The measures currently reported on the site are heart
infection prevention, surgical
pneumonia. These are "quality of care"
measures, meaning they report how often certain best practices for patient care
have been followed. Many of the practices being measured are hard for someone
who isn’t a physician or nurse to understand. What’s important is that these
are practices that are well accepted nationally as steps that should be taken
in the care of the conditions. For example, some measures include whether a
heart attack patient was given aspirin upon arrival at the hospital or if
a blood test was performed on a patient with pneumonia, or if a patient
received an assessment of his or her heart function for heart failure.
This data is currently collected and reported by the federal government, through
Hospital Compare. The Minnesota Hospital Quality Partnership developed this site to make this data more accessible and
understandable to Minnesota consumers through a Minnesota-specific report.
Hospitals have voluntarily reported their data to be posted on this site, which is updated every quarter. The site displays the data reported for
the most recently available 12 months.
The measures that appear on this site include:
The Appropriate Care Measure (ACM) is a patient-focused measure that provides a
way of looking at whether a patient received ALL of the "appropriate or
right care" (recommended treatments) that they should have received, based on
their clinical condition. Each patient is unique and may not be eligible for
every type of care for a condition. The ACM takes patient individuality into
consideration, looking at one patient and their episode of care at a time,
related to their specific condition.
The Appropriate Care Measure is expressed as a percent at the hospital level, and is calculated in
the following manner:
Denominator: All patients eligible for at least one of the measures in that
Numerator: The patients who received all of the care specified by the measures
for that area of care that the patient was eligible to receive.
The quality measures report on the site are "quality of care" measures
that describe how often certain practices of care have been followed. Unlike
the Appropriate Care Measure, the quality measures illustrate hospitals’ work
on each measure by combining all patients treated for a particular condition.
The quality measures broadly describe the care provided by a hospital.
The Minnesota Hospital Quality Report also provides patients’ ratings of their hospital care. The data comes from a national survey called
the Hospital Consumer Assessment of Healthcare Providers and Systems, or HCAHPS. The survey was developed by the Hospital Quality Alliance, of which the
Centers for Medicare and Medicaid Services (CMS) is a partner.
The information is reported on a national site, Hospital Compare. The data was added to the Minnesota Hospital Quality Report site to make the information
more accessible to consumers looking for information about Minnesota hospitals.
The HCAHPS survey is administered 48 hours to six weeks after discharge to a
random sample of adult patients across medical conditions. Participating
hospitals may either use an approved survey vendor, or collect their own HCAHPS
data (if approved by CMS to do so). To accommodate hospitals, HCAHPS can be
implemented in four different survey modes: mail, telephone, mail with
telephone follow-up, or active interactive voice recognition (IVR). Hospitals
can either integrate the HCAHPS survey with their own patient satisfaction
survey, or use HCAHPS by itself. Hospitals must survey patients throughout each
month of the year.
Hospitals voluntarily participate in the survey process. The data reflects
the most recent nine months of available surveys.
The survey doesn’t ask patients their level of happiness or satisfaction.
Instead, the survey asks patients to identify the frequency by which important
elements of care occurred.
The survey has 27 questions. Besides the demographic questions, the other
questions are combined into eight key areas, including:
Communication with doctors
Communication with nurses
Responsiveness of hospital staff
Communication about medicines
Cleanliness of hospital environment
Quietness of hospital environment
The data will also include patients' overall rating of the hospital and their
willingness to recommend the hospital to others.