Hospital Quality Guide Methodology 2007 - 2008 3
© Copyright 2007 Health Grades, Inc. All rights reserved.
May not be reprinted or reproduced without permission from Health Grades, Inc.
Gastrointestinal
The Gastrointestinal service area rating is based on:
·
Gastrointestinal bleed
·
Bowel obstruction
·
Pancreatitis
·
Gastrointestinal surgeries and procedures
·
Cholecystectomy
We first calculate the average star ratings for gastrointestinal bleed, bowel obstruction, pancreatitis, and
gastrointestinal surgeries and procedures for inhospital mortality, inhospital +1 month mortality, and
inhospital +6 month mortality. The Gastrointestinal service area rating is based on an average of these
ratings, along with the cholecystectomy rating. To receive a rating in this service area, a hospital had to
have star ratings in all five medical issues based on MedPAR data.
General Surgery
The General Surgery service area rating is based on:
·
Appendectomy
·
Bowel obstruction
·
Cholecystectomy
We first calculate the average star rating for bowel obstruction for inhospital mortality, inhospital +1
mortality, and inhospital +6 month mortality. The General Surgery service area rating is based on the
average star rating for bowel obstruction and the star ratings for appendectomy and cholecystectomy. To be
rated, a hospital must be located in one of the 19 all-payer states that provide appendectomy data, and the
hospital must have star ratings in all three medical issues (that is, a state rating for appendectomy and
MedPAR-based ratings for bowel obstruction and cholecystectomy).
Orthopedic
The Orthopedic service area rating is based on:
·
Total knee replacement
·
Total hip replacement
·
Hip fracture repair
·
Back and neck surgery (except spinal fusion)
·
Back and neck surgery (spinal fusion)
We first calculate star ratings for these procedures based on complication rates. The Orthopedic service
area rating is based on a star average for these procedures. To receive a rating in this service area, a
hospital had to have star ratings for four of the five medical issues based on MedPAR data and those four
must include total knee replacement, total hip replacement, and hip fracture repair.
