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100 TOP HOSPITALS : HEALTH SYSTEM BENCHMARKS 2009

HEALTH SYSTEM PERFORMANCE REPORT. This section compares the profiled health system's performance with that of winning health systems (benchmark) and all non-winning systems (peer). The comparison includes individual measures and overall performance.See Appendix for methodology overview.. 2. RANK

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100 TOP HOSPITALS : HEALTH SYSTEM BENCHMARKS 2009

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    1. 100 TOP HOSPITALS®: HEALTH SYSTEM BENCHMARKS 2009 A NATIONAL BALANCED SCORECARD PREPARED FOR: ANY HEALTH SYSTEM ANY TOWN, STATE

    2. HEALTH SYSTEM PERFORMANCE REPORT 2

    3. RANK PERCENTILES OVERALL AND BY MEASURE 3

    4. PROFILED HEALTH SYSTEM % DIFFERENCE FROM BENCHMARK MEDIANS1 4

    5. MORTALITY & COMPLICATIONS 5

    6. PATIENT SAFETY & ALOS 6

    7. 30 DAY EXTENDED OUTCOMES 7

    8. CORE MEASURES & HCAHPS 8

    9. COMPOSITE MEASURES DETAIL GRAPHS 9

    10. PATIENT SAFETY INDICATORS 10

    11. AMI CORE MEASURES 11

    12. HEART FAILURE CORE MEASURES 12

    13. PNEUMONIA CORE MEASURES 13

    14. SURGERY CORE MEASURES 14

    15. 30 DAY MORTALITY & READMISSION RATES 15

    16. HEALTH SYSTEM MEMBER HOSPITALS ALIGNMENT PROFILE 16

    17. HOSPITAL ALIGNMENT PROFILE OVERALL RANK 17

    18. HOSPITAL ALIGNMENT PROFILE RISK-ADJUSTED MORTALITY INDEX 18

    19. HOSPITAL ALIGNMENT PROFILE RISK-ADJUSTED COMPLICATIONS INDEX 19

    20. HOSPITAL ALIGNMENT PROFILE RISK-ADJUSTED PATIENT SAFETY INDEX 20

    21. HOSPITAL ALIGNMENT PROFILE CORE MEASURES MEAN PERCENT 21

    22. HOSPITAL ALIGNMENT PROFILE AVERAGE LENGTH OF STAY 22

    23. HEALTH SYSTEM MEMBER HOSPITALS FINANCIAL ALIGNMENT PROFILE1 23

    24. FINANCIAL ALIGNMENT PROFILE EXPENSE PER ADJUSTED DISCHARGE 24

    25. FINANCIAL ALIGNMENT PROFILE ADJUSTED OPERATING PROFIT MARGIN 25

    26. APPENDIX A – METRICS AND METHODS 26

    27. 2009 HEALTH SYSTEM STUDY OVERVIEW Definition of health system Minimum of two acute-care general hospitals Corporate office or related organization identified on 2008 Cost Report All systems included, regardless of size, ownership, control, religious affiliation, geographic distribution of hospitals Measures reflect aggregated data across the whole system, including CAHs 100 Top Hospitals®: National Scorecard measures adjusted to be meaningful at system level 27

    28. 2009 HEALTH SYSTEM STUDY MEASURES 28

    29. 2009 HEALTH SYSTEM STUDY DATA SOURCES 29

    30. 2009 HEALTH SYSTEM STUDY OVERVIEW OF INCLUDED SYSTEMS 30

    31. 2009 HEALTH SYSTEM STUDY GENERAL METHODOLOGY Health systems are ranked on each of the included measures Heart Attack (AMI), Heart Failure (HF) and Pneumonia 30 day mortality rates and readmission rates each receive 1/6th weight. All other measures receive a weight of 1. Ranks are summed and the sum is re-ranked to determine each health system’s overall performance Health systems are ineligible to be considered 100 Top benchmark facilities if they have: A high outlier value for Mortality, Complications or PSI (Interquartile Range (IQR) Methodology, using +2 IQR) 31

    32. APPENDIX B INCLUDED MEMBER HOSPITALS 32

    33. ANY HEALTH SYSTEM INCLUDED MEMBER HOSPITALS 33

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