Frequently Asked Questions
Here are some questions that have
been asked about the Maryland Hospital Performance Evaluation
Guide. If you cannot find the answer to your question,
please contact us directly by selecting “We want to hear from you” at
the bottom of the home page.
Q1: The Hospital Guide contains a great deal of
data. What are the sources of information used in this
guide?
A: The information comes from several sources:
- Information on the number of patients treated for a medical
condition, how long they stayed in the hospital, and how
many of them were readmitted to the hospital for the same
condition comes from the Maryland Health Services Cost
Review Commission (HSCRC) and from Washington, D.C. hospitals.
- Hospital profile information, such as licensed bed counts
and neonatal intensive care unit levels, comes from the
Maryland Health Care Commission (MHCC).
- Information on quality measures and services offered
comes directly from the hospitals.
- Information on patient readmissions and transfers from
Maryland hospitals to healthcare facilities in the District
of Columbia comes from Washington, D.C. hospitals.
Q2: Is the information presented current?
A: Only recent information sources are used for this guide.
Different information becomes available at different times
from the various sources we use. The information presented
here is updated at least every six months.
Q3: Can an individual patient be identified?
A: All data sources are confidential and do NOT include the
names or any personal details that would allow an individual
to be identified in any way.
Q4: Why aren't all medical conditions included in the guide?
A: Because we cannot provide information on every illness
at this time, we chose some very common medical conditions
that affect many Marylanders. By using conditions that occur
more frequently, we are able to provide useful information
about, and comparisons of, as many hospitals as possible.
Q5: Why are some rates reported as N/A?
A: Rates were not calculated for any quality measure having
20 or fewer cases because not enough data was available to
be statistically accurate. Therefore, the rates for these
quality measures are not reported.
Q6: What does it really mean if a hospital is labeled " " or " " on
its readmission rates?
A: Readmission means that a patient returns
to the hospital within 15 days for the same medical condition
(or for an infection). Readmission might indicate a problem
with the patient’s medical treatment. So a lower readmission
rate is one indication of higher quality of treatment at
a hospital. A rating of " " means
that a hospital has readmission rates higher than 90 percent
of all hospitals in Maryland. A rating of " " means
that a hospital has readmission rates lower than 80 percent
of all state hospitals, or no readmissions at all. Readmission
rates vary widely in the state, meaning that the quality
of care among hospitals can differ significantly. For a description
of how readmission rates are calculated, select Technical
Information on the sidebar and look in the “Utilization” section,
or click here to select Technical
Information.
Q7: Since hospital readmission rates are compared
to other hospitals in Maryland, will at least one hospital
be labeled " " or " ",
even if overall quality is excellent?
A: This is correct. The ratings are always relative to all
other hospitals in Maryland and not against some absolute
standard.
Q8: Many report cards contain information on mortality
or death rate. Why doesn’t the Hospital Guide contain
this information?
A: The Maryland Hospital Guide does not contain data on death
rates because of problems with ensuring that this information
truly reflects the care provided at a hospital. A hospital
may have a higher death rate because, on average, the hospital
treats more seriously ill patients. It may also specialize
in care for diseases that have lower survival rates. Computer
programs are being developed that attempt to calculate a death
rate while considering the types of patients a hospital treats.
As this information becomes more reliable, Maryland will continue
to consider reporting on death rates. |