Cardiac Care

Cardiac Care by Service Lines and Gender

2013 Mortality

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 26,004 1.82% 1.82% 52.12% 2
Male 23,890 1.88% 1.88% 47.88% 2
Statewide Totals 49,894 1.85% 1.85% 100%
Invasive Cardiology
Female 8,725 1.31% 1.13% 38.87% 2
Male 13,720 1.00% 1.11% 61.13% 2
Statewide Totals 22,445 1.12% 1.12% 100%
Open Heart Surgery
Female 1,955 2.81% 1.88% 31.50% 1
Male 4,251 1.15% 1.58% 68.50% 3
Statewide Totals 6,206 1.68% 1.68% 100%
Totals
Female 36,684 1.75% 1.66% 46.70% 2
Male 41,861 1.52% 1.60% 53.30% 2
Statewide Totals 78,545 1.63% 1.63% 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

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 26,281 9.30% 9.28% 52.36% 2
Male 23,911 9.27% 9.29% 47.64% 2
Statewide Totals 50,192 9.29% 9.29% 100%
Invasive Cardiology
Female 8,561 6.70% 6.96% 38.97% 2
Male 13,407 6.91% 6.75% 61.03% 2
Statewide Totals 21,968 6.83% 6.83% 100%
Open Heart Surgery
Female 1,819 7.48% 6.09% 30.85% 1
Male 4,078 5.13% 5.74% 69.15% 2
Statewide Totals 5,897 5.85% 5.85% 100%
Totals
Female 36,661 8.61% 8.58% 46.97% 2
Male 41,396 8.10% 8.12% 53.03% 2
Statewide Totals 78,057 8.34% 8.34% 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

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 25,431 1.66% 1.73% 51.52% 2
Male 23,934 1.94% 1.87% 48.48% 2
Statewide Totals 49,365 1.80% 1.80% 100%
Invasive Cardiology
Female 8,138 1.01% 1.07% 38.35% 2
Male 13,082 1.11% 1.07% 61.65% 2
Statewide Totals 21,220 1.07% 1.07% 100%
Open Heart Surgery
Female 2,007 2.24% 1.85% 31.93% 2
Male 4,279 1.31% 1.49% 68.07% 2
Statewide Totals 6,286 1.61% 1.61% 100%
Totals
Female 35,576 1.55% 1.58% 46.28% 2
Male 41,295 1.61% 1.58% 53.72% 2
Statewide Totals 76,871 1.58% 1.58% 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

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 26,096 12.38% 12.77% 51.76% 2
Male 24,318 13.32% 12.91% 48.24% 2
Statewide Totals 50,414 12.84% 12.84% 100%
Invasive Cardiology
Female 8,111 9.28% 8.96% 38.40% 2
Male 13,010 8.40% 8.60% 61.60% 2
Statewide Totals 21,121 8.74% 8.74% 100%
Open Heart Surgery
Female 1,962 8.97% 7.58% 31.72% 1
Male 4,223 6.28% 6.92% 68.28% 2
Statewide Totals 6,185 7.13% 7.13% 100%
Totals
Female 36,169 11.50% 11.63% 46.54% 2
Male 41,551 11.07% 10.95% 53.46% 2
Statewide Totals 77,720 11.27% 11.27% 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

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 19,096 1.56% 1.80% 50.96% 3
Male 18,373 2.21% 1.95% 49.04% 1
Statewide Totals 37,469 1.88% 1.88% 100%
Invasive Cardiology
Female 6,605 1.24% 1.05% 39.19% 2
Male 10,248 0.90% 1.02% 60.81% 2
Statewide Totals 16,853 1.03% 1.03% 100%
Open Heart Surgery
Female 1,418 2.89% 2.15% 30.83% 2
Male 3,182 1.19% 1.52% 69.17% 2
Statewide Totals 4,600 1.72% 1.72% 100%
Totals
Female 27,119 1.55% 1.64% 46.03% 2
Male 31,803 1.69% 1.61% 53.97% 2
Statewide Totals 58,922 1.62% 1.62% 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

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 19,701 12.47% 12.78% 51.41% 2
Male 18,619 13.17% 12.85% 48.59% 2
Statewide Totals 38,320 12.81% 12.81% 100%
Invasive Cardiology
Female 6,580 9.35% 9.37% 39.14% 2
Male 10,233 8.92% 8.91% 60.86% 2
Statewide Totals 16,813 9.09% 9.09% 100%
Open Heart Surgery
Female 1,377 7.99% 7.05% 30.46% 2
Male 3,144 6.30% 6.71% 69.54% 2
Statewide Totals 4,521 6.81% 6.81% 100%
Totals
Female 27,658 11.50% 11.68% 46.36% 2
Male 31,996 11.14% 10.98% 53.64% 2
Statewide Totals 59,654 11.31% 11.31% 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

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 25,796 1.41% 1.50% 50.86% 2
Male 24,919 1.78% 1.68% 49.14% 2
Statewide Totals 50,715 1.59% 1.59% 100%
Invasive Cardiology
Female 9,089 1.18% 1.08% 39.47% 2
Male 13,939 0.95% 1.02% 60.53% 2
Statewide Totals 23,028 1.04% 1.04% 100%
Open Heart Surgery
Female 1,576 3.17% 2.23% 29.27% 1
Male 3,809 1.29% 1.68% 70.73% 2
Statewide Totals 5,385 1.84% 1.84% 100%
Totals
Female 36,461 1.43% 1.42% 46.08% 2
Male 42,667 1.46% 1.47% 53.92% 2
Statewide Totals 79,128 1.45% 1.45% 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

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 26,583 12.30% 12.48% 51.15% 2
Male 25,388 12.62% 12.44% 48.85% 2
Statewide Totals 51,971 12.46% 12.46% 100%
Invasive Cardiology
Female 9,046 8.95% 8.82% 39.42% 2
Male 13,904 8.27% 8.36% 60.58% 2
Statewide Totals 22,950 8.54% 8.54% 100%
Open Heart Surgery
Female 1,526 8.72% 7.04% 28.87% 1
Male 3,760 6.01% 6.69% 71.13% 2
Statewide Totals 5,286 6.79% 6.79% 100%
Totals
Female 37,155 11.34% 11.36% 46.32% 2
Male 43,052 10.64% 10.62% 53.68% 2
Statewide Totals 80,207 10.96% 10.96% 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

Gender Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Female 26,679 1.33% 1.52% 50.79% 3
Male 25,850 1.85% 1.65% 49.21% 1
Statewide Totals 52,529 1.58% 1.58% 100%
Invasive Cardiology
Female 9,284 1.29% 1.19% 39.43% 2
Male 14,259 1.11% 1.17% 60.57% 2
Statewide Totals 23,543 1.18% 1.18% 100%
Open Heart Surgery
Female 1,487 2.49% 1.92% 28.50% 2
Male 3,730 1.31% 1.54% 71.50% 2
Statewide Totals 5,217 1.65% 1.65% 100%
Totals
Female 37,450 1.37% 1.45% 46.07% 2
Male 43,839 1.56% 1.49% 53.93% 2
Statewide Totals 81,289 1.47% 1.47% 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

Gender Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Female 27,648 12.00% 12.04% 51.05% 2
Male 26,509 12.07% 12.03% 48.95% 2
Statewide Totals 54,157 12.03% 12.03% 100%
Invasive Cardiology
Female 9,252 9.48% 8.78% 39.35% 1
Male 14,258 7.96% 8.42% 60.65% 2
Statewide Totals 23,510 8.56% 8.56% 100%
Open Heart Surgery
Female 1,450 9.66% 7.46% 28.26% 1
Male 3,681 5.98% 6.84% 71.74% 3
Statewide Totals 5,131 7.02% 7.02% 100%
Totals
Female 38,350 11.30% 11.08% 46.32% 2
Male 44,448 10.25% 10.44% 53.68% 2
Statewide Totals 82,798 10.74% 10.74% 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)