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California Heart Bypass Surgery – Hospital Ratings and Surgeon Outcomes

Find Heart Bypass Surgery hospital ratings and surgeon outcomes in California. Compare hospital survival rates and cardiac surgeon outcomes for cardiac bypass – coronary artery bypass grafts (CABG). Hospital scores for 2020 show the hospital with the largest CABG program – Kaiser Foundation Hospital, Los Angeles – performed better on mortality (death rates). A few  other hospitals also performed better than expected. A few hospitals performed worse than expected on one or more CABG measures. Doctor ratings found 2 of 283 CABG surgeons had Better outcomes for 2017-2018, and 4 had Worse outcomes. Updated by Office of Statewide Health Planning and Development (OSHPD), September 2020 (physician results) and August 2022 for hospital results.

New Jersey Cardiac Surgery Hospital and Surgeon Ratings

Find New Jersey cardiac surgery hospital and surgeon ratings based on heart bypass surgery survival rates. The 30-day mortality (death) rate for cardiac bypass surgery (CABG) was 2.37% in 2019-2020 (13.39% if you got an infection; 1.84% for patients who didn’t). Most hospitals and surgeons were not significantly different than the NJ statewide average. One hospital stood out as significantly better: Hackensack University Medical Center. One hospital (Newark Beth Israel Medical Center, a relatively low-volume program) was significantly worse. Individual surgeon risk-adjusted performance over 2 years is shown if s/he did at least 100 bypass surgeries over the two year period. Two physicians listed by name were significantly better; one cardiac surgeon had significantly worse results. Information about NJ hospital infections in CABG surgery are shown. Published by New Jersey Dept. of Health August 2022. Numbers of cardiac procedures including cardiac cath performed at each hospital in 2021 and 1st qtr. 2022 (published in May 2022) are also available at this site.

New York – Cardiac Surgery Ratings (Hospitals and surgeons, statewide) (pdf)

Find New York heart survival rates, hospital ratings and surgeon ratings in this adult cardiac surgery report. Compare in-hospital/30 day mortality rates by hospital name and surgeon name. Number of cardiac surgery cases and deaths shown for adult heart bypass (CABG) and aortic or mitral valve surgery patients. Risk-adjusted mortality data, observed rates versus expected death rates, 2016 to 2018. Isolated CABG observed mortality was 1.48% in 2018. Overall valve surgery mortality averaged 2.80% (2016-2018). For aortic valve replacement, the death rate was 1.54% (2016-2018). Readmission rates are shown by hospital as well. The New York State report also describes outcomes for Transcatheter Aortic Valve Replacement (TAVR, also sometimes called Transcatheter Aortic Valve Implantation or TAVI). Detailed report published by NY state Department of Health, April 2022.

New York Angioplasty/Percutaneous Coronary Interventions (PCI) Ratings (pdf)

Compare New York hospital and physician-specific ratings for PCI, also known as PTCA (angioplasty) or coronary stenting. Hospital survival rates (risk-adjusted mortality rate – RAMR) show which hospitals and which cardiologists are significantly better or worse than the state average. In-hospital/30 day risk-adjusted rate was 0.83% for non-emergency cases 2018. When emergency cases are added in, the 2018 observed mortality rate goes up to 1.38%. Observed mortality rate for TAVR was 2.42% (2016-2018). Consumers can also find volume and survival information by cardiologist’s name (2016-2018), which New York has been reporting for years. NY State Department of Health report is 79 pages; published April 2022.

Other Helpful Listings

Blue Distinction Centers: Cardiac, Cancer, Hip, Knee, Fertility, Maternity, Back, Spine, Bariatric Surgery, Organ Transplants, Gene Therapy, Substance Abuse

The Blue Cross and Blue Shield companies have designated national Blue Distinction Centers meeting their standards and selection criteria for bariatric weight loss surgery, cancer care, cardiac (heart) care, fertility care, organ transplants (e.g. adult and pediatric bone marrow/stem cell, heart, kidney, liver); lung(adult only) transplants, total knee and hip replacement, maternity care, back spine surgery, Substance Use Treatment and Recovery (new in 2020), cellular immunotherapy, and gene therapy for ocular disorders (inherited blindness). Quality criteria can be found from the home page. In addition to Blue Distinction Centers, the Blue Distinction+ (Plus) designates high quality centers considered to have “more affordable care”. (No further information is available on prices.) Interactive database; updated 2022.

NCQA Physician Recognition Programs: Diabetes, Heart & Stroke, Oncology

NCQA Physician Recognition Programs for Diabetes, Heart/Stroke, Oncology (Cancer care) and various other electronic record or Patient-Centered Medical Home programs. In addition, one can filter results to show those with Distinction in Behavioral Health Integration. Report Card lists physicians who meet program requirements and high-quality care standards in these programs. NCQA is National Committee for Quality Assurance. Limited information on doctors – name, address, phone

Patients’ Online Physician Ratings and Quality of Care: CABG

Patients’ Online Physician Ratings and Quality of Care for coronary artery bypass graft (CABG) surgery concludes there is no correlation between patients’ online rating and risk-adjusted mortality rates. Median number of reviews per doctor was only 4. Study based on 590 surgeons performing CABG surgery in 5 large states. Article by Okike, Peter-Gibb et al, published in the Journal of Medical Internet Research, Dec. 13, 2016. See the abstract and full free text at this link, through PubMed

Pennsylvania Cardiac Surgery, by hospital 2022

Pennsylvania Cardiac Procedures report shows hospital ratings and average cost (average charge) for four cardiac surgery groups. They include Cardiac (heart) Bypass surgery (CABG); PCI for a heart attack; PCI without a heart attack, and TAVR – Transcatheter Aortic Valve Replacement. Two-year period 2019 to 2020. Compare hospital ratings on Risk-adjusted Mortality (survival) rate and readmissions, surgery volume, and average charges (price).  PCI (Percutaneous Coronary Interventsion) for a Heart Attack had a statewide mortality rate of just 1.7%. Survival rates for CABG were also high (1.5% mortality) in 2019-2020. Average charge for a TAVR procedure was $232,000. Patients with a COVID-19 diagnosis were NOT included in the report. Report by PHC4, the PA Health Care Cost Containment Council, September 2022. Older reports provide outcomes and performance ratings, as well as case volume by cardiac surgeon name.

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