Better Health Care for All Floridians FloridaHealthFinder.gov Data Standards and Transparency...

Better Health Care for All Floridians

FloridaHealthFinder.gov

Data Standards and Transparency Committee Meeting

State Display of Hospital and Health Plan Quality Measures

and Small NumbersMay 14, 2012



State Display of AHRQ Measures

Risk Adjustment: The Risk Adjusted Mortality Rates (RAMR) presented here adjust the observed mortality rates. This statistical methodology takes into account pre-existing health problems that put some patients at greater risk of death to “level the playing field” and allow fair comparisons across hospitals.

Quality Ratings are risk-adjusted using age, gender APR-DRG base category, and APR-DRG risk of mortality scores.

Significantly better or significantly worse than the statewide rate are noted when upper 95% confidence level of the RAMR falls below the statewide rate (“better”) or lower 95% confidence level of the RAMR is higher than the statewide rate (“worse”).

Cells with no quality ratings indicate a hospital’s performance is considered “not significantly different” from the statewide average.

California

Colorado

Florida

Kentucky

Risk Adjusted Rate Lower Confidence Level (LCL) and Upper Confidence Level (UCL) – Confidence limits represent the margin of error based upon the number of cases and may vary by hospital. Typically, fewer cases result in larger margins of error and more cases result in smaller margins of error.

Massachusetts (a)

Massachusetts (b)

New York

Oregon

Vermont



CMS Display(Centers for Medicare & Medicaid Services)



State Display of Small Numbers



California Blank Cells = Fewer than 3 cases

Colorado * = Statistical significance not calculated for less than 30 cases

(Number of cases is still shown) Florida

X = Less than 30 cases Y = Not enough data to calculate Too Few Cases = less than 5 cases

Iowa Blank cell = fewer than 30 cases



Massachusetts Health Care Quality and Cost Council See Footnote = Sample size too small to report (less than 30) N/A = Not enough information was reported

Massachusetts Executive Office of Health and Human Services

“Rates not calculated for hospitals with fewer than 30 patients”

New York <5/yellow circle = Facility with fewer than 5 cases. Number of Cases/yellow circle = facility had fewer than 30

cases (no statistical analyses performed)



Texas Charts - Column with number of cases only = Facilities with

fewer than 30 cases (no calculations – other columns are blank) Graphs - “Fewer than 30 cases” appears next to facility name

Utah

Hospital names only are listed under the following heading: “The following hospitals treated at least one patient but less than 30 patients”

Web Addresses



State Display of Health Plan Measures

California

Florida

Maryland

New York

Better Health Care for All Floridians FloridaHealthFinder.gov Data Standards and Transparency...

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