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In-hospital mortality rates are up while readmissions decline, shows latest Pennsylvania performance report

  • By Nicole Leonard/WHYY
The bill has the backing of over 70 condition-specific organizations, including those representing diabetes, arthritis, and multiple sclerosis patients, among other chronic ailments.

 Cameron B. Pollack / Philadelphia Inquirer

The bill has the backing of over 70 condition-specific organizations, including those representing diabetes, arthritis, and multiple sclerosis patients, among other chronic ailments.

New statewide data finds deaths related to conditions like sepsis, heart attacks, and respiratory failure increased in Pennsylvania’s hospitals.

The Pennsylvania Health Care Cost Containment Council, an independent state agency, published its annual hospital performance report last month, which shows that in-hospital mortality rates rose during the last five years.

Researchers excluded COVID-19 related cases, but Barry Buckingham, council executive director, said the mortality increases could still be a result of the pandemic.

“Some of the possibilities are that maybe people waited longer to get care,” he said. “Maybe people were just sicker when they got there.”

The report examined outcomes for 13 medical conditions at all general acute care and some specialty general acute care hospitals in Pennsylvania for fiscal year 2021, and compared them to outcomes in fiscal year 2016.

Buckingham said the public data is intended to help not just hospitals, but also patients, health experts, and others in the industry.

“Whether it’s the legislature deciding on health care policy or rulemaking or laws, or whether it’s the facilities looking at their performance compared to others, our goal is to provide accurate and consistent information so that people can use it for their decision making,” he said.

Several programs that lowered barriers to health care and services during the pandemic are about to end, leaving patients and experts worried about the fallout.

Buckingham said this shows that hospitals aren’t discharging patients prematurely.

“And that they’re making sure these people are ready for their next step, whether that be a rehab or home,” he said. “There’s a plan for their post-admission care.”

The full report, including individual hospital performance outcomes, can be read here.

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