Ranking healthcare by payment and value of care

Facilities are ranked on a wide variety of quality of care measures. These measures include complications, effective care, infections, prevention, readmissions, successful return to home in community and payment and value of care.

The facility that would provide the best care is Western Medical Center. Western Medical Center is a government-owned facility and has 123 beds, unlike the other two facilities which are both for-profit facilities with 60 and 82 beds respectively. The rationale for this decision is discussed below and categorized in various quality of care measures.

Complications:

The national average worsening pressure ulcers in 1.9% and Western Maryland Center has a 0% average which is better than the national average. When considering the rates of falls with major injuries, Western Maryland Center has a higher average than the national average which is 1.9% and 0.1% respectively.

Effective Care:

Western Maryland Center performs worse than the national average in addition to performing worse that the other two facilities when improving function abilities and incorporating ADL goals were included in treatment plans. With their average at 98.1% in comparison to the national average of 99.3%, there is a notable difference in the measures of effective care delivery for this facility.

Infections

The infections category is where Western Maryland Center seems to be the best performing facility of all three. In rates of various healthcare-associated infections, or HAI’s, Western Maryland scores better than even than national average of 1. Cather-associated urinary tract infections, central line-associated bloodstream infections, clostridium difficile infections are all measures that the facility scores fairly well on. No results were able to be calculated for methicillin-resistant Staphylococcus aureus bacterial infections, or MRSA so it is not possible to determine whether they are performing better or worse than other facilities.

Prevention

The prevention category primarily focuses on the influenza vaccine. The two measures within this are the rate of influenza vaccination coverage among personnel (healthcare workers in the facility) and the percentage of residents at the facility that are given the flu vaccine. Western Maryland Center has lower percentage of coverage for their personnel but still higher than the national average. For patient/resident flu shot administration, however, Western Maryland Center scores significantly higher than the other two facilities – as much as 75% higher. This number is still lower than the national average.

Readmissions

The readmission rate for this facility is in keeping with the national average of 14.15%. The other two facilities have the same readmission rates.

Successful Return to Home and Community

Western Maryland Center scores better than the national average of 21.24% when measuring return to home/community rates which represent the proportion of residents that are discharged from the facility and do not experience any rehospitalizations or death within 31 days of this discharge. The other facilities scored worse than the national average in this measure.

Payment and Value of Care

Western Maryland Center spends more per Medicare beneficiary per episode of care than the national average. This represents higher spending on average than the other facilities.

Discussion

Although Western Maryland Center did not necessarily score higher than the other facilities across every measure, or even meet the national average. The other facilities scored far worse on multiple measures and often below the national average.

 

 

 

 

 

 

 

 

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