1. Pennsylvania Health Care Cost Containment Council PHC4 Health Care Toolkit

2. Pennsylvania Health Care Cost Containment Council (PHC4) PHC4 Web site www.phc4.org Interactive Databases Interactive Databases Public Reports Public Reports

3. Pennsylvania Health Care Cost Containment Council (PHC4) PHC4 Public Reports  Hospital-acquired Infections  Heart Surgery*  Hospital Performance  Medicare Advantage * includes surgeon-specific info * includes surgeon-specific info All reports are free to the public

4. Pennsylvania Health Care Cost Containment Council (PHC4) 30,237 HAIs statewide in 2006 30,237 HAIs statewide in 2006 Death rate with HAI = 12%, without HAI = 2% Death rate with HAI = 12%, without HAI = 2% Average stay with HAI = 14 days, without HAI = 3 days Average stay with HAI = 14 days, without HAI = 3 days Hospital-acquired Infections For each hospital, the report lists: Number and rate of HAIs Number and rate of HAIs Death rates Death rates Average lengths of stay Average lengths of stay Average charges Average charges

5. Pennsylvania Health Care Cost Containment Council (PHC4) Printed report

6. Pennsylvania Health Care Cost Containment Council (PHC4) Printed report

7. Pennsylvania Health Care Cost Containment Council (PHC4) 2006 Data Select a hospital Select a type of infection or all infections Select a peer group 2006 Data Select a hospital Select a type of infection or all infections Select a peer group PHC4 Web site - Interactive Hospital-acquired Infections

8. Pennsylvania Health Care Cost Containment Council (PHC4) 2005-2006 Comparison Select a hospital Select a type of infection or all infections Select a peer group 2005-2006 Comparison Select a hospital Select a type of infection or all infections Select a peer group PHC4 Web site - Interactive Hospital-acquired Infections

9. Pennsylvania Health Care Cost Containment Council (PHC4) Examines the results of coronary artery bypass graft (CABG) surgery and valve surgery Examines the results of coronary artery bypass graft (CABG) surgery and valve surgery Hospital and surgeon-specific performance Hospital and surgeon-specific performance Cardiac Surgery For hospitals and surgeons, the report lists: Number of surgeries performed Number of surgeries performed In-hospital and 30-day death rates In-hospital and 30-day death rates 7-day and 30-day readmission rates 7-day and 30-day readmission rates Post-surgical lengths of stay Post-surgical lengths of stay

10. Pennsylvania Health Care Cost Containment Council (PHC4) Printed report

11. Pennsylvania Health Care Cost Containment Council (PHC4) Printed report What do the symbols mean?

12. Pennsylvania Health Care Cost Containment Council (PHC4) Printed report

13. Pennsylvania Health Care Cost Containment Council (PHC4) PHC4 Web site - Interactive 2005 Data Select a hospital or surgeon Select year 2005 Data Select a hospital or surgeon Select year Cardiac Surgery

14. Pennsylvania Health Care Cost Containment Council (PHC4) Compares quality outcomes and charges for common procedures and treatments. Compares quality outcomes and charges for common procedures and treatments. Hospital-specific data Hospital-specific data Hospital Performance The report lists: Number of cases Number of cases Death rates Death rates Readmission rates Readmission rates Average lengths of stay Average lengths of stay Average charges Average charges

15. Pennsylvania Health Care Cost Containment Council (PHC4) Printed report

16. Pennsylvania Health Care Cost Containment Council (PHC4) Printed report

17. Pennsylvania Health Care Cost Containment Council (PHC4) Printed report

18. Pennsylvania Health Care Cost Containment Council (PHC4) Select a county PHC4 Web site - Interactive

19. Pennsylvania Health Care Cost Containment Council (PHC4) Conditions Available Online – Diagnoses: Hospital Performance Abnormal Heartbeat Blood Clot in Extremities Blood Clot in Lung Chronic Obstructive Pulmonary Disease Congestive Heart Failure Diabetes with Amputation Diabetes - Medical Management Heart Attack - Medical Management Intestinal Obstruction Kidney Failure – Acute Kidney and Urinary Tract Infections Pneumonia - Aspiration Pneumonia - Infectious Respiratory Failure with Mechanical Ventilation Respiratory Failure without Mechanical Ventilation Septicemia Stomach and Intestinal Bleeding Stroke - Hemorrhagic Stroke - Non-Hemorrhagic

20. Pennsylvania Health Care Cost Containment Council (PHC4) Conditions Available Online – Procedures: Hospital Performance Abdominal Aortic Aneurysm Repair-Endovascular Abdominal Aortic Aneurysm Repair-Open Colorectal Procedures Gallbladder Removal - Laparoscopic Gallbladder Removal - Open Heart Attack - Angioplasty/Stent Hip Fracture - Surgical Repair Hysterectomy - Abdominal Hysterectomy - Vaginal Prostatectomy - Radical Prostatectomy - Transurethral Removal of Blockage of Neck Vessels

21. Pennsylvania Health Care Cost Containment Council (PHC4) Conditions Available Online – DRGs: Hospital Performance  001 - Brain Surgery, complicated  075 - Major Lung Operations  076- Miscellaneous Lung Procedures, complicated  096 - Bronchitis and Asthma, complicated  097 - Bronchitis and Asthma, uncomplicated  141 - Hypotension and Fainting, complicated  143 - Chest Pain  182 - Stomach and Intestinal Infections and Disorders, complicated  183 - Stomach and Intestinal Infections and Disorders, uncomplicated  188 - Stomach and Intestinal Complications and Disorders  202 - Cirrhosis and Alcoholic Hepatitis  203 - Liver, Gallbladder or Pancreatic Cancer  204 - Noncancerous Pancreatic Disorders  205 - Liver Disease Except Cancer, Cirrhosis, Alcoholic Hepatitis, complicated  243 - Medical Back Problems  418 - Infection after Surgery or Trauma  553 - Vascular Operations Excluding Heart, complicated, with Major Cardiovascular Condition  554 - Vascular Operations Excluding Heart, complicated, with Major Cardiovascular Condition  567, 568 - Stomach and Small Intestinal Operations, complicated  578,579 - Surgery for Infectious or Parasitic Disease

22. Pennsylvania Health Care Cost Containment Council (PHC4) Select your search criteria Select a treatment group to compare all facilities within one treatment group Select your search criteria Select a treatment group to compare all facilities within one treatment group PHC4 Web site - Interactive

23. Pennsylvania Health Care Cost Containment Council (PHC4) PHC4 Web site - Interactive

24. Pennsylvania Health Care Cost Containment Council (PHC4) Helps older Pennsylvanians choose a Medicare Advantage Plan Helps older Pennsylvanians choose a Medicare Advantage Plan Compare plan options available Compare plan options available Medicare Advantage Plans The report provides: A list of plans by county A list of plans by county An overview of benefits, monthly premiums and co-payments An overview of benefits, monthly premiums and co-payments Information about quality measures and member satisfaction ratings Information about quality measures and member satisfaction ratings County-specific information about the “Part D” drug benefit County-specific information about the “Part D” drug benefit

25. Pennsylvania Health Care Cost Containment Council (PHC4) Printed report Sample Member Satisfaction Measure

26. Pennsylvania Health Care Cost Containment Council (PHC4) Sample Quality Measure Printed report

27. Pennsylvania Health Care Cost Containment Council (PHC4) PHC4 Web site – Download County Inserts

28. Pennsylvania Health Care Cost Containment Council (PHC4) PHC4 Web site – Download County Inserts

29. Pennsylvania Health Care Cost Containment Council (PHC4) PHC4 Web site – Download County Inserts

30. Pennsylvania Health Care Cost Containment Council (PHC4) PHC4 Web site – Download County Inserts

31. Pennsylvania Health Care Cost Containment Council (PHC4) PHC4 Web site – Download County Inserts

32. Pennsylvania Health Care Cost Containment Council (PHC4) For more information on PHC4: 225 Market Street, Suite 400 Harrisburg, PA 17101 (717) 232-6787 www.phc4.org Email: Mike Berney, Manager, Purchaser & Community Relations at mberney@phc4.org mberney@phc4.org