Cardiac Care

Cardiac Care by Service Lines and Payer

2013 Mortality

Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Commercial 8,166 0.94% 1.07% 16.37% 2
Medicaid 2,523 1.47% 1.47% 5.06% 2
Medicare 34,745 2.16% 2.15% 69.64% 2
Other 807 2.35% 1.80% 1.62% 2
Self Pay/Charity 3,437 1.08% 1.03% 6.89% 2
Unknown 216 0.93% 1.69% 0.43% 2
Statewide Totals 49,894 1.85% 1.85% 100%
Invasive Cardiology
Commercial 6,099 0.80% 0.80% 27.17% 2
Medicaid 906 1.43% 1.11% 4.04% 2
Medicare 12,855 1.29% 1.32% 57.27% 2
Other 517 1.16% 0.91% 2.30% 2
Self Pay/Charity 1,974 0.81% 0.83% 8.79% 2
Unknown 94 1.06% 0.98% 0.42% 2
Statewide Totals 22,445 1.12% 1.12% 100%
Open Heart Surgery
Commercial 2,152 0.88% 1.03% 34.68% 2
Medicaid 276 1.09% 1.65% 4.45% 2
Medicare 3,169 2.30% 2.15% 51.06% 2
Other 198 1.01% 1.77% 3.19% 2
Self Pay/Charity 379 1.85% 1.49% 6.11% 2
Unknown 32 0.00% 0.54% 0.52% 2
Statewide Totals 6,206 1.68% 1.68% 100%
Totals
Commercial 16,417 0.88% 0.96% 20.90% 2
Medicaid 3,705 1.43% 1.39% 4.72% 2
Medicare 50,769 1.95% 1.94% 64.64% 2
Other 1,522 1.77% 1.49% 1.94% 2
Self Pay/Charity 5,790 1.04% 0.99% 7.37% 2
Unknown 342 0.88% 1.39% 0.44% 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

Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Commercial 8,090 6.71% 7.86% 16.12% 3
Medicaid 2,459 11.67% 9.29% 4.90% 1
Medicare 35,380 10.12% 9.80% 70.49% 1
Other 784 7.02% 7.96% 1.56% 2
Self Pay/Charity 3,266 5.24% 7.57% 6.51% 3
Unknown 213 12.21% 8.84% 0.42% 2
Statewide Totals 50,192 9.29% 9.29% 100%
Invasive Cardiology
Commercial 5,904 4.93% 6.22% 26.88% 3
Medicaid 869 10.82% 7.21% 3.96% 1
Medicare 12,735 7.81% 7.18% 57.97% 1
Other 500 4.00% 6.40% 2.28% 3
Self Pay/Charity 1,868 5.14% 6.37% 8.50% 3
Unknown 92 5.43% 5.84% 0.42% 2
Statewide Totals 21,968 6.83% 6.83% 100%
Open Heart Surgery
Commercial 2,027 4.19% 5.45% 34.37% 3
Medicaid 229 8.30% 6.01% 3.88% 2
Medicare 3,078 7.08% 6.07% 52.20% 1
Other 186 3.76% 6.03% 3.15% 2
Self Pay/Charity 347 3.75% 6.05% 5.88% 2
Unknown 30 10.00% 5.67% 0.51% 2
Statewide Totals 5,897 5.85% 5.85% 100%
Totals
Commercial 16,021 5.74% 6.95% 20.52% 3
Medicaid 3,557 11.25% 8.57% 4.56% 1
Medicare 51,193 9.36% 8.93% 65.58% 1
Other 1,470 5.58% 7.18% 1.88% 3
Self Pay/Charity 5,481 5.11% 7.07% 7.02% 3
Unknown 335 10.15% 7.73% 0.43% 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

Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Commercial 8,092 1.22% 1.27% 16.39% 2
Medicaid 2,656 1.81% 1.70% 5.38% 2
Medicare 34,349 1.96% 1.97% 69.58% 2
Other 747 2.41% 2.05% 1.51% 2
Self Pay/Charity 3,212 1.40% 1.35% 6.51% 2
Unknown 309 0.97% 0.99% 0.63% 2
Statewide Totals 49,365 1.80% 1.80% 100%
Invasive Cardiology
Commercial 5,939 0.77% 0.84% 27.99% 2
Medicaid 870 0.46% 0.96% 4.10% 2
Medicare 11,952 1.30% 1.23% 56.32% 2
Other 518 1.54% 1.07% 2.44% 2
Self Pay/Charity 1,809 0.72% 0.82% 8.52% 2
Unknown 132 0.76% 0.95% 0.62% 2
Statewide Totals 21,220 1.07% 1.07% 100%
Open Heart Surgery
Commercial 2,132 0.80% 1.18% 33.92% 2
Medicaid 303 0.66% 1.57% 4.82% 2
Medicare 3,291 2.19% 1.87% 52.35% 2
Other 126 1.59% 1.89% 2.00% 2
Self Pay/Charity 350 1.14% 1.60% 5.57% 2
Unknown 84 4.76% 1.82% 1.34% 1
Statewide Totals 6,286 1.61% 1.61% 100%
Totals
Commercial 16,163 1.00% 1.10% 21.03% 2
Medicaid 3,829 1.41% 1.52% 4.98% 2
Medicare 49,592 1.82% 1.79% 64.51% 2
Other 1,391 2.01% 1.67% 1.81% 2
Self Pay/Charity 5,371 1.15% 1.19% 6.99% 2
Unknown 525 1.52% 1.11% 0.68% 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

Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Commercial 8,202 8.81% 11.25% 16.27% 3
Medicaid 2,661 17.32% 12.79% 5.28% 1
Medicare 35,301 13.93% 13.44% 70.02% 1
Other 739 9.34% 11.09% 1.47% 2
Self Pay/Charity 3,193 8.11% 10.66% 6.33% 3
Unknown 318 12.58% 12.59% 0.63% 2
Statewide Totals 50,414 12.84% 12.84% 100%
Invasive Cardiology
Commercial 5,901 5.64% 8.06% 27.94% 3
Medicaid 874 11.33% 9.56% 4.14% 2
Medicare 11,901 10.47% 9.12% 56.35% 1
Other 511 7.44% 8.21% 2.42% 2
Self Pay/Charity 1,801 6.16% 8.19% 8.53% 3
Unknown 133 14.29% 8.87% 0.63% 1
Statewide Totals 21,121 8.74% 8.74% 100%
Open Heart Surgery
Commercial 2,115 5.48% 6.66% 34.20% 3
Medicaid 301 7.64% 6.75% 4.87% 2
Medicare 3,219 8.17% 7.46% 52.05% 2
Other 124 4.84% 7.35% 2.00% 2
Self Pay/Charity 346 7.51% 6.98% 5.59% 2
Unknown 80 8.75% 8.03% 1.29% 2
Statewide Totals 6,185 7.13% 7.13% 100%
Totals
Commercial 16,218 7.23% 9.49% 20.87% 3
Medicaid 3,836 15.20% 11.58% 4.94% 1
Medicare 50,421 12.75% 12.04% 64.88% 1
Other 1,374 8.22% 9.68% 1.77% 2
Self Pay/Charity 5,340 7.42% 9.59% 6.87% 3
Unknown 531 12.43% 10.97% 0.68% 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

Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Commercial 6,098 1.66% 1.39% 16.27% 2
Medicaid 2,191 1.51% 1.62% 5.85% 2
Medicare 26,290 2.02% 2.09% 70.16% 2
Other 634 1.89% 1.51% 1.69% 2
Self Pay/Charity 2,200 1.18% 1.12% 5.87% 2
Unknown 56 0.00% 0.31% 0.15% 2
Statewide Totals 37,469 1.88% 1.88% 100%
Invasive Cardiology
Commercial 4,551 0.64% 0.86% 27.00% 2
Medicaid 802 1.12% 1.26% 4.76% 2
Medicare 9,752 1.23% 1.13% 57.87% 2
Other 439 0.91% 0.92% 2.60% 2
Self Pay/Charity 1,289 0.85% 0.77% 7.65% 2
Unknown 20 5.00% 1.12% 0.12% 2
Statewide Totals 16,853 1.03% 1.03% 100%
Open Heart Surgery
Commercial 1,596 0.63% 1.29% 34.70% 3
Medicaid 236 2.54% 2.39% 5.13% 2
Medicare 2,417 2.32% 1.93% 52.54% 2
Other 161 2.48% 1.66% 3.50% 2
Self Pay/Charity 186 1.61% 1.75% 4.04% 2
Unknown 4 0.00% 0.37% 0.09% 0
Statewide Totals 4,600 1.72% 1.72% 100%
Totals
Commercial 12,245 1.14% 1.18% 20.78% 2
Medicaid 3,229 1.49% 1.59% 5.48% 2
Medicare 38,459 1.84% 1.83% 65.27% 2
Other 1,234 1.62% 1.32% 2.09% 2
Self Pay/Charity 3,675 1.09% 1.03% 6.24% 2
Unknown 80 1.25% 0.52% 0.14% 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

Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Commercial 6,150 8.75% 11.20% 16.05% 3
Medicaid 2,215 17.43% 12.85% 5.78% 1
Medicare 27,082 13.77% 13.39% 70.67% 2
Other 633 10.11% 11.36% 1.65% 2
Self Pay/Charity 2,184 8.52% 10.59% 5.70% 3
Unknown 56 8.93% 10.19% 0.15% 2
Statewide Totals 38,320 12.81% 12.81% 100%
Invasive Cardiology
Commercial 4,533 5.96% 8.16% 26.96% 3
Medicaid 807 11.28% 10.05% 4.80% 2
Medicare 9,735 10.80% 9.54% 57.90% 1
Other 435 6.67% 8.15% 2.59% 2
Self Pay/Charity 1,284 6.78% 8.66% 7.64% 3
Unknown 19 0.00% 8.14% 0.11% 2
Statewide Totals 16,813 9.09% 9.09% 100%
Open Heart Surgery
Commercial 1,586 5.17% 6.37% 35.08% 2
Medicaid 230 6.96% 6.58% 5.09% 2
Medicare 2,361 8.01% 7.12% 52.22% 2
Other 157 7.01% 6.99% 3.47% 2
Self Pay/Charity 183 5.46% 6.78% 4.05% 2
Unknown 4 0.00% 6.84% 0.09% 0
Statewide Totals 4,521 6.81% 6.81% 100%
Totals
Commercial 12,269 7.25% 9.45% 20.57% 3
Medicaid 3,252 15.16% 11.72% 5.45% 1
Medicare 39,178 12.69% 12.06% 65.68% 1
Other 1,225 8.49% 9.66% 2.05% 2
Self Pay/Charity 3,651 7.75% 9.72% 6.12% 3
Unknown 79 6.33% 9.53% 0.13% 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

Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Commercial 8,309 1.10% 1.17% 16.44% 2
Medicaid 2,802 1.36% 1.28% 5.55% 2
Medicare 35,559 1.75% 1.76% 70.37% 2
Other 935 1.50% 1.32% 1.85% 2
Self Pay/Charity 2,866 1.29% 1.04% 5.67% 2
Unknown 57 3.51% 2.50% 0.11% 2
Statewide Totals 50,528 1.59% 1.59% 100%
Invasive Cardiology
Commercial 6,292 0.78% 0.81% 27.38% 2
Medicaid 1,071 1.12% 1.24% 4.66% 2
Medicare 13,282 1.22% 1.17% 57.80% 2
Other 649 0.77% 0.80% 2.82% 2
Self Pay/Charity 1,662 0.66% 0.84% 7.23% 2
Unknown 25 0.00% 1.05% 0.11% 2
Statewide Totals 22,981 1.04% 1.04% 100%
Open Heart Surgery
Commercial 1,858 0.97% 1.41% 34.52% 2
Medicaid 219 2.28% 2.19% 4.07% 2
Medicare 2,855 2.38% 2.09% 53.04% 2
Other 170 0.59% 1.49% 3.16% 2
Self Pay/Charity 279 2.51% 2.05% 5.18% 2
Unknown 2 0.00% 3.86% 0.04% 0
Statewide Totals 5,383 1.84% 1.84% 100%
Totals
Commercial 16,459 0.96% 1.06% 20.86% 2
Medicaid 4,092 1.34% 1.32% 5.19% 2
Medicare 51,696 1.65% 1.63% 65.53% 2
Other 1,754 1.14% 1.14% 2.22% 2
Self Pay/Charity 4,807 1.14% 1.03% 6.09% 2
Unknown 84 2.38% 2.10% 0.11% 2
Statewide Totals 78,892 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

Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Commercial 8,442 9.10% 10.84% 16.30% 3
Medicaid 2,811 16.19% 12.55% 5.43% 1
Medicare 36,689 13.32% 13.00% 70.86% 2
Other 931 9.02% 11.22% 1.80% 3
Self Pay/Charity 2,850 8.32% 10.55% 5.50% 3
Unknown 55 12.73% 12.21% 0.11% 2
Statewide Totals 51,778 12.45% 12.45% 100%
Invasive Cardiology
Commercial 6,266 5.76% 7.70% 27.36% 3
Medicaid 1,067 10.03% 9.38% 4.66% 2
Medicare 13,243 10.16% 8.95% 57.82% 1
Other 648 4.94% 7.91% 2.83% 3
Self Pay/Charity 1,655 6.47% 8.11% 7.23% 3
Unknown 25 4.00% 9.32% 0.11% 2
Statewide Totals 22,904 8.54% 8.54% 100%
Open Heart Surgery
Commercial 1,840 5.71% 6.52% 34.82% 2
Medicaid 214 8.88% 6.89% 4.05% 2
Medicare 2,787 7.39% 6.95% 52.74% 2
Other 169 5.92% 6.73% 3.20% 2
Self Pay/Charity 272 6.99% 7.00% 5.15% 2
Unknown 2 0.00% 7.54% 0.04% 0
Statewide Totals 5,284 6.79% 6.79% 100%
Totals
Commercial 16,548 7.46% 9.17% 20.69% 3
Medicaid 4,092 14.20% 11.43% 5.12% 1
Medicare 52,719 12.21% 11.66% 65.93% 1
Other 1,748 7.21% 9.56% 2.19% 3
Self Pay/Charity 4,777 7.60% 9.50% 5.97% 3
Unknown 82 9.76% 11.21% 0.10% 2
Statewide Totals 79,966 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

Payer Volume Used Actual Mortality Expected Mortality Percent of Cases Rating
Cardiology Medical
Commercial 7,587 1.29% 1.09% 14.44% 2
Medicaid 3,084 1.20% 1.32% 5.87% 2
Medicare 37,754 1.72% 1.76% 71.87% 2
Other 1,083 1.75% 1.49% 2.06% 2
Self Pay/Charity 2,954 0.95% 0.98% 5.62% 2
Unknown 67 0.00% 0.47% 0.13% 2
Statewide Totals 52,529 1.58% 1.58% 100%
Invasive Cardiology
Commercial 5,822 0.62% 0.79% 24.73% 2
Medicaid 1,119 0.71% 1.22% 4.75% 2
Medicare 14,154 1.48% 1.37% 60.12% 2
Other 704 0.71% 1.25% 2.99% 2
Self Pay/Charity 1,707 1.05% 0.92% 7.25% 2
Unknown 37 2.70% 1.35% 0.16% 2
Statewide Totals 23,543 1.18% 1.18% 100%
Open Heart Surgery
Commercial 1,717 0.82% 1.25% 32.91% 2
Medicaid 255 1.18% 1.76% 4.89% 2
Medicare 2,855 2.17% 1.91% 54.72% 2
Other 157 1.91% 1.49% 3.01% 2
Self Pay/Charity 225 1.78% 1.32% 4.31% 2
Unknown 8 0.00% 2.47% 0.15% 0
Statewide Totals 5,217 1.65% 1.65% 100%
Totals
Commercial 15,126 0.98% 0.99% 18.61% 2
Medicaid 4,458 1.08% 1.32% 5.48% 2
Medicare 54,763 1.68% 1.66% 67.37% 2
Other 1,944 1.39% 1.41% 2.39% 2
Self Pay/Charity 4,886 1.02% 0.98% 6.01% 2
Unknown 112 0.89% 0.90% 0.14% 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

Payer Volume Used Actual Readmission Expected Readmission Percent of Cases Rating
Cardiology Medical
Commercial 7,665 7.96% 10.38% 14.15% 3
Medicaid 3,109 17.02% 12.20% 5.74% 1
Medicare 39,274 12.81% 12.52% 72.52% 2
Other 1,091 9.35% 10.74% 2.01% 2
Self Pay/Charity 2,949 8.07% 10.24% 5.45% 3
Unknown 69 8.70% 10.92% 0.13% 2
Statewide Totals 54,157 12.03% 12.03% 100%
Invasive Cardiology
Commercial 5,833 5.19% 7.71% 24.81% 3
Medicaid 1,131 11.49% 9.54% 4.81% 1
Medicare 14,105 9.98% 8.90% 60.00% 1
Other 705 7.09% 8.09% 3.00% 2
Self Pay/Charity 1,700 7.00% 8.13% 7.23% 2
Unknown 36 5.56% 8.27% 0.15% 2
Statewide Totals 23,510 8.56% 8.56% 100%
Open Heart Surgery
Commercial 1,703 6.11% 6.82% 33.19% 2
Medicaid 252 8.33% 7.16% 4.91% 2
Medicare 2,793 7.55% 7.13% 54.43% 2
Other 154 4.55% 6.83% 3.00% 2
Self Pay/Charity 221 7.69% 7.05% 4.31% 2
Unknown 8 0.00% 6.94% 0.16% 0
Statewide Totals 5,131 7.02% 7.02% 100%
Totals
Commercial 15,201 6.69% 8.96% 18.36% 3
Medicaid 4,492 15.14% 11.25% 5.43% 1
Medicare 56,172 11.84% 11.34% 67.84% 1
Other 1,950 8.15% 9.47% 2.36% 3
Self Pay/Charity 4,870 7.68% 9.36% 5.88% 3
Unknown 113 7.08% 9.80% 0.14% 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)