Pennsylvania raised the bar on quality reporting, publishing in the first
target="_new">reportof its kind hospital-specific payment
data for cardiac surgery performed at all hospitals in the state.
The report, an expansion of the Pennsylvania Health Care Cost Containment
Councils annual coronary artery bypass graft report, includes
information on 17,331 CABG and/or valve surgeries performed in
Pennsylvania hospitals in 2005. It also provides aggregate, statewide
data about patients who contracted hospital-acquired infections during
their hospitalization for bypass or valve surgery.
The report found that commercial insurance payments averaged $30,247 and
Medicare payments averaged $29,175 for CABG surgeries. For a valve-only
procedure, commercial payments averaged $41,651 and Medicare averaged
$42,433. Meanwhile, in-hospital patient mortality following bypass
surgery continued to decline, dropping to 1.9% in 2005 from 1.98% in the
previous year. However, both seven-day and 30-day readmission rates for
bypass patients increased slightly during the same period.
Besides providing data on average charges and payments, the report
includes information on mortality rates, readmission rates and
post-surgical lengths of stays.
Reporting the average amounts that individual hospitals are actually
paid for patients care is a giant step forward in empowering both
healthcare purchasers and consumers, said Marc Volavka, the councils
executive director, in a news release.
The Hospital & Healthsystem Association of Pennsylvania said in a news
release that the report confirms that Pennsylvania hospitals are
improving the outcomes of surgery, but the newly added data, including
average payment by commercial insurers and Medicare, needs to be
examined in greater detail. -- by href="mailto:[email protected]">Cinda Becker
href="mailto:[email protected]">Cinda Becker