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Monday, August 13, 2012
Surgical Safety: Hawaii Hospitals 2nd Worst in Nation
By Selected News Articles @ 4:41 PM :: 6280 Views :: Energy, Environment

Hawaii Dashboard on Health Care Quality Compared to All States

From US Department of Health and Human Services

Overall Health Care Quality

Compared to all States, for the most recent data year, the performance for Hawaii for all measures is in the average range. For the baseline year, performance is in the average range.

The position of the solid arrow represents the State's performance meter score for the most recent data year, while the dashed arrow represents the same for the baseline year. The most recent data year and baseline years are defined in the All-State Data Table for All Measures.

The graphics on this page are summaries of measures reported in the National Healthcare Quality Report (NHQR) for Hawaii. Above is a summary of over 150 measures in the NHQR reported at the State level, and below are graphics describing specific types of care, settings of care, and care in clinical areas. Select the graphics to find the underlying measures.

How is State performance scored? (select this link or Methods)

The position of the solid triangle represents the State's performance score for the most recent data year, while the hollow triangle represents the same for the baseline year.

Compared to all States, for the most recent data year, the performance for Hawaii for preventive measures is in the average range. For the baseline year, performance is in the strong range.

Compared to all States, for the most recent data year, the performance for Hawaii for acute care measures is in the weak range. For the baseline year, performance is in the average range.

Compared to all States, for the most recent data year, the performance for Hawaii for chronic care measures is in the strong range. For the baseline year, performance is in the strong range.

Compared to all States, for the most recent data year, the performance for Hawaii for home health care measures is in the average range. For the baseline year, performance is in the average range.

Compared to all States, for the most recent data year, the performance for Hawaii for hospital care measures is in the weak range. For the baseline year, performance is in the weak range.

Compared to all States, for the most recent data year, the performance for Hawaii for nursing home care measures is in the strong range. For the baseline year, performance is in the strong range.

Compared to all States, for the most recent data year, the performance for Hawaii for ambulatory care measures is in the average range. Performance for the baseline year is not available because of insufficient data.

Compared to all States, for the most recent data year, the performance for Hawaii for cancer measures is in the strong range. For the baseline year, performance is in the very strong range.

Compared to all States, for the most recent data year, the performance for Hawaii for diabetes measures is in the very strong range. For the baseline year, performance is in the very strong range.

Compared to all States, for the most recent data year, the performance for Hawaii for heart disease measures is in the average range. For the baseline year, performance is in the weak range.

Compared to all States, for the most recent data year, the performance for Hawaii for maternal and child health measures is in the weak range. For the baseline year, performance is in the weak range.

Compared to all States, for the most recent data year, the performance for Hawaii for respiratory diseases measures is in the average range. For the baseline year, performance is in the average range.

Each graphic shows a State's balance of below average, average, and above average measures compared to all States reporting such data in the United States. The graphics have five categories: very weak, weak, average, strong, and very strong. This State's performance for the most recent data year is described by a solid arrow or solid triangle; a dashed arrow or hollow triangle describes the baseline year. A missing arrow or triangle means there were insufficient data to create the summary measure.

An arrow or triangle pointing to "Very weak" means all or nearly all included measures for a State are below average within a given data year. An arrow or triangle pointing to "Very strong" indicates that all or nearly all available measures for a State are above average within a given data year.

How is State performance scored? (select this link or Methods)

Additional Resources for Understanding Quality in Hawaii

The Agency for Healthcare Research and Quality's Health Care Report Card Compendium is a searchable database of health care report cards for comparing the quality of health plans, hospitals, medical groups, individual physicians, nursing homes, and other providers of care. The report cards demonstrate approaches to reporting data and are a resource for those interested in creating health care report cards.

Search the Health Care Report Card Compendium.

AHRQ Health Care Innovations Exchange: A searchable database of successful and attempted health care innovations, quality tools, and learning and networking opportunities—a resource for those interested in developing and adopting innovations in health care delivery. The Innovations Exchange includes information for Hawaii.

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Leapfrog: How Safe are Hawaii Hospitals? June, 2012

SA: HMSA Exec Whines About Hospital Ratings

SA: Isles lag in patient surgery safety

The low patient safety score was based on Hawaii hospitals' score for using appropriate antibiotics to help prevent wound infection after surgery, providing antibiotics within one hour of surgery and discontinuing antibiotics on time.

Wyoming was the only state that ranked worse than Hawaii in patient safety during surgeries, according to the report, which was issued last month and based on more than 150 quality measures.

Hawaii also received poor ratings for the care of pneumonia patients in hospitals as well as hospice patients who received the right amount of pain medication and the number of patients receiving kidney transplants. In overall health care quality, Hawaii ranked in the middle at No. 24 among the states and Washington, D.C.

"There's a pattern with hospitals having problems," said Ernest Moy, lead author of the report. "Hospitals are not adhering to recommendations, or they're not documenting them. It could be that people in Hawaii, a lot of times they might be getting antibiotics but might not get the ideal antibiotic or might not get it at the right time."

Other studies have scored the state poorly on hospital-based patient care in general, he said.

"They are on the worse 20 percent or so for many of the measures," Moy said. "There seems to be more problems in the hospitals as opposed to doctors' offices. I would suggest Hawaii's policymakers take a look at hospital care and hospice."

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