100 TOP HOSPITALS :  HEALTH SYSTEM BENCHMARKS 2009

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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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