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Does this healthcare system support getting to a yes or no quickly?
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| We provide dedicated resources to support innovators |
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| We provide publicly available information to help innovators understand what we care about |
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| We provide timely communications to express interest or discontinue discussions |
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| We communicate and provide clear decision pathways |
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| We have an established and efficient due diligence pathway |
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| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| We provide dedicated resources to support innovators | |||||
| We provide publicly available information to help innovators understand what we care about | |||||
| We provide timely communications to express interest or discontinue discussions | |||||
| We communicate and provide clear decision pathways | |||||
| We have an established and efficient due diligence pathway |
Does this healthcare system have contracting and legal processes that accommodate innovators?
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| We have financial 'light' policies geared toward innovators |
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| We create equitable and favorable terms share upside gains |
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| We create contracts with pathways to scale |
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| We have a timely contracting process |
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| We have legal representatives familiar with working with innovators |
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| We have indemnity and insurance clauses that don't overly burden innovators |
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| We have legal departments willing to work with innovators with limited legal resources |
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| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| We have financial 'light' policies geared toward innovators | |||||
| We create equitable and favorable terms share upside gains | |||||
| We create contracts with pathways to scale | |||||
| We have a timely contracting process | |||||
| We have legal representatives familiar with working with innovators | |||||
| We have indemnity and insurance clauses that don't overly burden innovators | |||||
| We have legal departments willing to work with innovators with limited legal resources |
Does this healthcare system have safety and research policies and processes that both protect patients, but encourage rapid discovery and evaluation?
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| I would consider my system to be a "clinical research center of excellence for digital technologies |
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| Our IRB department has expertise supporting digital clinical trials |
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| We have clear policies articulating when IRB is needed for digital trials |
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| We have an efficient start to finish time in IRB reviews |
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| We have attractive IRB pricing |
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| Our IRB is willing to work with other health systems for multi-site research |
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| We have a research team that can support digital trials |
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| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| I would consider my system to be a "clinical research center of excellence for digital technologies | |||||
| Our IRB department has expertise supporting digital clinical trials | |||||
| We have clear policies articulating when IRB is needed for digital trials | |||||
| We have an efficient start to finish time in IRB reviews | |||||
| We have attractive IRB pricing | |||||
| Our IRB is willing to work with other health systems for multi-site research | |||||
| We have a research team that can support digital trials |
Does this healthcare system make it easy to adopt an emerging health tech solution?
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| We have clear access to data end points (API/HL7/FHIR) |
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| We have an efficient integration process |
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| We provide attracting integration pricing to innovators |
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| We have onsite integration specialists |
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| We use standard integration pathways (network, SAML, data fields, configuration, testing, deployment) |
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| We have accessible enterprise cloud and middleware integration solutions |
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| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| We have clear access to data end points (API/HL7/FHIR) | |||||
| We have an efficient integration process | |||||
| We provide attracting integration pricing to innovators | |||||
| We have onsite integration specialists | |||||
| We use standard integration pathways (network, SAML, data fields, configuration, testing, deployment) | |||||
| We have accessible enterprise cloud and middleware integration solutions |
Does this healthcare system make data available?
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| We have a common set of data stewards |
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| We have a standard data catalog |
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| We have policies related to data sharing for co-development and research |
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| We provide access to data sandboxes |
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| We can quickly extract and anonymize data sets |
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Does this healthcare system have clinical champions to support innovators?
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| We provide access to dedicated clinical champions |
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| We have many principal investigators dedicated to digital tech |
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Does this healthcare system support business development beyond the trail/validation period?
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| We have business development resources focused on digital tech |
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| We provide support and pathways to scale |
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| We help refer working solutions to other systems |
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| We provide access to growth capital |
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| We are willing to co-publish |
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| We have liberal branding and use of logo policies with partners |
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| We provide dedicated investment vehicles |
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| We provide board advisors |
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| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
|---|---|---|---|---|---|
| We have business development resources focused on digital tech | |||||
| We provide support and pathways to scale | |||||
| We help refer working solutions to other systems | |||||
| We provide access to growth capital | |||||
| We are willing to co-publish | |||||
| We have liberal branding and use of logo policies with partners | |||||
| We provide dedicated investment vehicles | |||||
| We provide board advisors |
Is the healthcare system perceived to be “easy to do business with”?
| Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
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| Innovators perceive us as being easy to work with |
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| Other health systems perceive us as being easy to work with |
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Description courtesy of Medicare.gov | Hospital Compare
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | California AVERAGE | NATIONAL AVERAGE |
|---|---|---|---|
| Emergency department volume | medium | Not Available | Not Available |
| Average (median) time patients spent in the emergency department, before they were admitted to the hospital as an inpatient A lower number of minutes is better | 376 | 280 | 256 |
| Average (median) time patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room A lower number of minutes is better | 134 | 89 | 87 |
| Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better | 199 | 131 | 135 |
| Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better | Not Available | 156 | 208 |
| Percentage of patients who left the emergency department before being seen Lower percentages are better | 2 | 2 | 2 |
| Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival Higher percentages are better | 91 | 61 | 72 |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | California AVERAGE | NATIONAL AVERAGE |
|---|---|---|---|
| Percentage of patients who received appropriate care for severe sepsis and septic shock. Higher percentages are better | 74% | 54% | 57% |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | California AVERAGE | NATIONAL AVERAGE |
|---|---|---|---|
| Patients assessed and given influenza vaccination Higher percentages are better | 92% | 88% | 93% |
| Healthcare workers given influenza vaccination Higher percentages are better | Not Available | 82% | 90% |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | California AVERAGE | NATIONAL AVERAGE |
|---|---|---|---|
| Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival Higher percentages are better | Not Available | 68 Minutes | 58 Minutes |
| Average (median) number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital A lower number of minutes is better | Not Available | 122 Minutes | 64 Minutes |
| Average (median) number of minutes before outpatients with chest pain or possible heart attack got an ECG A lower number of minutes is better | 10 Minutes | 9 Minutes | 8 Minutes |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | California AVERAGE | NATIONAL AVERAGE |
|---|---|---|---|
| Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy Higher percentages are better | 100% | 87% | 88% |
| Percentage of patients with history of polyps receiving follow-up colonoscopy in the appropriate timeframe Higher percentages are better | 100% | 82% | 90% |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | California AVERAGE | NATIONAL AVERAGE |
|---|---|---|---|
| Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery Higher percentages are better | Not Available | Not Available | 95% |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | California AVERAGE | NATIONAL AVERAGE |
|---|---|---|---|
| Percentage of patients receiving appropriate radiation therapy for cancer that has spread to the bone Higher percentages are better | 68% | 47% | 86% |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | California AVERAGE | NATIONAL AVERAGE |
|---|---|---|---|
| Percent of mothers whose deliveries were scheduled too early (1-2 weeks early), when a scheduled delivery was not medically necessaryLower percentages are better | 0% | 2% | 2% |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | California AVERAGE | NATIONAL AVERAGE |
|---|---|---|---|
| Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it Lower percentages are better | Not Available | 4% | 3% |
Description courtesy of Medicare.gov | Hospital Compare
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | National Results |
|---|---|---|
| Rate of complications for hip/knee replacement patients | No Different Than the National Rate | 2.5 |
| Deaths among Patients with Serious Treatable Complications after Surgery | No Different Than the National Rate | 163.01 |
| Serious complications | No Different Than the National Value | 1 |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | National Results |
|---|---|---|
| Death rate for heart attack patients | No Different Than the National Rate | 12.9% |
| Death rate for CABG surgery patients | Not Available | 3.1% |
| Death rate for COPD patients | No Different Than the National Rate | 8.5% |
| Death rate for heart failure patients | No Different Than the National Rate | 11.5% |
| Death rate for pneumonia patients | No Different Than the National Rate | 15.6% |
| Death rate for stroke patients | No Different Than the National Rate | 13.8% |
| Postoperative Acute Kidney Injury Requiring Dialysis Rate | No Different Than the National Rate | 1.35% |
| Postoperative Respiratory Failure Rate | No Different Than the National Rate | 7.35% |
| Serious blood clots after surgery | No Different Than the National Rate | 3.85% |
| Blood stream infection after surgery | No Different Than the National Rate | 5.09% |
| A wound that splits open after surgery on the abdomen or pelvis | No Different Than the National Rate | 0.95% |
| Accidental cuts and tears from medical treatment | No Different Than the National Rate | 1.29% |
| Pressure sores | No Different Than the National Rate | 0.52% |
| Deaths among Patients with Serious Treatable Complications after Surgery | No Different Than the National Rate | 163.01% |
| Collapsed lung due to medical treatment | No Different Than the National Rate | 0.27% |
| Broken hip from a fall after surgery | No Different Than the National Rate | 0.11% |
| Perioperative Hemorrhage or Hematoma Rate | No Different Than the National Rate | 2.53% |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER |
|---|---|
| Rate of complications for hip/knee replacement patients | No Different Than the National Rate |
| Death rate for heart attack patients | No Different Than the National Rate |
| Death rate for CABG surgery patients | Not Available |
| Death rate for COPD patients | No Different Than the National Rate |
| Death rate for heart failure patients | No Different Than the National Rate |
| Death rate for pneumonia patients | No Different Than the National Rate |
| Death rate for stroke patients | No Different Than the National Rate |
| Postoperative Acute Kidney Injury Requiring Dialysis Rate | No Different Than the National Rate |
| Postoperative Respiratory Failure Rate | No Different Than the National Rate |
| Serious blood clots after surgery | No Different Than the National Rate |
| Blood stream infection after surgery | No Different Than the National Rate |
| A wound that splits open after surgery on the abdomen or pelvis | No Different Than the National Rate |
| Accidental cuts and tears from medical treatment | No Different Than the National Rate |
| Pressure sores | No Different Than the National Rate |
| Deaths among Patients with Serious Treatable Complications after Surgery | No Different Than the National Rate |
| Collapsed lung due to medical treatment | No Different Than the National Rate |
| Broken hip from a fall after surgery | No Different Than the National Rate |
| Serious complications | No Different Than the National Value |
| Perioperative Hemorrhage or Hematoma Rate | No Different Than the National Rate |
Description courtesy of Medicare.gov | Hospital Compare
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | National Rates |
|---|---|---|
| Rate of readmission after discharge from hospital (hospital-wide) | No Different Than the National Rate | 14.5% |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | National Rates |
|---|---|---|
| Hospital return days for heart attack patients | Fewer Days Than Average per 100 Discharges | -29.4% |
| Hospital return days for heart failure patients | Fewer Days Than Average per 100 Discharges | -22.3% |
| Hospital return days for pneumonia patients | Fewer Days Than Average per 100 Discharges | -29.7% |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | No Different Than the National Rate | 17.6% |
| Heart failure (HF) 30-Day Readmission Rate | No Different Than the National Rate | 20.9% |
| Pneumonia (PN) 30-Day Readmission Rate | No Different Than the National Rate | 15% |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | National Rates |
|---|---|---|
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | No Different than the National Rate | 14.8% |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | No Different Than the National Rate | 15.3% |
| Rate of readmission for CABG | Not Available | Not Available |
| Rate of readmission after hip/knee replacement | No Different Than the National Rate | 3.8% |
The Medicare Spending Per Beneficiary (MSPB or “Medicare hospital spending per patient”) measure shows whether Medicare spends more, less, or about the same on an episode of care for a Medicare patient treated in a specific inpatient hospital compared to how much Medicare spends on an episode of care across all inpatient hospitals nationally. This measure includes all Medicare Part A and Part B payments made for services provided to a patient during an episode of care, which includes the 3 days prior to the hospital stay, the inpatient hospital stay, and the 30 days after discharge from the hospital.
The MSPB measure score is a ratio calculated by dividing the amount Medicare spent per patient for an episode of care initiated at this hospital by the median (or middle) amount Medicare spent per episode of care nationally. A lower ratio means that Medicare spent less per patient.
A ratio equal to the national average means that Medicare spends ABOUT THE SAME per patient for an episode of care initiated at this hospital as it does per episode of care across all inpatient hospitals nationally.
A ratio that is more than the national average means that Medicare spends MORE per patient for an episode of care initiated at this hospital than it does per episode of care across all inpatient hospitals nationally.
A ratio that is less than the national average means that Medicare spends LESS per patient for an episode of care initiated at this hospital than it does per episode of care across all inpatient hospitals nationally.
Description courtesy of Medicare.gov | Hospital Compare
| Measure Description | ADVENTIST HEALTH FEATHER RIVER | National Average Payment |
|---|---|---|
| Payment for heart attack patients | No Different Than the National Average Payment | $25,104 |
| Payment for heart failure patients | Less Than the National Average Payment | $15,910 |
| Payment for pneumonia patients | Less Than the National Average Payment | $16,298 |
| Payment for hip/knee replacement patients | Less Than the National Average Payment | $17,638 |
| Measure Description | ADVENTIST HEALTH FEATHER RIVER |
|---|---|
| Value of Care Heart Attack measure | Average Mortality and Average Payment |
| Value of Care Heart Failure measur | Average Mortality and Lower Payment |
| Value of Care Pneumonia measure | Average Mortality and Lower Payment |
| Value of Care hip/knee replacement | Average Complications and Lower Payment |
"Given the wide variation in both pricing and collection practices by hospitals, measures of billing practices are needed," the authors stated in the JAMA article. "Billing quality is a type of medical quality."
In the same way that medical complication rates are collected for improvement purposes and some are available to the public, metrics of billing quality could be used to create public accoundability for US hospitals.
