University of
California, San Diego
Medical Center
Heart & Heart Surgery Score
Card
U.S. News Hospital
Score 28.4/100
Survival
Much better than
expected
Patient safety
Lowest
Patient volume
Lowest
Technologies
Number of important
technologies available in this
specialty
High
US News and World Report
2010-1011 hospital rankings
Scores downloaded July 5, 2011
Cardiology score Cards 2011-2012
Kaiser
Permanente
Not ranked in
cardiology
Patient perceptions are often incorrect
Medicare data show gap in hospital performance, perception
By Steve Sternberg and Christopher Schnaars
USA TODAY
08/05/2011
More than 120 hospitals given top marks by patients for providing excellent care also have a darker distinction: high death rates for heart
attack, heart failure or pneumonia, a USA TODAY analysis of new Medicare data has found.
Experts say the newspaper's analysis of data released today by Medicare offers a window into the relationship between patients' perceptions
of the the quality of their hospital care and more objective measures, such as hospitals' death and readmission rates.
"This is a very important finding," says Donald Berwick, director of the Centers for Medicare & Medicaid Services, adding that though patient-
survey data offer critical insights into how it feels to be a patient at different hospitals, patients' perceptions don't tell the whole story.
Over the past decade, rising costs and a flood of complex therapies have prompted patients, employers, insurers and the federal government
to demand public disclosure of health care data. Armed with this evidence, Berwick says, doctors, insurers and patients themselves can
make better choices about where to obtain medical care.
STORY: Data can help patients fill perception gap
INTERACTIVE: Death, readmission rates for thousands of hospitals
The challenge is to measure hospitals accurately. Experts still debate what measures to use, says John Wennberg, founding editor of the
Dartmouth Atlas of Health Care and author of Tracking Medicine: A Researcher's Quest to Understand Health Care.
Medicare's analysis of more than 4,600 hospitals found that 323, or one of every 14, had above-average death rates for heart attack, heart
failure or pneumonia. Two — Piedmont Medical Center in Rock Hill, S.C., and Southwest Mississippi Regional Medical Center in Macomb —
had high death rates in all three categories. Thirteen had low death rates across the board.
Veterans Administration hospitals performed well, according to data released for the first time this year. Ten hospitals had lower death rates
than average for heart failure; two were lower for heart attacks; and five for pneumonia.
All VA hospitals were as good as or better than the national rate for heart attack and heart failure.
Comparing hospital performance in cardiology
Scripps La Jolla
Hospitals and
Clinics
Cardiology & Heart Surgery
Score Card
Hospital Ranking #45
U.S. News Hospital
Score 33.1/100
Survival
Better than expected
Success in keeping patients
safe
Moderate
Patient volume
High
Nurse staffing
Highest
Nurse Magnet hospital
Yes
Advanced technologies
High
Patient services
Number of important patient
services available in this
specialty
Highest
2011-2012
Sharp Grossmont
Hospital
Cardiology & Heart
Surgery Score Card
U.S. News Hospital
Score 13.9/100
Best Hospitals Rankings
Methodology »
Reputation with specialists
None
Survival
Much worse than
expected
Success in keeping
patients safe
Moderate
Patient volume
Medium
Nurse staffing
Highest
Nurse Magnet hospital
Yes
Advanced technologies
High
Patient services
Number of important
patient services available
in this specialty
Highest
Sharp Memorial
Hospital
Cardiology & Heart
Surgery Score Card
U.S. News Hospital Score
18.6/100
Reputation with specialists
Modest
Survival
Worse than
expected
Success in keeping
patients safe
Moderate
Patient volume
Medium
Nurse staffing
Average
Nurse Magnet hospital
Yes
Advanced technologies
High
Patient services
Number of important
patient services available
in this specialty
Highest
2013-2014
Tri-City Medical Center
Cardiology & Heart Surgery
best Rank in This Specialty
#NA
Overall Score in This Specialty
1.1 / 100
Reputation with specialists
% of responding specialists surveyed
in 2011, 2012 and 2013 who named
hospital as among best for difficult
cases.
None
0.1
Score: 0.0%
Survival
Much worse than
expected
0.1
Score: 1
Much worse than expected=1-2
Success in keeping patients safe
Ability to prevent six types of accidents
and medical errors.
Limited
5
Score: 1
Limited=1 out of 3
Show more
Cardiology & Heart Surgery patient
volume
Number of Medicare inpatients who
had specified disorders or specified
procedures in 2009, 2010 and 2011.
Lowest
5
1,988 discharges
Lowest=0-1,999
Nurse staffing
Indicates relative balance of nurses
and patients hospitalwide; higher
numbers mean more nurses.
Average
50
Score: 1.4
Average=1.3-1.6
Nurse Magnet recognition
Certified by American Nurses
Credentialing Center for high nursing
standards.
Score: x
Advanced technologies
Such as cardiac intensive care unit
and transplant services.
Medium
50
Score: 4
Medium=3 or 4 out of 7
San Diego Education Report
|
San Diego
Education Report
Cardiology & Heart
Surgery
best Rank in This
Specialty
#20
Overall Score in This
Specialty
63.4 / 100
Reputation with specialists
% of responding
specialists surveyed in
2011, 2012 and 2013 who
named hospital as among
best for difficult cases.
Significant
50
Score: 4.0%
Significant=3.0%-14.9%
Survival
Higher numbers mean
fewer deaths than
expected 30 days after
admission, after adjusting
for severity and other
risks.
Much better than
expected
100
Score: 9
Much better than
expected=9-10
Success in keeping
patients safe
Ability to prevent six types
of accidents and medical
errors.
Moderate
50
Score: 2
Moderate=2 out of 3
Show more
Cardiology & Heart
Surgery patient volume
Number of Medicare
inpatients who had
specified disorders or
specified procedures in
2009, 2010 and 2011.
Highest
100
5,639 discharges
Highest=4,500 or above
Nurse staffing
Indicates relative balance
of nurses and patients
hospitalwide; higher
numbers mean more
nurses.
Highest
100
Score: 2.6
Highest=2.0 or above
Nurse Magnet recognition
Certified by American
Nurses Credentialing
Center for high nursing
standards.
Score: √
Advanced technologies
Such as cardiac intensive
care unit and transplant
services.
High
75
Score: 6
High=5 or 6 out of 7
Tri-City
Medical Center
see below for
2013-1014