Top systems have better longer-term outcomes.
- 30-day mortality and readmission rates are lower at hospitals in the 15 top performing systems.
- The small* winning systems outperformed their peers by the widest rage in the 30-day measures.
The top health systems have fewer patient complications.
- Patients treated at the winning systems’ member hospitals had fewer complications. Their rates were 3-percent lower than at non-winning system hospitals.
- Results were fairly consistent among the health system size groupings, but small health systems had the lowest complication rates and outperformed their peers by the widest margin. Hospitals in these winning systems had 5-percent fewer complications than expected, while their peers had as many as expected.
The top health systems have better survival rates.
- The winners had 3-percent fewer deaths than expected, considering patient severity, while their non winning peers had as many deaths as expected.
- Mortality rate results were consistent among the health system size grouping.
The top health systems are following accepted care protocols and patient safety standards more closely.
- The top health systems do a better job avoiding adverse patient safety events and are following accepted care standards (core measures) more closely.
- A patient safety index of 0.93 tells us that winning systems had 7-percent fewer adverse patient safety events than expected; their peers had as many adverse events as expected.
- The winning systems’ higher core measures mean percentage of 97.63 tells us that they used recommended core measures of care more consistently than did their peers.
- Winning medium and small* systems had the best patient safety index scores .
- Winning large* systems had the best core measures scores.
Patients treated at hospitals in the winning systems return home sooner.
- Winning systems have a median average length of stay (ALOS) of 4.49 days, nearly half a day shorter than their peers’ median of 5.06 days.
- The winning small* systems had the shortest ALOS — 4.5 days.
Patients treated by members of the top health systems report a better overall hospital experience than those treated in peer hospitals.
- The winners’ higher median Hospital Consumer Assessment of Health Plans Survey (HCAHPS) score tells us that patients treated by members of the top health systems are reporting a better overall hospital experience than those treated in peer hospitals.
- The top small* systems had the highest HCAHPS scores
To see the full report, please visit the Truven website.