The name of the county where the hospital is located. County names are listed as provided on the United States Census Bureau's list of 2010 FIPS Codes for Counties and County Equivalient Entities.
Hospital: The name of the hospital
Patient Given Information about Recovery: The calculated rate of patients that reported on the HCAHPS patient surveys that they did receive information about what to do during their recovery at home. A higher score is desired as this indicated a high proportion of patients that were provided with information. The reporting period for this measure is October 1, 2014 - September 30, 2015
Health Outcome Measure: The name of the major complications and death measures. The measures include mortality and readmission rates for acute myocardial infarction, coronary artery bypass grafting, chronic obstructive pulmonary disease, stroke, heart failure, pneumonia and hip/knee replacement
Health Outcome Rate: The calculated rates for the major complications and death measures. A lower measure is desired as this indicates a lower proportion of mortality or readmissions. The reporting period for these measures are July 1, 2012 - June 30, 2015
Hospital Type: The type of hospital, which includes Acute Care Hospitals and Critical Access Hospitals