CHA News Article

OSHPD Issues Report on Ischemic Stroke Care Quality
Data cover care from 2012-2013

The Office of Statewide Health Planning and Development (OSHPD) has released its report on the quality of ischemic stroke care at California acute care hospitals between 2012 and 2013, providing performance ratings for more than 270 hospitals on two risk-adjusted outcome measures: 30-day mortality and 30-day hospital readmission. In cases of ischemic stroke, timely interventions are critical to reverse the damage, reduce mortality, morbidity and disability, and improve quality of life.

30-day Ischemic Stroke Mortality Findings

Statewide, the percentage of patients who died within 30 days of hospital discharge was 10.4 percent for 2012-13, down slightly from 10.6 percent in the 2011-12 report. The average risk-adjusted mortality rate for the nine hospitals rated “Worse” (17.8 percent) was more than three times higher than the average rate for the nine hospitals rated “Better” (5.7 percent). Of the nine hospitals rated “Better” in the 2011-12 report, three were again rated “Better” in 2012-13. Of the 10 hospitals rated “Worse” in the 2011-12 report, five were rated “Worse” in 2012-13.

30-day Ischemic Stroke Readmission Findings

More than 8,000 patients were readmitted within 30 days of hospital discharge, for a statewide 30-day readmission rate of 12.4 percent — a slight reduction from the12.8 percent in the 2011-12 report. The average risk-adjusted readmission rate for the seven hospitals rated “Worse” (19 percent) was more than three times higher than the average rate for the three “Better” rated hospitals (5.5 percent). There were fewer “Better” rated hospitals in the 2012-13 report (three) than in the 2011-12 report (12), and no overlap in “Better” hospitals between the two reports. Of the seven “Worse” rated hospitals in the 2011-12 report, three were again rated “Worse” in the 2012-13 report.

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