Variation in and Hospital Characteristics Associated With the Value of Care for Medicare Beneficiaries With Acute Myocardial Infarction, Heart Failure, and Pneumonia | Zendy

Nihar R. Desai | Zendy; Lesli S. Ott | Zendy; Elizabeth George | Zendy; Xiao Xu | Zendy; Nancy Kim | Zendy; Shengfan Zhou | Zendy; Angela Hsieh | Zendy; Sudhakar V. Nuti | Zendy; Zhenqiu Lin | Zendy; Susannah M. Bernheim | Zendy; Harlan M. Krumholz | Zendy

Open Access

Variation in and Hospital Characteristics Associated With the Value of Care for Medicare Beneficiaries With Acute Myocardial Infarction, Heart Failure, and Pneumonia

Author(s) -

Nihar R. Desai,

Lesli S. Ott,

Elizabeth George,

Xiao Xu,

Nancy Kim,

Shengfan Zhou,

Angela Hsieh,

Sudhakar V. Nuti,

Zhenqiu Lin,

Susannah M. Bernheim,

Harlan M. Krumholz

Publication year - 2018

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2018.3519

Subject(s) - myocardial infarction , medicine , heart failure , pneumonia , variation (astronomy) , emergency medicine , intensive care medicine , cardiology , astrophysics , physics

Key Points Questions What is the variation in the value of care for acute myocardial infarction, heart failure, and pneumonia, and what hospital characteristics are associated with high-value care? Findings Among hospitals and patients in this cross-sectional study, there was substantial variation in 30-day risk-standardized mortality and risk-standardized payments, with significant but weak inverse correlations between them. Approximately 1 in 4 hospitals, including facilities across all characteristics, had both lower than median risk-standardized mortality rates and risk-standardized payments for acute myocardial infarction, heart failure, and pneumonia. Meaning There appears to be significant opportunity to improve the value of acute myocardial infarction, heart failure, and pneumonia care, and high-value care appears attainable across hospital types.

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