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PA Hospitals Reduce Readmission, Mortality Rates during 2019

December 04, 2020

Pennsylvania’s hospitals improved readmission and mortality rates in several important treatment areas during 2019, leading to thousands of lives saved and fewer readmissions, according to an annual performance report released this week from the Pennsylvania Health Care Cost Containment Council (PHC4).

The council’s performance report shows statewide declines in mortality and readmission rates for a number of common treatment areas, including stroke, sepsis, acute kidney failure, medical management of heart attacks, and infectious pneumonia.

Statewide, there were significant decreases in in-hospital mortality rates for 8 of 15 reported conditions leading to an estimated 3,687 lives saved during federal fiscal year (FFY) 2019. Additionally, the report found that readmission rates fell in 7 of 16 conditions, leading to an estimated 1,695 avoided readmissions.

PHC4’s annual performance report outlines volume and outcome information for 16 different medical conditions and surgical procedures for Pennsylvania general acute care hospitals. The eight conditions with significant declines for hospital mortality from FFY 2014 to FFY year 2019 were:

  • Respiratory Failure: 12.5 percent to 8.2 percent
  • Pneumonia – Aspiration: 8.4 percent to 5.3 percent
  • Sepsis: 11.2 percent to 8.7 percent
  • Heart Attack – Medical Management: 8.2 percent to 6.9 percent
  • Stroke: 3.7 percent to 2.8 percent
  • Pneumonia – Infectious: 2.9 percent to 2 percent
  • Kidney Failure – Acute: 3 percent to 2.4 percent
  • Heart Failure: 2.7 percent to 2.3 percent

The seven conditions with significant reductions in 30-day readmission rates from FFY 2014 to FFY 2019 were:

  • Stroke: 12.6 percent to 11 percent
  • Kidney Failure – Acute: 20.7 percent to 19.2 percent
  • Intestinal Obstruction: 15 percent to 13.6 percent
  • Blood Clot in Lung: 13.1 percent to 11.8 percent
  • Heart Attack – Medical Management: 19.1 percent to 17.8 percent
  • Sepsis: 18.6 percent to 17.6 percent
  • Pneumonia – Infectious: 16.1 percent to 15.4 percent

Diabetes – Medical Management was the only treatment area with a statistically significant increase in readmission rates, going from 19.3 percent during FFY 2014 to 20.2 percent during FFY 2019.

Hospitals that participated in HAP’s readmission reduction project demonstrated even lower overall readmission rates compared to state wide rates. HAP continues to support hospitals in their efforts to reduce mortality and readmission rates.

For more information about HAP’s initiatives to reduce hospital readmissions, contact Beth Murray, M.Ed., RN, MCHES, readmissions project manager.