All MCP Average Buckeye CareSource Molina Paramount United Total Initial Admits in Study. Pct of All Medicaid Admits. Actual to Expected
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1 Terms: "Initial Admissions" is the number of admissions for patients in the dataset for the calendar year that began a readmission chain. Note that the following types of patients are not counted as Initial Admissions: newborns, delivery cases, transplants, malignancies, HIV, major trauma, left against medical advice and selected other cases not considered by the 3M software. "Only Admissions" is the number of admissions for patients in the dataset for the calendar year where there was no subsequent readmission. The same types of patients removed above in Initial Admissions are also removed in the Only Admissions category. "Actual PPR Rate" is the Potentially Preventable Readmission rate, computed as Total Clinically Related Readmission Chains divided by [Initial Admissions + Only Admissions]. A clinically related readmission chain is a series of admissions for the same patient in a calendar year where the readmission(s) are clinically related. For example, if a patient had an admission then a readmission within 30 days of discharge from the first admission, this counts as one readmission chain. A test is then run to determine if the two cases in the chain are clinically related. Results: The top line in the table below shows how each managed care plan's Potentially Preventable Readmission Rate compares to the overall MCP average rate of 1.0. Below the bolded line, the PPR value for readmissions for each hospital is shown. The first column is the hospital's value weighted across all of the MCPs that it contracts with. Only those hospitals with at least 20 Initial Admissions statewide are shown. In subsequent columns, the value is shown for the hospital just for their business with each MCP. Since a hospital's volume may vary greatly across MCPs, the percentage columns represent the percent of all admissions the hospital had with each MCP. Hospitals that have cells highlighted in gray had less than 20 countable admissions in the time period with the MCP, so their statistics are not valid for public reporting. Hospital Name Ohio Department of Potentially Preventable Readmissions Report Card for Managed Care Plans (MCPs) Results Shown for Readmissions that Occurred During Calendar Year 2014 (January 1, 2014 December 31, 2014) " PPR Rate" is also Clinically Related Readmission Chains divided by Initial Admissions. The PPR Rate differs from the Actual PPR Rate, however, in the number of Clinically Related Readmissions Chains used in the numerator. In the PPR Rate computation, the actual Total Clinically Related Readmission Chains are converted into expected Total Clinically Related Readmission Chains by factoring in for each hospital its mix of adult and pediatric cases by DRG when compared to the statewide mix. It also considers patients with a mental health comorbidity when compared to the statewide mix. The " Ratio", therefore, is the Actual PPR Rate divided by the PPR Rate. If the Ratio is = 1.0, this means the hospital had readmissions within 30 days at a rate that is expected given their patient mix. If the Ratio is less than 1.0, this means the hospital had less readmissions within 30 days than is expected given their patient mix. If the Ratio is greater than 1.0, this means the hospital had more readmissions within 30 days than is expected given their patient mix. in Overall PPR Rate for MCP , % % % % % Adams County Hospital % % Adena Regional Medical Center % % % % % Affinity Medical Center (Doctor's Stark) % % Akron General Medical Center , % % % % % Allen Medical Center % Alliance Community Hospital % % Ashtabula County Medical Center % % % % % Atrium Medical Center (Middletown) % % % % % Aultman Hospital % % % % % Barnesville Hospital Association Ohio Department of Page 1 of 5 February 25, 2016
2 Hospital Name in Bay Park Community Hospital % % % Bellevue Hospital % % Belmont Community Hospital % % % Belmont Pines % % % % % Berger Hospital % % Bethesda Hospital % % % % % Blanchard Valley Regional Health Center % % % % Brown County General Hospital Bucyrus Community Hospital % Children's Hospital Med Ctr Akron , % % % % % Children's Hospital Med Ctr Cincinnati , % % % % % Children's Medical Center Dayton , % % % % % Christ Hospital , % % % % % Clermont Mercy Hospital % % % % % Cleveland Clinic Hospital , % % % % % Clinton Memorial Hospital % % Community Health Partners of Ohio , % % % % % Community Hospital of Williams County % % Community Memorial Hospital Coshocton County Memorial Hospital % % Crystal Clinic Orthopaedic Center % % % Defiance Hospital % % % % Doctor's Hospital Columbus % % % % % Dublin Methodist Hospital % % Dunlap Memorial Hospital East Liverpool City Hospital % % % % East Ohio Regional Hospital % % EMH Regional Medical Center % % % % % Euclid Hospital % % % Fairfield Medical Center % % % % % Fairview Hospital , % % % % % Fayette County Memorial Hospital % % Firelands Regional Medical Center % % % % % Fisher Titus Medical Center % % % Flower Hospital % % % % % Fort Hamilton Hospital % % % % % Fostoria Community Hospital % Fulton County Health Center % Galion Community Hospital % Ohio Department of Page 2 of 5 February 25, 2016
3 Hospital Name in Genesis Healthcare System , % % % % % Good Samaritan Hospital , % % % % % Good Samaritan Hospital Dayton % % % % % Grady Memorial Hospital % % Grandview Hospital % % % % % Grant Medical Center , % % % % % Greene Memorial Hospital % H B Magruder Memorial Hospital Hardin Memorial Hospital Henry County Hospital Highland District Hospital % % Hillcrest Hospital % % % % Hocking Valley Community Hospital % Holzer Medical Center % % % Holzer Medical Center Jackson % Institute for Orthopedic Surgery Jewish Hospital LLC % % % % % Joint Township District Memorial Hospital % Kettering Memorial Hospital % % % % % Knox Community Hospital % % % Lake Hospital System % % % % % Lakewood Hospital % % % Laurelwood Hospital % % % % % Licking Memorial Hospital % % % % % Lima Memorial Hospital % % % % % Lutheran Hospital , % % % % % Madison County Hospital % Marietta Memorial Hospital % % Marion General Hospital % % % % % Mary Rutan Hospital % Marymount Hospital % % % % McCullough Hyde Memorial Hospital % MedCentral Health System % % % % Medina General Hospital % Memorial Hospital % % Memorial Hospital of Union County % Mental Health Services Clark County % % Mercer County Community Hospital Mercy Health West % % % % Ohio Department of Page 3 of 5 February 25, 2016
4 Hospital Name in Mercy Hospital Anderson % % % % % Mercy Hospital Defiance Mercy Hospital Hamilton/Farifield % % % % % Mercy Hospital Tiffin % % Mercy Medical Center % % % % % Mercy Memorial Hospital MetroHealth Medical Center , % % % % % Miami Valley Hospital , % % % % % Mount Carmel Hospital , % % % % % Nationwide Children's Hospital , % % % % % New Albany Surgical Hospital % Northside Medical Center % % O'Bleness Memorial Hospital % % % Ohio Hospital for Children & Adolescents % Ohio State University Hospital , % % % % % Parma Community General Hospital % % % % % Pike Community Hospital % Pomerene Hospital Riverside Methodist Hospital , % % % % % Robinson Memorial Hospital Salem Community Hospital % % Samaritan Regional Health System % Selby General Hospital Shelby Hospital MedCentral % South Pointe Hospital % % % % Southeastern Ohio Regional Medical Center % % % Southern Ohio Medical Center % % % % Southwest General Health Center % % % % Springfield Regional Medical Center , % % % % % St. Anne Mercy Hospital % % % % St. Ann's Hospital % % % % % St. Charles Mercy Hospital , % % % % % St. Elizabeth Boardman % % St. Elizabeth Health Center , % % % % % St. John Medical Center % % % % % St. Joseph Health Center % % St. Luke's Hospital % % % % St. Rita's Medical Center , % % % % % St. Vincent Charity Medical Center , % % % % Ohio Department of Page 4 of 5 February 25, 2016
5 Hospital Name in St. Vincent Mercy Medical Center , % % % % % Summa Barberton Citizens Hospital % % % % % Summa Health System Hospitals , % % % % % Summa Western Reserve Hospital % % % Sycamore Hospital % % % % % The Surgical Hospital at Southwoods Toledo Children's Hospital % % % Toledo Hospital , % % % % % Trinity Hospital Holding Company % % % % Trumbull Memorial Hospital % % % % % Twin City Hospital UH Ahuja Medical Center % % % % UH Brown Memorial Hospital UH Geauga Regional Hospital % % % % % UH Memorial Hospital of Geneva % UH Rainbow Babies & Children's Hospital , % % % % % UH Regional Hospitals % % % % UH University Hosp. of Cleveland , % % % % % Union Hospital % % % University Hospital , % % % % % University of Toledo Medical Center , % % % % % Upper Valley Medical Center % % % % % Van Wert County Hospital % Wayne Hospital Company % % West Chester Medical Center % % % Wilson Memorial Hospital % % Wood County Hospital % % % Wooster Community Hospital % % % Wyandot Memorial Hospital Ohio Department of Page 5 of 5 February 25, 2016
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