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PHC4 Report Shows Significant Progress on Hospital Mortality, Readmission

January 03, 2022

Pennsylvania’s hospitals reported significant statewide decreases for in-hospital mortality and readmissions, according to a new report from Pennsylvania Health Care Cost Containment Council (PHC4).

The annual hospital performance report, released last month, includes hospital-specific mortality and readmission ratings, volumes, and hospital charges for patients discharged from Pennsylvania’s general acute care hospitals from October 1, 2019, through September 30, 2020.

“This report shows statewide declines in mortality and readmission rates for many of the conditions reported,” Barry Buckingham, PHC4’s Executive Director said in a statement. “Four conditions saw decreases in both mortality and readmission rates: stroke, sepsis, heart failure, and respiratory failure.”

This year’s report does not include pneumonia-aspiration and pneumonia-infectious conditions due to limitations in reporting and accounting for high-risk pneumonia patients during the pandemic. COVID-19 cases also were excluded from the report.

Among the key findings:

  • Lives saved:  There were significant decreases in statewide in-hospital mortality rates for four of the 13 conditions (stroke, sepsis, heart failure, and respiratory failure), translating to about 1,205 lives saved during 2020
  • Reducing readmissions:  11 conditions had significant reductions in 30-day readmission rates from federal fiscal year (FFY) 2015 to FFY 2020. They were kidney and urinary tract infections, respiratory failure, intestinal obstruction, abnormal heart beat, blood clot in the lung, heart attack—medical management, acute kidney failure, stroke, diabetes—medical management, sepsis, and heart failure
  • Continued progress:  None of the conditions studied shows a statistically significant increase in mortality or readmission from FFY 2015 to FFY 2020

The PHC4 report is available to review online.

HAP’s Quality Initiatives program implements strategies to support Pennsylvania hospitals and health systems to improve the patient experience, focusing on patient care transitions, patient harm prevention, and preventing patient infections and readmissions.

For more information, contact Robert Shipp III, PhD, BSN, RN, NEA-BC, HAP’s vice president, population health and clinical affairs.