Patient Safety in Florida Hospitals

1. Patient Safety in Florida Hospitals Comparing AHCA and Health Grades Methodologies

2. HealthGrades (Nasdaq:HGRD) is a leading healthcare ratings organization, providing ratings and profiles of hospitals, nursing homes and physicians to consumers, corporations, health plans and hospitals. Consumers employers, health plans and hospitals use HealthGrades' ratings to make healthcare decisions based on the quality of care. The firm, founded in 1999, is headquartered in Golden, Colorado, and has 100 employees. 

3. Third Annual Patient Safety in American Hospitals Study Included patient safety incident rates for every non-federal hospital in the country. Used three years of Medicare data (2002 � 2004). Included 16 of 20 indicators for potentially preventable patient safety incidents identified by AHRQ in collaboration with the University of California-Stanford Evidence-Based Practice Center.

4. Health Grades Patient Safety Indicators Accidental puncture or laceration Complications of anesthesia Death in low mortality DRGs Decubitus ulcer Failure to rescue Foreign body left in during procedure Iatrogenic pneumothorax Selected infections due to medical care Post-operative hip fracture Transfusion reaction Post-operative hemorrhage or hematoma Post-operative physiologic and metabolic derangements Post-operative respiratory failure Post-operative pulmonary embolism or deep vein thrombosis Post-operative sepsis Post-operative wound dehiscence in abdominopelvic patients

5. AHCA Patient Safety Indicators Complication index Death in low mortality DRGs Decubitus ulcer Iatrogenic pneumothorax Selected infections due to medical care Post-operative hip fracture Post-operative pulmonary embolism or deep vein thrombosis

6. Patient Safety Performance Across the U.S. (2002 � 2004) Top Ten Minnesota Wisconsin Iowa Michigan Kansas Indiana Ohio Pennsylvania South Dakota North Dakota 13* Florida **District of Columbia hospitals were included in state ratings. Bottom Ten Nebraska California Hawaii Arkansas Maryland New Mexico District of Columbia** Tennessee Nevada New York New Jersey

7. Recipients of Health Grades Distinguished Hospital Award for Patient Safety Blake Medical Center������������������������������� Central Florida Regional Hospital����������� Cleveland Clinic - Florida Hospital��������� Cleveland Clinic Hospital������������������������� Doctors Hospital of Sarasota�������������������� Englewood Community Hospital������������� Flagler Hospital������������������������������������������ Florida Hospital������������������������������������������ Fort Walton Beach Medical Center�������� Gulf Coast Medical Center����������������������� Holmes Regional Medical Center/ Palm Bay Community Hospital��������������� Indian River Memorial Hospital��������������� JFK Medical Center������������������������������������ Lee Memorial Hospital������������������������������ Leesburg Regional Medical Center�������� Manatee Memorial Hospital��������������������� Morton Plant Hospital�������������������������������� Munroe Regional Medical Center����������� Naples Community Hospital�������������������� North Ridge Medical Center�������������������� Regional Medical Center Bayonet Point Sarasota Memorial Hospital��������������������� St. Luke�s Hospital�������������������������������������� ���� Bradenton, FL Sanford, FL Naples, FL Weston, FL Sarasota, FL Englewood, FL St. Augustine, FL Orlando, FL Ft. Walton Beach, FL Panama City, FL Melbourne, FL Vero Beach, FL Atlantis, FL Fort Myers, FL Leesburg, FL Bradenton, FL Clearwater, FL Ocala, FL Naples, FL Fort Lauderdale, FL Hudson, FL Sarasota, FL Jacksonville, FL����

8. Health Grades Methodology AHRQ�s Patient Safety Indicator Version 2.1, Revision 3a February 2005 software Calculate z score for each patient safety indicator Calculate attributable charge and mortality data

9. AHCA Methodology AHRQ�s Patient Safety Indicator Version 2.1, Revision 3a February 2005 software Risk-adjustment

10. Comparison Ratings of Distinguished Hospital Award Winners

11. Questions?