Look up hospital ratings for cardiac surgery in your state, through the Society of Thoracic Surgeons (STS). Many hospitals voluntarily report their results, which are posted here for adult coronary artery bypass graft (CABG), valve replacement, congenital heart surgery and lobectomy for lung cancer. Most results cover the time period through June 2018. Most hospitals get two stars for “as expected” performance. Outstanding hospitals get 3 stars; under-performing hospitals get 1 star. Search by state or name of hospital to find the best. Excellent website. The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,600 surgeons and others dedicated to ensuring the best possible outcomes for surgeries of the heart, lungs, esophagus, and other surgical chest procedures.
How good are the lists of “best cardiovascular hospitals”? Research published in JAMA Cardiology (Journal of the American Medical Association, Cardiology) studied US News & World Report best hospitals list and 2018-2019 rankings for Cardiology and Heart Surgery. For cardiovascular care, the physician researchers indeed found lower 30-day mortality rates (better survival) and higher patient satisfaction at the top cardiac hospitals when compared with nonranked hospitals. Results applied to heart attack (AMI-acute myocardial infarction), heart failure and coronary artery bypass grafting (CABG or heart bypass). Researchers did not find lower readmission rates at the top-ranked hospitals. Published December 2018.
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) done in 2017. Nearly all hospitals performed as expected. Six (6) California hospitals were shown to be significantly worse than CA state average for selected CABG survival rates; 2 were worse on post-op stroke measure or too low use of internal mammary artery (IMA). Doctor ratings found 12 of 276 CABG surgeons had worse outcomes for 2015-2016; 3 were statistically better. Updated by Office of Statewide Health Planning and Development (OSHPD), October 2019.
Heart bypass surgery survival rate information by hospital and by physician; 30-day mortality rate for cardiac bypass surgery (CABG) was 1.57% in 2013 (9.27% if you got an infection). Individual surgeon risk-adjusted performance over 2 years, and general information about NJ hospital infections in CABG surgery also shown. Published by New Jersey Dept. of Health November 2016. Numbers of cardiac procedures including cardiac cath performed at each hospital in 2018 (published April 2019) are also available at this site
Find New York heart survival rates in this adult cardiac surgery performance ratings 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, 2014 to 2016. Isolated CABG observed mortality was 1.67% in 2016. Overall valve surgery mortality averaged 3.12% (2014-2016). 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 2019
New York hospital ratings for pediatric cardiac surgery. Compare survival rates among 10 NY hospitals during a 4-year period, 2010-2013. Includes mortality rate info at each hospital. Columbia Presbyterian-NYP was noted as best performer (lowest risk adjusted mortality). Montefiore-Moses was the worst performer. Other hospitals performed as expected for Pediatric Congenital Cardiac Surgery. 20-page report released September 2016 (no updates as of Oct. 2019)
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 observed rate was 0.84% for non-emergency cases 2016. When emergency cases are added in, the 2016 mortality rate goes up to 1.24%. Consumers can also find volume and survival information by cardiologist’s name (2014-2016), which New York has been reporting for years. NY State Department of Health report is 77 pages; published April 2019.
Compare hospitals or cardiac surgeons (by name) side-by-side for Cardiac (heart) Bypass surgery (CABG) and heart valve cases for 27 months 2014-2016. Risk-adjusted Mortality (survival) rate and readmissions, open heart surgery volume, length of stay in hospital, and average charges (price). Case volume and performance ratings by surgeon’s name are shown in separate reports. Survival rates for CABG without valve were high (1.5% mortality) in 2015. In 2014, Medicare paid an average of $44,246 for a valve procedure, about the same they paid in 2011. Average charge for a valve procedure was $221,000. Report by PHC4, the PA Health Care Cost Containment Council, Jan. 2017
Find Texas hospitals with better survival rates for heart bypass (CABG). Scroll to CABG at this State of Texas site, to find the 2016 report. Observed mortality rate was 2.84% for Coronary Artery Bypass Graft. The average charge for CABG was about $234,000. The largest volume hospital for CABG surgeries (over 650 cases) was CHI St Lukes Health Baylor College of Medicine Medical Center in Houston, which had a 4.12% death rate. The highest observed mortality rate (8.08%) for CABG was at Northwest Texas Hospital in Amarillo; it had about 100 cases in 2016. Reports are part of the section called Indicators of Inpatient Care in Texas Hospitals Present on Admission (POA) at dshs.texas.gov.
Find Texas hospitals with better survival rates for PCI Angioplasty in 2016. Scroll to Percutaneous Coronary Intervention (PCI). The overall PCI mortality rate was 3% for 2016. Texas Health Harris Methodist in Fort Worth had a 2.95% mortality rate. Death rates were highest at Hopkins County Memorial Hospital in Sulphur Springs (8.57%) with only 35 cases, and at University Medical Center Brackenridge (8.47%,) with only 59 cases. Average charge per case in TX was about $127,000. Better hospitals sometimes cost less. Harris Methodist average charge was about $96,000. Report by the State of Texas Health Care Information Collection (THCIC)
Compare complications and survival rates for pediatric heart surgery at Texas hospitals. The 2016 report shows complications (but not mortality). View the 2014 report for survival rates. Hospitals typically report mortality rate rather than survival rates. Average risk-adjusted mortality rate for the state was 3.35%. Texas Childrens was at 1.67%. Of the eight Texas children’s hospitals listed in 2014, one hospital (Texas Childrens at Houston) had both the highest volume for pediatric heart surgery, and the lowest risk adjusted mortality rate. On the other hand, Cook Childrens showed significantly higher mortality (worse survival) at 6.56%. Volumes (number of cases) are also shown for each hospital. State of Texas Health Care Information Collection, 2016 data and older reports
Cardiac Care Comparisons at Virginia hospitals, mortality (deaths) and readmissions for 2017. Provides side by side VA hospital comparisons for volume, whether the hospital performed better or worse than expected for patient survival ratings. Cardiac cases are grouped by type: Medical cardiology including heart attack, heart failure, Invasive cardiology. including cardiac cath, pacemaker, angioplasty PCI, and Open Heart surgery, valves and CABG (heart bypass). Sort by Mortality rating to see top performers on the top of the list. This report shows 3 hearts are better than one. Click on the hospital name to see full reports where outpatient charges are shown for some procedures (2016 prices along with number of cases), efficiency, 2017 financial results, charity care, 2017 hospital service line numbers, and patient satisfaction levels (2017-2018) are shown. Prepared by Virginia Health Information (VHI). One of the best state hospital comparison sites, so we gave it Editor’s Pick. Updated Feb. 2019
Washington hospital ratings for cardiac surgery in 2018. Compare over 30 hospitals in WA on PCI – percutaneous coronary interventions (reopening clogged arteries), and cardiovascular surgery outcomes. Shows volume of PCI, CABG and Valve surgeries, and how hospitals did on the patient survival measures (mortality). Other than learning the number of cases, the site is difficult for consumers to easily understand. Best if you raise your questions to your medical professionals. Site by COAP – Clinical Outcomes Assessment Program, from the non-profit Foundation for Healthcare Quality, 2019
Two-page Cardiac Data Registry table shows the number of open heart surgeries at each New Jersey hospital in 2018 and 2019. Scroll to Data Charts. Open heart surgery, diagnostic cardiac catheterization cases, PCI, total volume was nearly 106,000 cases in 2018. Morristown Memorial Hospital had the largest number of cardiac cases (over 10,000) in the state in 2018. NJ Dept. of Health
Additional cardiovascular reports on outcomes by the Dept of Health can be accessed here