Hospital Quality Guide Methodology 2007 - 2008 5
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failure. The risk-adjustment methodology HealthGrades uses takes these factors into consideration to make
fair and accurate comparisons of hospitals based upon the types of patients treated.
The 29 medical issues using HealthGrades' risk-adjustment methodology are:
·
Appendectomy
·
Atrial fibrillation
·
Back and neck surgery (except spinal
fusion)
·
Back and neck surgery (spinal fusion)
·
Bariatric surgery
·
Bowel obstruction
·
Carotid surgery
·
Cholecystectomy
·
Chronic obstructive pulmonary disease
·
Coronary bypass surgery
·
Coronary interventional procedures
·
Diabetic acidosis and coma
·
Gastrointestinal bleed
·
Gastrointestinal surgeries and procedures
·
Heart attack
·
Heart failure
·
Hip fracture repair
·
Pancreatitis
·
Peripheral vascular bypass
·
Pneumonia
·
Prostatectomy
·
Pulmonary embolism
·
Resection/replacement of abdominal aorta
·
Respiratory failure
·
Sepsis
·
Stroke
·
Total hip replacement
·
Total knee replacement
·
Valve replacement surgery
How HealthGrades Rates Hospitals
For each hospital, HealthGrades rated different procedures or diagnoses using risk-adjustment
methodologies (except maternity care and women's health). Each of the procedures or diagnoses is rated in
one or more categories:
·
Survival
·
Recovery
·
Avoiding Complications
Survival and Recovery ratings are based upon mortality outcomes while Avoiding Complications is based
upon complication outcomes.
HealthGrades risk adjusts the data to ensure a fair comparison between hospitals. Each hospital receives
one of the following ratings for each medical issue:
Best
As Expected
Poor
