CHA News Article

OSHPD Issues Report on Ischemic Stroke Care Quality
Data cover care from 2014-15

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 2014 and 2015, providing performance ratings for 267 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 9.8 percent, down slightly from 10 percent in the 2013-14 report. The average risk-adjusted mortality rate for the 14 hospitals rated “Worse” (18.8 percent) than the state average was more than three times higher than the average rate for the 11 hospitals rated “Better” (5.5 percent). Seven hospitals rated “Better” in the 2013-14 report were again rated “Better” in 2014-15. Eight hospitals rated “Worse” in the 2013-14 report were again rated “Worse” in 2014-15.

30-day Ischemic Stroke Readmission Findings
More than 7,300 patients were readmitted within 30 days of hospital discharge, for a statewide 30-day readmission rate of 11.8 percent — a continuing, gradual reduction from 12.8 percent in the 2011-12 report. The average risk-adjusted readmission rate for the six hospitals rated “Worse” (16.9 percent) was almost three times higher than the average rate for the three “Better” rated hospitals (5.8 percent). There was no statistically significant correlation between hospital 30-day mortality rates and 30-day readmission rates, but one hospital performed “Worse” on both measures.

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