PHC 4 Health Care Toolkit Pennsylvania Health Care

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PHC 4 Health Care Toolkit Pennsylvania Health Care Cost Containment Council

PHC 4 Health Care Toolkit Pennsylvania Health Care Cost Containment Council

PHC 4 Web site www. phc 4. org n Interactive Databases n Public Reports

PHC 4 Web site www. phc 4. org n Interactive Databases n Public Reports Pennsylvania Health Care Cost Containment Council (PHC 4)

PHC 4 Public Reports § Hospital-acquired Infections § Heart Surgery* § Hospital Performance §

PHC 4 Public Reports § Hospital-acquired Infections § Heart Surgery* § Hospital Performance § Medicare Advantage *includes surgeon-specific info All reports are free to the public Pennsylvania Health Care Cost Containment Council (PHC 4)

Hospital-acquired Infections n 30, 237 HAIs statewide in 2006 n Death rate with HAI

Hospital-acquired Infections n 30, 237 HAIs statewide in 2006 n Death rate with HAI = 12%, without HAI = 2% n Average stay with HAI = 14 days, without HAI = 3 days For each hospital, the report lists: ü Number and rate of HAIs ü Death rates ü Average lengths of stay ü Average charges Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Hospital-acquired Infections 2006 Data n. Select a hospital n. Select a type of infection

Hospital-acquired Infections 2006 Data n. Select a hospital n. Select a type of infection or all infections n. Select a peer group PHC 4 Web site - Interactive Pennsylvania Health Care Cost Containment Council (PHC 4)

Hospital-acquired Infections 2005 -2006 Comparison n. Select a hospital n. Select a type of

Hospital-acquired Infections 2005 -2006 Comparison n. Select a hospital n. Select a type of infection or all infections n. Select a peer group PHC 4 Web site - Interactive Pennsylvania Health Care Cost Containment Council (PHC 4)

Cardiac Surgery n Examines the results of coronary artery bypass graft (CABG) surgery and

Cardiac Surgery n Examines the results of coronary artery bypass graft (CABG) surgery and valve surgery n Hospital and surgeon-specific performance For hospitals and surgeons, the report lists: ü Number of surgeries performed ü In-hospital and 30 -day death rates ü 7 -day and 30 -day readmission rates ü Post-surgical lengths of stay Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

What do the symbols mean? Printed report Pennsylvania Health Care Cost Containment Council (PHC

What do the symbols mean? Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Cardiac Surgery 2005 Data n. Select a hospital or surgeon n. Select year PHC

Cardiac Surgery 2005 Data n. Select a hospital or surgeon n. Select year PHC 4 Web site - Interactive Pennsylvania Health Care Cost Containment Council (PHC 4)

Hospital Performance n Compares quality outcomes and charges for common procedures and treatments. n

Hospital Performance n Compares quality outcomes and charges for common procedures and treatments. n Hospital-specific data The report lists: ü Number of cases ü Death rates ü Readmission rates ü Average lengths of stay ü Average charges Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

n. Select a county PHC 4 Web site - Interactive Pennsylvania Health Care Cost

n. Select a county PHC 4 Web site - Interactive Pennsylvania Health Care Cost Containment Council (PHC 4)

Hospital Performance Conditions Available Online – Diagnoses: • Abnormal Heartbeat • Blood Clot in

Hospital Performance Conditions Available Online – Diagnoses: • Abnormal Heartbeat • Blood Clot in Extremities • Blood Clot in Lung • Chronic Obstructive Pulmonary Disease • Congestive Heart Failure • Diabetes with Amputation • Diabetes - Medical Management • Heart Attack - Medical Management • Intestinal Obstruction • Kidney Failure – Acute • Kidney and Urinary Tract Infections • Pneumonia - Aspiration • Pneumonia - Infectious • Respiratory Failure with Mechanical Ventilation • Respiratory Failure without Mechanical Ventilation • Septicemia • Stomach and Intestinal Bleeding • Stroke - Hemorrhagic • Stroke - Non-Hemorrhagic Pennsylvania Health Care Cost Containment Council (PHC 4)

Hospital Performance Conditions Available Online – Procedures: • Abdominal Aortic Aneurysm Repair-Endovascular • Abdominal

Hospital Performance Conditions Available Online – Procedures: • Abdominal Aortic Aneurysm Repair-Endovascular • Abdominal Aortic Aneurysm Repair-Open • Colorectal Procedures • Gallbladder Removal - Laparoscopic • Gallbladder Removal - Open • Heart Attack - Angioplasty/Stent • Hip Fracture - Surgical Repair • Hysterectomy - Abdominal • Hysterectomy - Vaginal • Prostatectomy - Radical • Prostatectomy - Transurethral • Removal of Blockage of Neck Vessels Pennsylvania Health Care Cost Containment Council (PHC 4)

Hospital Performance Conditions Available Online – DRGs: § 001 - Brain Surgery, complicated §

Hospital Performance Conditions Available Online – DRGs: § 001 - Brain Surgery, complicated § 075 - Major Lung Operations § 076 - Miscellaneous Lung Procedures, complicated § 096 - Bronchitis and Asthma, complicated § 097 - Bronchitis and Asthma, uncomplicated § 141 - Hypotension and Fainting, complicated § 143 - Chest Pain § 182 - Stomach and Intestinal Infections and Disorders, complicated § 183 - Stomach and Intestinal Infections and Disorders, uncomplicated § 188 - Stomach and Intestinal Complications and Disorders § 202 - Cirrhosis and Alcoholic Hepatitis § 203 - Liver, Gallbladder or Pancreatic Cancer § 204 - Noncancerous Pancreatic Disorders § 205 - Liver Disease Except Cancer, Cirrhosis, Alcoholic Hepatitis, complicated § 243 - Medical Back Problems § 418 - Infection after Surgery or Trauma § 553 - Vascular Operations Excluding Heart, complicated, with Major Cardiovascular Condition § 554 - Vascular Operations Excluding Heart, complicated, with Major Cardiovascular Condition § 567, 568 - Stomach and Small Intestinal Operations, complicated § 578, 579 - Surgery for Infectious or Parasitic Disease Pennsylvania Health Care Cost Containment Council (PHC 4)

n Select your search criteria n Select a treatment group to compare all facilities

n Select your search criteria n Select a treatment group to compare all facilities within one treatment group PHC 4 Web site - Interactive Pennsylvania Health Care Cost Containment Council (PHC 4)

PHC 4 Web site - Interactive Pennsylvania Health Care Cost Containment Council (PHC 4)

PHC 4 Web site - Interactive Pennsylvania Health Care Cost Containment Council (PHC 4)

Medicare Advantage Plans n Helps older Pennsylvanians choose a Medicare Advantage Plan n Compare

Medicare Advantage Plans n Helps older Pennsylvanians choose a Medicare Advantage Plan n Compare plan options available The report provides: ü A list of plans by county ü An overview of benefits, monthly premiums and co-payments ü Information about quality measures and member satisfaction ratings ü County-specific information about the “Part D” drug benefit Pennsylvania Health Care Cost Containment Council (PHC 4)

Sample Member Satisfaction Measure Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Sample Member Satisfaction Measure Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Sample Quality Measure Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

Sample Quality Measure Printed report Pennsylvania Health Care Cost Containment Council (PHC 4)

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council (PHC 4)

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council (PHC 4)

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council (PHC 4)

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council (PHC 4)

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council

PHC 4 Web site – Download County Inserts Pennsylvania Health Care Cost Containment Council (PHC 4)

For more information on PHC 4: 225 Market Street, Suite 400 Harrisburg, PA 17101

For more information on PHC 4: 225 Market Street, Suite 400 Harrisburg, PA 17101 (717) 232 -6787 www. phc 4. org Email: Mike Berney, Manager, Purchaser & Community Relations at mberney@phc 4. org Pennsylvania Health Care Cost Containment Council (PHC 4)