Table 1. Characteristics of hospitals, their hospital service area demographics, and presence of high-performing hospitals in each neighborhood.
| Neighborhood | Process | Experience | Value | Safety | Surgery | Readmission | Mortality |
|---|---|---|---|---|---|---|---|
| A (N = 196) |
Good | Poor | Mixed | Mixed | Poor | Mixed | Good |
| B (N = 138) |
Good (highest score on 3 measures) | Poor | Mixed | Mixed | Mixed | Poor, with particularly high readmission for AMI, HF, and Hip & knee surgery | Good |
| C (N = 135) |
Mixed (highest score on 1 measure) | Mixed | Average, with lowest rate of overall spending, but highest use of with/without contrast CT | Poor, with highest rate of surgical site infection from colon surgery | Mixed | Good, with particularly low readmission for HF, and Hospital-wide | Poor |
| D (N = 117) |
Good (highest score on 11 measures, but lowest on 1) | Mixed | Good with lowest use of chest CT with and without contrast | Average | Mixed, with lowest composite rate of surgical complications | Good, with particularly low readmission for Pneumonia | Good, with lowest mortality for Pneumonia |
| E (N = 155) |
Poor (lowest score on 23 measures) | Poor | Average | Mixed, with highest rate of CLABSI | Mixed, with highest rate of death among patients with treatable complications of surgery | Poor | Mixed, with highest mortality for Pneumonia, and AMI |
| F (N = 140) |
Mixed (highest score on 2 measures, lowest on 4) | Good (highest score on 7 measures) | Average | Average | Mixed | Good | Poor |
| G (N = 113) |
Good (highest score on 4 measures) | Good (highest score on 16 measures) | Mixed, with highest mammography recall rate | Good, with lowest rate of C. Difficile infections | Mixed with lowest rate of death among patients with treatable complications of surgery | Poor | Good |
| H (N = 87) |
Mixed (highest score on 1 measure, lowest on 1) | Poor | Mixed, with lowest rate of stress tests before low-risk ambulatory surgery | Good, with lowest rates of: CAUTI, and surgical site infection from colon surgery | Mixed | Poor | Poor, with particularly high mortality for AMI |
| I (N = 65) |
Mixed (highest score on 2 measures) | Mixed (highest score on 2 measures) | Average, with highest use of abdominal CT with and without contrast | Mixed, with lowest rate of surgical site infection after hysterectomy | Mixed | Good, with lowest readmission rates for AMI, HF, Pneumonia, and Hospital-wide | Poor |
| J (N = 93) |
Mixed | Poor (lowest score on 1 measure) | Mixed | Mixed | Mixed, with highest composite rate of surgical complications | Poor | Good, with lowest mortality for AMI |
| K (N = 65) |
Mixed (highest on 1 measure) | Poor | Mixed | Mixed | Good | Mixed | Poor, with highest mortality for HF |
| L (N = 44) |
Mixed (lowest score on 5 measures) | Poor (lowest score on 23 measures) | Poor | Poor, with highest rate of MRSA bloodstream infections | Mixed, with highest rate of complications after hip & knee surgery | Poor, with highest readmission rates for AMI, HF, Pneumonia, Hip & knee, and Hospital-wide | Good, with lowest mortality for HF |
| M (N = 71) |
Good (highest score on 14 measures) | Poor (lowest score on 5 measures) | Poor, with highest overall spending | Mixed | Average | Poor | Average |
| N (N = 62) |
Good (highest score on 5 measures) | Mixed (lowest score on 1 measure) | Good, with lowest mammography recall rate and use of abdominal CT with and without contrast | Mixed, with lowest rate of CLABSI | Good, with lowest rate of complications after hip & knee surgery | Good, with lowest readmission after hip & knee surgery, but hospital-wide and HF readmission also low | Average |
| O (N = 58) |
Good (highest on 4 measures) | Good (highest on 4 measures) | Poor, with highest rate of stress tests before low-risk ambulatory surgery | Poor, with highest rate of CAUTI | Good | Mixed | Good |
| P (N = 75) |
Mixed (highest on 1 measure, lowest on 2 measures) | Poor (n.b., particularly poor performance on cleanliness) | Mixed | Mixed, with highest rate of C. Difficile infections | Average | Good | Mixed |
AMI, acute myocardial infarction; CAUTI, catheter-associated urinary tract infection; CLABSI, central line-associated blood stream infection; HF, heart failure; MRSA, Methicillin-resistant Staphylococcus aureus
Definitions: Performance within a domain was classified as good if most measures were above average (i.e., 0), as poor if most measures were below average, as mixed if multiple measures were both greater than and less than average, and as average if most measures were near the average. The neighborhoods with the best and worst performance for each measure are noted. Neighborhoods with particularly good or bad performance, defined as a value 1 standard deviation above or below the average, on any measure were also noted.