2023 Pulmonary Care State Ranking Award Recipients & Methodology

Was this helpful?
0

Click here for the full PDF of 2023 Pulmonary Care State Ranking Recipients & Methodology

TABLE OF CONTENTS

  • Performance Measurement
  • Using Star Ratings to Communicate Performance
  • Using State Rankings to Communicate Performance
  • State Ranking Determination & State Eligibility Requirements
  • 2023 Pulmonary Care Award Recipients
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Florida
  • Georgia
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Missouri
  • Nevada
  • New Jersey
  • New York
  • North Carolina
  • Ohio
  • Oregon
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
  • Virginia
  • Washington
  • Wisconsin
  • State Ranking Categories and Requirements
  • Pulmonary Care

Performance Measurement

To help consumers evaluate and compare local hospital performance specific to specialty service lines and specialty focus areas, Healthgrades analyzed and identified the top ranked hospitals in each state across 18 key specialty areas for 2023: Cardiac Care, Cardiac Surgery, Cardiology, Coronary Interventional Procedures, Cranial Neurosurgery, Critical Care, Gastrointestinal Care, Gastrointestinal Medical, Gastrointestinal Surgery, Joint Replacement, Neurosciences, Orthopedic Surgery, Prostate Surgery, Pulmonary Care, Spine Surgery, Stroke Care, Surgical Care, and Vascular Surgery. This analysis, rooted in clinical performance, builds on the 2023 Healthgrades Specialty Excellence Awards Methodology.

To measure performance, Healthgrades used Medicare inpatient data from the Medicare Provider Analysis and Review (MedPAR) file purchased from the Centers for Medicare and Medicaid Services (CMS) for years 2019 through 2021.

Patient outcomes data for 31 conditions or procedures were analyzed (see list below) for virtually every hospital in the country. Hospital performance in these 31 conditions form the base of the final Specialty Excellence Award and State Ranking results (See Appendix 1: Specialty Award Categories and Requirements for a list for each area.)

Mortality-Based Procedures & Conditions

Bowel ObstructionPancreatitis
Chronic Obstructive Pulmonary Disease (COPD)Pneumonia
Colorectal SurgeriesPulmonary Embolism
Coronary Artery Bypass Graft (CABG) SurgeryRespiratory Failure
Coronary Interventional ProceduresSepsis
Cranial NeurosurgeryStroke
Gastrointestinal BleedUpper Gastrointestinal Surgery
Heart AttackValve Surgery
Heart Failure

In-Hospital Complications-Based Procedures & Conditions

Abdominal Aortic Aneurysm RepairTotal Hip Replacement
Back and Neck Surgeries (Without Spinal Fusion)Pacemaker Procedures
Carotid ProceduresPeripheral Vascular Bypass Graft
Defibrillator ProceduresProstate Removal Surgery
Diabetic EmergenciesSpinal Fusion
Gallbladder Removal SurgeryTotal Knee Replacement
Hip Fracture TreatmentTransurethral Prostate Resection Surgery

Using Star Ratings to Communicate Performance

The first and most fundamental way that Healthgrades communicates performance is through star ratings. Star ratings are an evaluation of the hospital’s actual performance as compared to the predicted performance for that hospital based on a specific risk-adjustment model applied to that hospital. For more details, see the Healthgrades Mortality and Complications Outcomes 2023 Methodology.

The purpose of risk adjustment is to obtain fair statistical comparisons of mortality and complication rates between hospitals while accounting for differences in underlying risk factors observed in the data among disparate populations or groups.

Significant differences in clinical and demographic risk factors are found among patients treated in different hospitals. Therefore, it is necessary to make accurate and valid comparisons of clinical outcomes with a methodology using risk-adjustment techniques. Risk factors may include age, sex, specific procedure performed, and comorbid conditions (e.g., hypertension, chronic heart failure, and diabetes).

Developing the Healthgrades hospital star performance categories involves four steps:

  1. The hospital predicted value (predicted number of deaths or complications at each hospital) is calculated by summing the individual patient record predicted values determined from logistic regression models discussed above. 
  2. The hospital predicted value is compared with the actual or observed value (e.g., actual number of deaths or complications at each hospital). 
  3. A test is conducted to determine whether the difference between the predicted and actual values was statistically significant. This test is performed to make sure that differences were very unlikely to be caused by chance alone. A z-score is used to establish a 90% confidence interval.
  4. Hospital performance categories are determined based upon the outcome of the test for statistical significance.

For each condition or procedure, hospital performance is evaluated and stratified into three categories:

★★★★★ Better Than Expected – Actual performance was better than predicted and the difference was statistically significant at alpha = 0.1.

★★★ As Expected – Actual performance was not statistically significantly different from what was predicted at alpha = 0.1.

Worse Than Expected – Actual performance was worse than predicted and the difference was statistically significant at alpha = 0.1.

Healthgrades uses z-scores (individual or aggregate) to determine performance. A z-score is a standardized statistical test that calculates the difference between the actual and predicted complication and mortality rates, taking into account patient variability and volume. A higher z-score means better performance.

A complete description of the methodology including risk factors, multivariate logistic regression model, and other relevant information is available in the Healthgrades Mortality and Complications Outcomes 2023 Methodology. A full list of ICD-10 codes used to define each model can be found in Healthgrades ICD-10 Mapping Tool at https://icd10mappingtool.healthgrades.com/.

Using State Rankings to Communicate Performance

Another way Healthgrades communicates information on hospital performance is with State Rankings and Specialty Excellence Awards, helping patients more easily identify top performers. Rankings and Awards determine and communicate a hospital’s superior performance when compared to other eligible hospitals.

Specifically for State Rankings, each Ranking has eligibility requirements specific to the nature and intent of the achievement and is aligned with requirements for Specialty Excellence Awards (See Appendix 1). State Rankings may reference a singular cohort (e.g. Stroke Care) or require the combination of a grouping of cohorts (e.g. Critical Care). Healthgrades will issue state rankings for the Top 3 or Top 5 performers, across 18 specialty areas, following the Ranking Determination & State Eligibility Requirements outlined below. Specific information regarding the cohorts included is outlined in the Specialty Award Categories and Requirements in Appendix 1.

State Ranking Determination & State Eligibility Requirements

For each hospital, Healthgrades assigns an overall score for each specialty area based on hospital performance as determined by a single z-score or average of volume-weighted z-scores when more than one condition or procedure is included in the award. (See Appendix 1: Specialty Award Categories and Requirements for a list for each award.) The strength of a hospital's single z-score or average of volume-weighted z-scores when more than one condition or procedure is included in the award, is a key driver in ranking determination. Additionally, hospital eligibility for State Ranking awards requires a hospital receive a rating in the cohort(s) included in the determination of the award, no 1-Star ratings in the cohort(s) included in the determination of the award, and at least one 5-Star rating in a cohort included in the determination of the award.

For a state to be eligible to have hospitals rankings, either in the Top 3 or Top 5, there need to be substantive count of hospitals eligible in each state for the individual award area. States with 6 or fewer hospitals that meet the requirements in an individual award area are NOT eligible for rankings in that area. When a state has between 7 and 10 eligible facilities (inclusive) for an individual award area, the top 3 facilities (ranked by z-score and following the Ranking Determination criteria) will be named the Top 3 Facilities (#1, #2, #3) in the state for that award area. When a state has 11 or more eligible facilities for an individual award area, the top 5 facilities (ranked by z-score and following the Ranking Determination criteria) will be named the Top 5 Facilities (#1, #2, #3, #4, #5) in the state for that award.

For 2023, 29 states met the eligibility requirements for state rankings in Pulmonary Care. The 29 states evaluated were:

ArizonaMissouri
CaliforniaNevada
ColoradoNew Jersey
ConnecticutNew York
FloridaNorth Carolina
GeorgiaOhio
IllinoisOregon
Indiana Pennsylvania
IowaSouth Carolina
KansasTennessee
KentuckyTexas
MarylandVirginia
MassachusettsWashington
MichiganWisconsin
Minnesota

    2023 Gastrointestinal Care Award Recipients

    Arizona

    #1 Banner Estrella Medical Center (Phoenix)

    #2 Banner Thunderbird Medical Center (Glendale)

    #3 Flagstaff Medical Center (Flagstaff)

    #4 Mayo Clinic Hospital (Phoenix)

    #5 Chandler Regional Medical Center (Chandler)

    California

    #1 Cedars - Sinai Medical Center (West Hollywood)

    #2 Mercy San Juan Medical Center (Carmichael)

    #3 UC Davis Medical Center (Sacramento)

    #4 Southern California Hospital at Hollywood (Hollywood)

    #5 Scripps Memorial Hospital Encinitas (Encinitas)

    Colorado

    #1 Sky Ridge Medical Center (Lone Tree)

    #2 Swedish Medical Center (Englewood)

    #3 Penrose Hospital (Colorado Springs)

    #4 The Medical Center of Aurora (Aurora)

    #5 Saint Joseph Hospital (Denver)

    Connecticut

    #1 Middlesex Hospital (Middletown)

    #2 Bridgeport Hospital (Bridgeport)

    #3 Backus Hospital (Norwich)

    Florida

    #1 AdventHealth Orlando (Orlando)

    #2 Lee Memorial Hospital (Fort Myers)

    #3 Gulf Coast Medical Center (Fort Myers)

    #4 Cape Coral Hospital (Cape Coral)

    #5 NCH Baker Downtown (Naples)

    Georgia

    #1 Piedmont Athens Regional Medical Center (Athens)

    #2 Emory Saint Joseph's Hospital (Atlanta)

    #3 Emory Johns Creek Hospital (Johns Creek)

    #4 Wellstar North Fulton Hospital (Roswell)

    #5 Wellstar Kennestone Hospital (Marietta)

    Illinois

    #1 Carle Foundation Hospital (Urbana)

    #2 Javon Bea Hospital - Rockton (Rockford)

    #3 Advocate Good Shepherd Hospital (Barrington)

    #4 OSF Saint Joseph Medical Center (Bloomington)

    #5 AMITA Health St. Alexius Medical Center Hoffman Estates (Hoffman Estates)

    Indiana

    #1 Deaconess Hospital (Evansville)

    #2 Franciscan Health Indianapolis (Indianapolis)

    #3 Elkhart General Hospital (Elkhart)

    #4 Saint Joseph Regional Medical Center (Mishawaka)

    #5 Parkview Regional Medical Center (Fort Wayne)

    Iowa

    #1 UnityPoint Health - St. Luke's Hospital (Cedar Rapids)

    #2 Southeast Iowa Regional Medical Center -West Burlington (West Burlington)

    #3 MercyOne Des Moines Medical Center (Des Moines)

    Kansas

    #1 University of Kansas Hospital (Kansas City)

    #2 Ascension Via Christi St. Francis (Wichita)

    #3 Wesley Medical Center (Wichita)

    Kentucky

    #1 Lourdes Hospital (Paducah)

    #2 Saint Joseph Hospital (Lexington)

    #3 UofL Health Jewish Hospital (Louisville)

    Maryland

    #1 Johns Hopkins Bayview Medical Center (Baltimore)

    #2 The Johns Hopkins Hospital (Baltimore)

    #3 MedStar Franklin Square Medical Center (Baltimore)

    #4 Howard County General Hospital (Columbia)

    #5 UM Charles Regional Medical Center (La Plata)

    Massachusetts

    #1 North Shore Medical Center (Salem)

    #2 Tufts Medical Center (Boston)

    #3 Beth Israel Deaconess Medical Center (Boston)

    #4 Brigham And Women's Faulkner Hospital (Boston)

    #5 Lahey Hospital and Medical Center (Burlington)

    Michigan

    #1 Ascension Borgess Hospital (Kalamazoo)

    #2 Beaumont Hospital, Troy (Troy)

    #3 Ascension Genesys Hospital (Grand Blanc)

    #4 ProMedica Charles and Virginia Hickman Hospital (Adrian)

    #5 St. Joseph Mercy Ann Arbor (Ypsilanti)

    Minnesota

    #1 Mayo Clinic Hospital, Saint Mary’s Campus (Rochester)

    #2 Mayo Clinic Health System Mankato (Mankato)

    #3 M Health Fairview Woodwinds Hospital (Woodbury)

    #4 Mayo Clinic Health System Albert Lea and Austin (Albert Lea)

    #5 St. Francis Regional Medical Center (Shakopee)

    Missouri

    #1 Centerpoint Medical Center (Independence)

    #2 Mercy Hospital St. Louis (Saint Louis)

    #3 Mosaic Life Care at Saint Joseph (Saint Joseph)

    Nevada

    #1 Southern Hills Hospital and Medical Center (Las Vegas)

    #2 MountainView Hospital (Las Vegas)

    #3 Renown Regional Medical Center (Reno)

    New Jersey

    #1 Cooperman Barnabas Medical Center (Livingston)

    #2 Newton Medical Center (Newton)

    #3 Overlook Medical Center (Summit)

    #4 Valley Hospital (Ridgewood)

    #5 Saint Michael's Medical Center (Newark)

    New York

    #1 NYU Langone Health Tisch Hospital (New York)

    #2 Mount Sinai Hospital (New York)

    #3 Saint Peter's Hospital (Albany)

    #4 Mount Sinai Morningside (New York)

    #5 Montefiore St. Luke's Cornwall (Newburgh)

    North Carolina

    #1 Atrium Health Cleveland (Shelby)

    #2 Pardee Hospital (Hendersonville)

    #3 WakeMed Cary Hospital (Cary)

    #4 AdventHealth Hendersonville (Hendersonville)

    #5 Atrium Health Lincoln (Lincolnton)

    Ohio

    #1 Salem Regional Medical Center (Salem)

    #2 ProMedica Toledo Hospital (Toledo)

    #3 East Liverpool City Hospital (East Liverpool)

    #4 Adena Regional Medical Center (Chillicothe)

    #5 Bethesda North Hospital (Cincinnati)

    Oregon

    #1 Kaiser Sunnyside Medical Center (Clackamas)

    #2 Asante Rogue Regional Medical Center (Medford)

    #3 Good Samaritan Regional Medical Center (Corvallis)

    Pennsylvania

    #1 Grand View Health (Sellersville)

    #2 Penn State Health Holy Spirit Medical Center (Camp Hill)

    #3 Chester County Hospital (West Chester)

    #4 Hospital of the University of Pennsylvania (Philadelphia)

    #5 Pennsylvania Hospital (Philadelphia)

    South Carolina

    #1 Bon Secours St. Francis Hospital (Charleston)

    #2 Prisma Health Oconee Memorial Hospital (Seneca)

    #3 Grand Strand Medical Center (Myrtle Beach)

    Tennessee

    #1 TriStar Hendersonville Medical Center (Hendersonville)

    #2 CHI Memorial Hospital Chattanooga (Chattanooga)

    #3 Parkridge Medical Center (Chattanooga)

    #4 TriStar Southern Hills Medical Center (Nashville)

    #5 TriStar Summit Medical Center (Hermitage)

    Texas

    #1 Houston Methodist Hospital (Houston)

    #2 Hendrick Medical Center (Abilene)

    #3 Medical City Lewisville (Lewisville)

    #4 Doctors Hospital at Renaissance (Edinburg)

    #5 St. David's Medical Center (Austin)

    Virginia

    #1 Sentara Princess Anne Hospital (Virginia Beach)

    #2 Reston Hospital Center (Reston)

    #3 Inova Fairfax Hospital (Falls Church)

    #4 Centra Lynchburg General Hospital (Lynchburg)

    #5 Sentara Obici Hospital (Suffolk)

    Washington

    #1 EvergreenHealth Medical Center - Kirkland (Kirkland)

    #2 Legacy Salmon Creek Medical Center (Vancouver)

    #3 St. Michael Medical Center - Bremerton (Bremerton)

    #4 Skagit Valley Hospital (Mount Vernon)

    #5 St. Joseph Medical Center (Tacoma)

    Wisconsin

    #1 Mayo Clinic Health System in Eau Claire (Eau Claire)

    #2 UnityPoint Health Meriter (Madison)

    #3 Ascension Columbia St. Mary's Hospital Ozaukee (Mequon)

    #4 Ascension Columbia Saint Mary's Hospital Milwaukee (Milwaukee)

    #5 Saint Agnes Hospital (Fond Du Lac)

    State Ranking Categories and Requirements

    Pulmonary Care

    The Pulmonary Care Excellence Award recognizes hospitals with superior clinical outcomes in treating chronic obstructive pulmonary disease (COPD) and pneumonia.

    The Pulmonary Care Excellence Award is based on:

    • Chronic Obstructive Pulmonary Disease (COPD)
    • Pneumonia

    To be considered for an award in pulmonary care, a hospital must be evaluated in both conditions based on MedPAR data. We first calculate the average z-scores for these conditions using in-hospital mortality and in-hospital + 30-day mortality. The in-hospital + 30-day mortality receives 60% of the weight in this calculation and in-hospital mortality receives 40% of the weight. The Pulmonary Care Excellence Award is based on a volume-weighted average of these average z-scores.

    Click here for the full PDF of 2023 Pulmonary Care State Ranking Recipients & Methodology

    Was this helpful?
    0
    THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the site. If you think you may have a medical emergency, immediately call your doctor or dial 911.