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Health Grades Hospital Report Card Maternity Womens Health 20072008 Page 10

Health Grades - Hospital Report Card Maternity Womens Health 20072008
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"...Hospital Report Cards TM Maternity Care and Women's Health Methodology 2007-2008 ≠ 10 © Copyright 2007 Health Grades, Inc. All rights reserved. May not be reprinted or reproduced without permission from Health Grades, Inc. valve replacement surgery Procedure Codes: 35.20, 35.21, 35.22, 35.23, 35.24, 35.25, 35.26, 35.27, 35.28. Excluding patients with procedure codes: 35.1*, 35.33, 35.55, 36.33, 36.34, 37.*5, 37.51, 37.52, 37.53, 37.54, 37.62, 37.63, 38.12, 38.34, 38.44, 38.64, 39.71, 44.12. Excluding patients with diagnosis codes: 414.06, 414.07, 441.00, 441.01, 441.02, 441.03, 441.2, V42.1. Interventional Cardiology Procedures Procedure Codes: 36.01, 36.02, 36.05, 36.06, 36.07, 36.09. Excluding patients with procedure codes: 35.10, 35.11, 35.12, 35.13, 35.14, 35.2*, 35.20, 35.21, 35.22, 35.23, 35.24, 35.25, 35.26, 35.27, 35.28, 36.10,..."
Health Grades HQRPSample Page 13

Health Grades - HQRPSample
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"...take into account why a hospital's length of stay is outside the norm.The following table illustrates the hospital's length of stay compared to the national averages for eachservice line. Cardiac Service Line Procedure Hospital (days) Average (days) Compared to Average Atrial Fibrillation 3 - 5 Average 5 Coronary Bypass Surgery 8 - 11 Average 10 Coronary Interventional Procedures (Angioplasty/ Stent) 3 - 5 Average 5 Heart Attack 5 - 8 Longer 10 Heart Failure 4 - 6 Longer 8 valve replacement surgery 10 - 15 Average 14 Critical Care Service Line Procedure Hospital (days) Average (days) Compared to Average Diabetic Acidosis and Coma 3 - 8 Average 8 Pulmonary Embolism 6 - 9 Longer 11 Respiratory Failure 4 - 20 Average 17 Sepsis 6 - 11 Longer 14 Gastrointestinal Service Line Procedure Hospital (days) Average (days) Compared to Average Bowel Obstruction 6 - 8 Average 8 Cholecystectomy 5 - 8 Average 7 Gastrointestinal Bleed 4 - 6 Longer 7 Gastrointestinal Procedures..."
Health Grades HQRPannotations Page 12

Health Grades - HQRPannotations
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"...5 5 3 4 5 Days Coronary Interventional Procedures (Angioplasty/ Stent) Hospital Shorter than Average Average Longer than Average 0 2 4 6 8 10 12 11 5 6 8 Days Heart Attack Hospital Shorter than Average Average Longer than Average 0 1 2 3 4 5 6 7 8 8 4 5 7 Days Heart Failure Hospital Shorter than Average Average Longer than Average 0 2 4 6 8 10 12 14 16 14 10 13 15 Days valve replacement surgery Hospital Shorter than Average Average Longer than Average ” Copyright 2006 Health Grades, Inc. All rights reserved. May not be reprinted or reproduced without permission from Health Grades, Inc...."
Health Grades Health Grades Consumer Site Features Page 1

Health Grades - Health Grades Consumer Site Features
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"...Chronic Obstructive Pulmonary Disease ∑ Community Acquired Pneumonia ∑ Coronary Bypass Surgery ∑ Coronary Interventional Procedures (Angioplasty/ Stent) ∑ Diabetes Acidosis & Coma ∑ Gastrointestinal Bleed ∑ Gastrointestinal Procedures & Surgeries ∑ Heart Attack ∑ Heart Failure ∑ Hip Fracture Repair ∑ Obstetrics ∑ Pancreatitis ∑ Partial Hip Replacement ∑ Peripheral Vascular Bypass ∑ Prostatectomy ∑ Pulmonary Embolism ∑ Resection/Replacement of Abdominal Aorta ∑ Respiratory Failure ∑ Sepsis ∑ Stroke ∑ Total Hip Replacement ∑ Total Knee Replacement ∑ valve replacement surgery ∑ Women's Health Physician Profiles HealthGrades sells profiles of each of the nation's 650,000 practicing physicians in more than 100 specialties, for the first time letting individuals choose a doctor or specialist based on solid, objective information. The first report is $9.95; additional reports are $3.95. ∑ Medical education, residency and fellowships ∑ Board certifications ∑ Sanction information from the 49 states that release it ∑ Star ratings for hospitals at which the doctor has privileges ∑ Comparisons to..."
Health Grades Hospital Quality Guide Methodology 2006 Jan 04 Page 2

Health Grades - Hospital Quality Guide Methodology 2006 Jan 04
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"...country. HealthGrades analyzed and assigned quality ratings to different service areas. The rating of each service area is a combined rating of one or more medical issues (e.g., heart attack). The following descriptions show how HealthGrades calculated each of the following service area ratings. Service Area Ratings ∑ Cardiac ∑ Critical Care ∑ Gastrointestinal ∑ General Surgery ∑ Orthopedic ∑ Pulmonary ∑ Stroke ∑ Vascular Cardiac The Cardiac service area rating is based on: ∑ Coronary bypass surgery ∑ valve replacement surgery ∑ Coronary interventional procedures ∑ Heart attack ∑ Heart failure ∑ Atrial fibrillation The Cardiac service area rating is a weighted star average for these medical issues, based on hospital volume. The star averages are based on inhospital mortality, inhospital +1 month mortality, and inhospital +6 month mortality ratings. To receive a rating in this service area, a hospital had to provide coronary bypass surgery and have star ratings in four of the five other medical issues. Critical Care..."
Health Grades Hospital Report Card Maternity Womens Health 2005 Page 5

Health Grades - Hospital Report Card Maternity Womens Health 2005
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"...rights reserved. May not be reprinted or reproduced without permission from Health Grades, Inc. Methodology for Women's Health The Women's Health ratings were based upon outcomes in two areas: Maternity Care (methodology described above) and Cardiac/Stroke Mortality Outcomes for Women. Hospitals had to have an overall rating from each area to be considered. Methodology for Cardiac and Stroke Mortality Ratings for Women HealthGrades analyzed the following six procedures/diagnoses (cohorts) for each hospital's female patients: ∑ Coronary bypass surgery ∑ valve replacement surgery ∑ Interventional procedures (PTCA/angioplasty, stent, atherectomy) ∑ Heart attack ∑ Heart failure ∑ Stroke Data Analysis For each patient cohort, HealthGrades developed a list of specific procedures (e.g., quadruple bypass surgery), a list of risk factors, and a list of post-surgical complications. These latter two lists were developed in two steps: 1. HealthGrades identified all diagnoses occurring in more than one percent of the patients for the current analysis. 2. HealthGrades used a team of clinical and coding experts..."
Health Grades Hospital Report Card Maternity Womens Health 20062007 Page 5

Health Grades - Hospital Report Card Maternity Womens Health 20062007
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"...rights reserved. May not be reprinted or reproduced without permission from Health Grades, Inc. Methodology for Women's Health The Women's Health ratings were based upon outcomes in two areas: maternity care (methodology described above) and cardiac/stroke mortality outcomes for women. Hospitals had to have an overall rating from each area to be considered. Methodology for Cardiac and Stroke Mortality Ratings for Women HealthGrades analyzed the following six procedures/diagnoses (cohorts) for each hospital's female patients: ∑ Coronary bypass surgery ∑ valve replacement surgery ∑ Interventional procedures (PTCA/angioplasty, stent, atherectomy) ∑ Heart attack ∑ Heart failure ∑ Stroke Data Analysis For each patient cohort, HealthGrades developed a list of specific procedures (e.g., quadruple bypass surgery), a list of risk factors, and a list of post-surgical complications. These latter two lists were developed in two steps: 1. HealthGrades identified all diagnoses occurring in more than 0.5 percent of the patients for the current analysis. 2. HealthGrades used a team of clinical and coding experts..."
Health Grades Hospital Report Cards Mortality Complications 2007 Page 11

Health Grades - Hospital Report Cards Mortality Complications 2007
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"...E968.1, E968.2, E968.5, E968.6, E969, E970, E971, E973, E974, E977, E985, E985.0, E985.1, E985.2, E985.3, E985.4, E985.5, E985.6, E985.7, E986, E987, E987.0, E987.1, E987.2, E987.9, E988, E988.0, E988.5, E988.6, E989, E992.5, V15.5, V58.43, V58.49 Total Knee Replacement Principal Procedures ≠ Inclusions: 81.54 Procedures ≠ Exclusions: 00.74, 00.75, 00.76, 00.80, 00.81, 00.82, 00.83, 00.84, 37.5, 37.51, 37.52, 37.53, 37.54, 78.65, 78.67, 80.05, 80.06, 81.51, 81.52, 81.53, 81.55, Diagnoses ≠ Exclusions: 996.4, 996.40, 996.41, 996.42, 996.43, 996.44, 996.45, 996.46, 996.47, 996.49 valve replacement surgery Principal Procedures ≠ Inclusions: 35.20, 35.21, 35.22, 35.23, 35.24, 35.25, 35.26, 35.27, 35.28 Procedures ≠ Exclusions: 35.1, 35.33, 37.5, 37.51, 37.52, 37.53, 37.54, 37.62, 37.63, 38.12, 38.34, 38.44, 38.64, 39.71, 44.12 Diagnoses ≠ Exclusions: 414.06, 414.07, 441.00, 441.01, 441.02, 441.03, 441.2, V42.1..."
Health Grades Specialty Excellence Methodology Page 2

Health Grades - Specialty Excellence Methodology
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"...Specialty Excellence AwardTM Methodology 2007 ≠ 2 © Copyright 2007 Health Grades, Inc. All rights reserved. May not be reprinted or reproduced without permission from Health Grades, Inc. Cardiac The Cardiac specialty area rating is based on: ∑ Coronary bypass surgery ∑ valve replacement surgery ∑ Coronary interventional procedures ∑ Heart attack ∑ Heart failure ∑ Atrial fibrillation The star rating for each of these procedures or diagnoses is determined by evenly weighting the individual mortality ratings (inhospital mortality, inhospital + 1 month mortality, and inhospital + 6 month mortality). The Cardiac specialty rating is determined by evenly weighting the cardiac surgical star rating (coronary bypass surgery and..."
Health Grades sr sl sample abbr Page 2

Health Grades - sr sl sample abbr
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"...Anytown, USA Main Street Hospital Table I - HealthGrades Star Ratings Cardiac HHHHH HHH H Poor As Expected Best Inhospital 180 Days 30 Days Coronary Bypass Surgery HHH HHH HHH 2005 HHH HHH HHH 2004 HHH HHH HHH 2003 valve replacement surgery HHHHH HHHHH HHHHH 2005 HHHHH HHHHH HHH 2004 HHH HHH HHH 2003 Coronary Interventional Procedures HHHHH HHHHH HHHHH 2005 HHH HHH HHH 2004 HHHHH HHHHH HHHHH 2003 Acute Myocardial Infarction (Angioplasty/Stent Treatment Available) HHHHH HHHHH HHHHH 2005 HHH HHHHH HHHHH 2004 HHH HHHHH HHHHH 2003 Heart Failure HHHHH N/A * HHHHH 2005 HHHHH N/A * HHHHH 2004 HHH HHHHH HHHHH 2003 Atrial Fibrillation HHH HHHHH HHHHH 2005 HHH HHHHH HHHHH 2004 *HealthGrades does not rate In-hospital mortality + 30..."



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