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Double Heart Valve Surgery Patient, Adam Pick, Blogs About
Heart Valve Replacement and Heart Valve Repair Surgery

52% Less Mortality At Top-Rated Hospitals?

October 20th, 2009

As patients and caregivers… We need to research our heart valve disease. We need to research our surgical options. We need to research surgeons. And, we need to research hospitals.

Why do we do this? Ultimately, I believe this research empowers us to make smart and confident choices that minimize our surgical risk.

On that note, I just read a fascinating report that suggests there is (i) a significant gap in quality among America’s hospitals, and (ii) a corresponding large difference in the rate of patient deaths.

Healthgrades said patients have a 52% percent lower risk of dying in a top-rated hospital than in United States hospitals in general. The study is based on an evaluation of hospital mortality related to 17 procedures and diagnoses at 5,000 non-federal U.S. hospitals. The study’s conclusions came after researchers examined 40 million Medicare hospitalization records from the years 2006, 2007 and 2008.

“The fact is, patients are twice as likely to die at low-rated hospitals than at highly rated hospitals for the same diagnoses and procedures,” Dr. Rick May, an author of the HealthGrades study, said in a statement. “With Washington focused on rewarding high-quality hospitals and empowering patients to make more informed healthcare choices, this information comes at a turning point in the healthcare debate.”

Other findings in the 12th annual “HealthGrades Hospital Quality in America Study” include:

  • If all hospitals performed at the level of a five-star rated hospital across 17 procedures and diagnoses studied for mortality rates, 224,537 lives of Medicare patients could potentially have been saved from 2006 through 2008.
  • About 57 percent (127,488) of the potentially preventable hospital deaths were associated with four diagnoses: sepsis (44,622); pneumonia (29,251); heart failure (26,374) and respiratory failure (27,241).
  • Across all procedures studied, there was a 62% percent lower chance of experiencing one or more inhospital complications in a five-star rated hospital compared to the U.S. hospital average.

So you know…

When I conducted research, prior to my own aortic heart valve replacement, it was studies similar to this one that forced me to consider the best medical centers for cardiac care. For me, it was simple. I wanted a top surgeon. Often, as this study alludes, it is the top hospitals that attract the top surgeons.

Please, please, please conduct the proper diligence before you, or anybody you know, is rolled into an operating room for heart valve surgery.

Keep on tickin!

About The Author: Adam Pick is a double, heart valve surgery patient and author of The Patient's Guide To Heart Valve Surgery. This unique book integrates clinical research with the personal experiences of 135 former patients to help future patients and their caregivers better understand the problems, the opportunities and the realities of heart valve surgery. To learn more about Adam and his heart valve surgery book, click here.

8 Comments... Click here to add one.


Shelby Hudgens says on October 20th, 2009 at 10:59 am

Back when I was researching my options for the RP, I noticed this statistic. It played a very real role in where I decided to go, because like you noted, the top hospitals generally attract the top surgeons. Fortunately for me I found both in the same place.

-Shelby

 


Lori Williams says on October 20th, 2009 at 1:19 pm

I agree with Adam. Choosing a hospital and a surgeon is very important. I would not want to leave this decision to Washington DC in the future and hope that we retain the ability to decide for ourselves. If things continue to move forward, all the research in the world won’t do us a world of good if these types of decisions will be made by others.

 


Tom Frost says on October 20th, 2009 at 2:40 pm

Ok, where do I go online to view this list? I would love to see if any hospitals in the Phoenix Metro area are on it. I’m hoping that the Arizona Heart Hospital is on it. It is associated with the Arizona Heart Institute, where my cardiologist is the #2 man at.

 


Randy Heimerl says on October 20th, 2009 at 2:51 pm

Lori,
Stop and think of the millions of people that die every year that don’t get a chance to make a choice of what hospital to go to and what doctor they want to see. They never get diagnosed or when they do it’s too late. This would be reduced dramatically if everyone could obtain health care at a reasi\onable rate.
Randy

 


Toni Gallagher says on October 20th, 2009 at 4:59 pm

Dear Adam,
Do you have any feedback about Australian hospitals? I am headed for St Vincent’s Private in Sydney for a bicuspid valve/ascending aorta/arch replacement, with the cardiothoracic surgeon being Dr Alan Farnsworth. Have you heard about either the hospital or doctor?
Thank you for the book and this great blog.
Toni

 


John O'Neill says on October 21st, 2009 at 8:24 am

I checked the US News and World Report for hospitals on the internet, where I found out that the Mayo Clinic was rated number two and the Cleveland Clinic was rated number one. A couple of the hospitals I originally considered were not even in the top fifty. The Mayo Clinic is only a three hour drive from our farm. Now six months after my valve replacement, anerism repair, by-pas and a very uneventfull recovery I have to agree, for me, Mayo is the best.
I have often wondered though about the acuracy of third party ratings and if their criteria is pertinant to specific procedures.
Does anyone know of any other ranking systems for hospitals and clinics?
Thanks again
John O’Neill

 


Susan Ramey says on October 22nd, 2009 at 2:07 pm

Dear Adam, I’m going to have an aortic valve replacement asap. Would you know of any top cardiothoric surgeons at Duke Univ. Hosp., Durham, NC that you could recomend?

Thanks so much.

Sue

 


Adam Pick says on October 22nd, 2009 at 3:03 pm

Hi Susan,

You can check our Heart Valve Surgeon Database for top surgeons at Duke by clicking here:

http://www.heart-valve-surgery.com/surgeon-database.php

If you search in North Carolina, I believe you will find what you are looking for.

Keep on tickin!

Adam

 

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