New Report Issued by Pennsylvania PHC4 Shows Data for Cardiac Surgery Patients and Healthcare Associated Infections

May 22, 2011

 

PHC4 Report, Distribution of HAIs

New Report Issued by Pennsylvania PHC4 Shows Data for Cardiac Surgery Patients and Healthcare Associated Infections

A new report released on May 19, 2011 by the Pennsylvania Health Care Cost Containment Council (PHC4) provides information about 30,956 coronary artery bypass graft (CABG) surgeries and/or valve surgeries that were performed in Pennsylvania hospitals in 2008 and 2009.  More specifically, for the focused attention around Healthcare Associated Infections (HAIs), we draw attention to the fact that the report also presents data about cardiac surgery patients who contracted HAIs.

The report includes measures of risk-adjusted in-hospital and 30-day mortality ratings, 7-day and 30-day readmission rates, and post-surgical lengths of stay related to cardiac surgeries performed at 60 Pennsylvania general acute care hospitals.

The report also presents information about the average hospital charges and average Medicare payments.

Surgical Site Infections are the Most Common Healthcare Associated Infection For Cardiac Surgery Patients

The graph provided above presents the distribution of HAIs by infection types.  The report presents the following data pertaining to HAIs:

  • Of the 15,325 patients who had CABG and/or valve surgery in the year 2009, 792 (5.2%) suffered a HAI.
  • The highest percentage of HAIs were surgical site infections.  (291 patients; 36.7%).
  • 18.9% of the surgical site infections were identified during the patients’ original hospitalization period in which the surgery was performed.
  • In comparison, 81.1% were discovered later during post-discharge surveillance (readmission to the same or different hospital, physician follow-up, or surgeon survey by email or phone).

Other types of occurring HAIs included:

  • Pneumonia (15.3%)
  • Urinary tract (14.0%)
  • Multiple infections (11.2%)
  • Other infections (8.7%)
  • Gastrointestinal (8.5%)
  • Bloodstream (5.6%)

Medicare Costs are Higher for Cardiac Surgery Patients with a Healthcare-Associated Infection

The report demonstrates that Medicare costs for cardiac surgery patients are considerably higher for those patients who acquire a HAI.

For Medicare fee-for-service patients, the average Medicare payment for cardiac surgery patients is $35,868. For patients who also acquire a HAI during their treatment, the Medicare payment was estimated at $63,986.  This amounts to a difference of $28,118 or 78.4 percent higher.

Mortality Rates, Readmissions, and Length of Stay

The report presents additional information about patient outcomes including mortality rates, readmission percentages, length of stay, and more specific information about hospital charges with and without the experience of a HAI.

[button link=”http://www.phc4.org/reports/cabg/09/” window=”yes”]Click to View the Report and Additional Information[/button]

Reference:  Pennsylvania Health Care Cost Containment Council.  Cardiac Surgery in Pennsylvania 2008-2009.  (May 2011).

Photo: Pennsylvania Health Care Cost Containment Council.  Cardiac Surgery in Pennsylvania 2008-2009.  (May 2011).  Findings, Distribution of HAIs Across Infection Types, p. 8

 

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