Cardiac Care

Open Heart Surgery by Age Group

2013 Mortality

Age Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Open Heart Surgery
0 to 9 187 0.00% 0.29% 3.01% 2
10 to 19 55 0.00% 0.44% 0.89% 2
20 to 29 58 0.00% 1.64% 0.93% 2
30 to 39 100 3.00% 1.92% 1.61% 2
40 to 49 462 0.43% 1.32% 7.44% 2
50 to 59 1,198 1.34% 1.24% 19.30% 2
60 to 69 1,903 1.47% 1.36% 30.66% 2
70 to 79 1,650 2.18% 2.25% 26.59% 2
80 to 89 579 3.11% 2.76% 9.33% 2
90 and up 14 7.14% 3.47% 0.23% 2
Statewide Totals 6,206 1.68% 1.68% 100%
  • 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.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2013 Readmission

Age Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
0 to 9 80 1.25% 4.16% 1.29% 2
10 to 19 36 5.56% 4.73% 0.58% 2
20 to 29 53 3.77% 5.85% 0.85% 2
30 to 39 94 0.00% 5.29% 1.51% 3
40 to 49 450 6.22% 5.69% 7.25% 2
50 to 59 1,162 5.16% 5.79% 18.72% 2
60 to 69 1,856 5.28% 5.80% 29.91% 2
70 to 79 1,600 7.25% 6.01% 25.78% 1
80 to 89 553 6.69% 6.21% 8.91% 2
90 and up 13 7.69% 6.56% 0.21% 2
Statewide Totals 5,897 5.85% 5.85% 100%
  • 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.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2014 Mortality

Age Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
0 to 9 217 0.46% 0.53% 3.45% 2
10 to 19 33 0.00% 0.63% 0.52% 2
20 to 29 60 0.00% 2.20% 0.95% 2
30 to 39 101 1.98% 2.58% 1.61% 2
40 to 49 388 0.00% 1.60% 6.17% 3
50 to 59 1,240 0.81% 1.22% 19.73% 2
60 to 69 1,986 1.36% 1.39% 31.59% 2
70 to 79 1,692 2.01% 2.00% 26.92% 2
80 to 89 553 4.52% 2.20% 8.80% 1
90 and up 16 12.50% 4.55% 0.25% 2
Statewide Totals 6,286 1.61% 1.61% 100%
  • 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.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2014 Readmission

Age Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
0 to 9 216 2.31% 5.63% 3.44% 3
10 to 19 33 0.00% 6.26% 0.52% 2
20 to 29 60 3.33% 8.10% 0.95% 2
30 to 39 99 9.09% 7.44% 1.57% 2
40 to 49 388 7.47% 6.86% 6.17% 2
50 to 59 1,230 6.59% 6.78% 19.57% 2
60 to 69 1,959 7.35% 7.02% 31.16% 2
70 to 79 1,658 7.72% 7.39% 26.38% 2
80 to 89 528 8.14% 8.19% 8.40% 2
90 and up 14 0.00% 9.03% 0.22% 2
Statewide Totals 6,185 7.13% 7.13% 100%
  • 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.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2015 Mortality

Age Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
0 to 9 149 2.01% 2.36% 3.24% 2
10 to 19 24 0.00% 0.13% 0.52% 2
20 to 29 29 3.45% 3.27% 0.63% 2
30 to 39 67 0.00% 2.14% 1.46% 2
40 to 49 256 1.95% 1.45% 5.57% 2
50 to 59 932 0.86% 1.33% 20.26% 2
60 to 69 1,493 1.07% 1.55% 32.46% 2
70 to 79 1,268 2.21% 1.91% 27.57% 2
80 to 89 373 4.56% 2.50% 8.11% 1
90 and up 9 11.11% 2.73% 0.20% 0
Statewide Totals 4,600 1.72% 1.72% 100%
  • Please note that the 2015 Cardiac report includes only nine months of discharges. This shortened timeframe, from Jan 1 through Sept 30, 2015, is related to the replacement of the ICD-9 with the ICD-10 coding system effective with discharges on and after Oct 1, 2015. Because of the increased detail of the ICD-10 system, a number of APR-DRGs had significant differences in volume. While these differences are not errors, for comparability, VHI chose to include only the nine months of 2015 discharges before ICD-10 went into effect.
  • 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.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2015 Readmission

Age Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
0 to 9 146 3.42% 5.52% 3.17% 2
10 to 19 24 0.00% 4.83% 0.52% 2
20 to 29 28 17.86% 6.93% 0.61% 1
30 to 39 67 13.43% 6.93% 1.46% 1
40 to 49 251 5.98% 6.64% 5.46% 2
50 to 59 924 5.09% 6.47% 20.09% 2
60 to 69 1,477 7.11% 6.83% 32.11% 2
70 to 79 1,240 7.58% 7.10% 26.96% 2
80 to 89 356 7.58% 7.42% 7.74% 2
90 and up 8 12.50% 6.56% 0.17% 0
Statewide Totals 4,521 6.81% 6.81% 100%
  • 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.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2016 Mortality

Age Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
0 to 9 80 1.25% 1.82% 1.49% 2
10 to 19 24 0.00% 0.69% 0.45% 2
20 to 29 39 0.00% 2.76% 0.72% 2
30 to 39 99 0.00% 2.04% 1.84% 2
40 to 49 373 1.07% 1.53% 6.93% 2
50 to 59 984 2.03% 1.61% 18.27% 2
60 to 69 1,824 1.37% 1.69% 33.87% 2
70 to 79 1,532 2.15% 2.05% 28.45% 2
80 to 89 421 3.33% 2.39% 7.82% 2
90 and up 9 22.22% 4.48% 0.17% 0
Statewide Totals 5,385 1.84% 1.84% 100%
  • 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.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2016 Readmission

Age Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
0 to 9 79 1.27% 4.91% 1.47% 2
10 to 19 24 0.00% 6.16% 0.45% 2
20 to 29 39 10.26% 7.61% 0.72% 2
30 to 39 99 5.05% 7.40% 1.84% 2
40 to 49 369 8.40% 6.67% 6.85% 2
50 to 59 964 6.54% 6.67% 17.90% 2
60 to 69 1,799 6.78% 6.76% 33.41% 2
70 to 79 1,499 7.00% 6.93% 27.84% 2
80 to 89 407 6.63% 7.01% 7.56% 2
90 and up 7 14.29% 8.33% 0.13% 0
Statewide Totals 5,286 6.79% 6.79% 100%
  • 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.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2017 Mortality

Age Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
0 to 9 88 2.27% 1.56% 1.69% 2
10 to 19 11 0.00% 0.26% 0.21% 2
20 to 29 34 0.00% 1.27% 0.65% 2
30 to 39 73 0.00% 2.68% 1.40% 2
40 to 49 302 0.99% 1.45% 5.79% 2
50 to 59 990 1.01% 1.30% 18.98% 2
60 to 69 1,831 0.82% 1.50% 35.10% 3
70 to 79 1,513 2.31% 1.88% 29.00% 2
80 to 89 368 5.71% 2.45% 7.05% 1
90 and up 7 0.00% 1.21% 0.13% 0
Statewide Totals 5,217 1.65% 1.65% 100%
  • 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.
  • Beginning with discharges during 2017, statewide summaries include all cardiac discharges from acute hospitals only as care in other hospital types (e.g., critical access or rehabilitation) may vary widely.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)

2017 Readmission

Age Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
0 to 9 86 1.16% 5.69% 1.65% 2
10 to 19 11 9.09% 8.47% 0.21% 2
20 to 29 34 5.88% 8.06% 0.65% 2
30 to 39 73 8.22% 7.91% 1.40% 2
40 to 49 299 7.02% 7.36% 5.73% 2
50 to 59 980 7.14% 6.87% 18.78% 2
60 to 69 1,816 7.32% 6.85% 34.81% 2
70 to 79 1,478 6.83% 7.11% 28.33% 2
80 to 89 347 6.63% 7.54% 6.65% 2
90 and up 7 28.57% 8.98% 0.13% 0
Statewide Totals 5,131 7.02% 7.02% 100%
  • 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.
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)